title: Applicability of the national nosocomial infections surveillance system risk index for the prediction of surgical site infections: a review.
abstract: This review outlines the evolution of risk rates of surgical site infection adopted by the Study on the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infections Surveillance (NNIS) system, and evaluates their advantages and limitations. The types of surgical procedures for which the NNIS index has proven to be an efficient system for the classification of patients are presented. The necessity of adapting the NNIS index to take into account specific characteristics associated with hospitals and practices in various regions and countries is stressed. The requirement for further testing and development of the rate concerning specific procedures, particularly those involving orthopaedic surgery, is discussed.
authors.affiliation: Nurse Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. fercole@enf.ufmg.br
authors.forename: Flávia Falci
authors.initials: FF
authors.lastname: Ercole
authors.forename: Carlos Ernesto Ferreira
authors.initials: CE
authors.lastname: Starling
authors.forename: Tânia Couto Machado
authors.initials: TC
authors.lastname: Chianca
authors.forename: Mariângela
authors.initials: M
authors.lastname: Carneiro
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D006801:Humans; D011159:Population Surveillance / Q000379:methods*; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D018570:Risk Assessment; D013530:Surgical Wound Infection / Q000517:prevention & control*