title: The Spanish national health care-associated infection surveillance network (INCLIMECC): data summary January 1997 through December 2006 adapted to the new National Healthcare Safety Network Procedure-associated module codes.
abstract: BACKGROUND
  In 1997, a national standardized surveillance system (designated INCLIMECC [Indicadores Clínicos de Mejora Continua de la Calidad]) was established in Spain for health care-associated infection (HAI) in surgery patients, based on the National Nosocomial Infection Surveillance (NNIS) system. In 2005, in its procedure-associated module, the National Healthcare Safety Network (NHSN) inherited the NNIS program for surveillance of HAI in surgery patients and reorganized all surgical procedures.
  
  
  METHODS
  INCLIMECC actively monitors all patients referred to the surgical ward of each participating hospital. We present a summary of the data collected from January 1997 to December 2006 adapted to the new NHSN procedures.
  
  
  RESULTS
  Surgical site infection (SSI) rates are provided by operative procedure and NNIS risk index category. Further quality indicators reported are surgical complications, length of stay, antimicrobial prophylaxis, mortality, readmission because of infection or other complication, and revision surgery.
  
  
  CONCLUSIONS
  Because the ICD-9-CM surgery procedure code is included in each patient's record, we were able to reorganize our database avoiding the loss of extensive information, as has occurred with other systems.
authors: Servicio de Medicina Preventiva, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors: Cristina Díaz-Agero
authors: CD
authors: Pérez
authors: Ana Robustillo
authors: AR
authors: Rodela
authors: Vincente
authors: V
authors: Monge Jodrá
mesh_terms: D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data; D003428:Cross Infection / Q000453:epidemiology*; D005069:Evaluation Studies as Topic; D006761:Hospitals; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000706:statistics & numerical data; D012086:Reoperation / Q000706:statistics & numerical data; D013030:Spain / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000150:complications / Q000453:epidemiology* / Q000401:mortality