[Surgical site infections following vascular surgery].
OBJECTIVE
The aim of this paper was to perform epidemiological and microbiological analyses of surgical site infections diagnosed in patients after vascular surgery in two highly specialist centers in the year 2005.


METHODS
The study was conducted in two highly specialist wards in 2005 and covered totally 413 procedures. SSI's detection was based on definitions developed according to CDC guidelines. Post-discharge detection was included in the study. Collected data enabled evaluation of incidence rates and, additionally, in one hospital, assessing detailed rates included standardized SSI risk index.


METHODS
Patients underwent analyzed procedures was mainly male (80%), aged 60 and more. In hospital I SSI incidence rate reached 2,6% and in the other (hospital II)--5,6%. Among the etiological factors isolated from patients with SSI staphylococci were the most common (45,5%) and it was mainly Staphylococcus aureus.


CONCLUSIONS
The study which was performed showed the incidence of SSIs in patients undergoing vascular surgery at the level of 2.6 and 5.6%. It was shown that it is possible to introduce an effective post-discharge surveillance, which encompassed 50-66% diagnosed cases of SSI.
Wójkowska-Mach
Jadwiga
J
Katedra Mikrobiologii Uniwersytet Jagielloński Collegium Medicum w Krakowie. mbmach@cyf-kr.edu.pl
Bulanda
Małgorzata
M
Cencora
Andrzej
A
Jawień
Arkadiusz
A
Szczypta
Anna
A
Rózańska
Anna
A
Romaniszyn
Dorota
D
Heczko
Piotr B
PB
D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D017053:Infection Control / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data; D011044:Poland / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods; D011182:Postoperative Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000523:psychology / Q000706:statistics & numerical data*