[A study of the incidence and the specific risk factors for surgical site nosocomial infections].
The aim of our study is to estimate the incidence of surgical site nosocomial infections in a general surgery department and also to present the importance of the risk factors associated with these infections using the latest diagnostic protocols.


METHODS
a retrospective analysis of 3038 surgical procedures performed between 2000-2002. We identified all the patients with surgical site nosocomial infection (SSI) mentioned in the observation sheet using NNISS/HELICS protocols to appreciate the risk for surgical site nosocomial infections. The results were compared to those published in the literature.


RESULTS
we selected 198 cases (6,55%) with surgical site nosocomial infections of 3024 surgical patients (we excluded 14 cases): 41.4% of them were superficial infections, 49% profound infections, 7.1% organ-space infections and 2.5% with mixed nosocomial infections. We analysed the incidence depending on the risk factors and the type of surgical procedure, the agents involved in the development of the postoperative nosocomial infections, the germs concerned and their antibiotics resistance.


CONCLUSIONS
the rates of different NNISS values after surgical procedures with nosocomial infections are analysed relative to the rates published by HELICS study for Romania and other European countries and it shows larger rates than the european average, maybe because our country has not started yet the HELICS protocol for SSI.
Ghelase
M St
MS
Catedra de Sănătate publică şi management sanitar, UMF Craiova. mghelase@lycos.com
Trăilă
H
H
Mărgăritescu
D
D
Ghelase
F
F
Georgescu
I
I
Râmboiu
S
S
Cârţu
D
D
D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D015994:Incidence; D011159:Population Surveillance; D012189:Retrospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000382:microbiology; D016019:Survival Analysis