title: Surveillance of surgical site infections in elective colorectal surgery. Results of the VINCat Program (2007-2010).
abstract: The VINCat Program is a standardized surveillance program of healthcare infections in Catalonia, Spain. This program includes monitoring of surgical site infections (SSI) of elective colorectal surgery. The aim of this study was to define SSI rates in colorectal surgery among VINCat hospitals over a period of 4 years. We included consecutive elective colorectal interventions performed in VINCat hospitals from 2007 to 2010. Follow-up visits were performed 30 days after surgery. Prospective monitoring of SSI in colorectal surgery was performed according to standardized VINCat methodology. SSI was defined according to the Centers for Disease Control (CDC) and surgical risk factors according to the National Healthcare Safety Network (NHSN) classification. From 2007 to 2010, 49 centers performed 10,104 surgical procedures. The cumulative incidence of SSI was 20.8% (95% CI: 20.03-21.63). The annual cumulative SSI incidence rate did not vary significantly over the study period; however, there were significant differences among hospital infection rates. The relative frequency of organ-space infection increased from 25% in 2007 to 40% in 2010 (p<0.001). Laparoscopic surgery also increased (28% in 2007 to 42% in 2010, p<0.001). However, no changes were observed in mean surgery duration, ASA score and degree of surgical contamination. The VINCat Program incorporated a large number of Catalan hospitals that participated in standardized monitoring of colorectal surgery. The cumulative incidence rate of SSI for colorectal surgery was 20.8%, although there were large variations between hospitals.
authors: Infectious Diseases Service, Hospital Universitario de Bellvitge, Barcelona, Spain. mpujol@csub.scs.es
authors: Miquel
authors: M
authors: Pujol
authors: Enric
authors: E
authors: Limón
authors: Joaquín
authors: J
authors: López-Contreras
authors: Montserrat
authors: M
authors: Sallés
authors: Feliu
authors: F
authors: Bella
authors: Francesc
authors: F
authors: Gudiol
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000601:surgery*; D003428:Cross Infection / Q000453:epidemiology*; D013505:Digestive System Surgical Procedures / Q000706:statistics & numerical data*; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data*; D005260:Female; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000145:classification / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods; D011446:Prospective Studies; D012007:Rectum / Q000601:surgery*; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology*