title: Surgical wound infection rates in Spain: data summary, January 1997 through June 2012.
abstract: BACKGROUND
  The Indicadores Clínicos de Mejora Continua de la Calidad (INCLIMECC) program was established in Spain in 1997.
  
  
  METHODS
  INCLIMECC is a prospective system of health care-associated infection (HAI) surveillance that collects incidence data in surgical and intensive care unit patients. The protocol is based on the National Healthcare Safety Network (NHSN) surveillance system, formerly known as the National Nosocomial Infection Surveillance (NNIS) system, and uses standard infection definitions from the US Centers for Disease Control and Prevention. Each hospital takes part voluntarily and selects the units and surgical procedures to be surveyed.
  
  
  RESULTS
  This report is a summary of the data collected between January 1997 and June 2012. A total of 370,015 patients were included, and the overall incidence of surgical wound infection (SWI) was 4.51%. SWI rates are provided by NHSN operating procedure category and NNIS risk index category. More than 27% of the patients received inadequate antibiotic prophylaxis, the main reason being unsuitable duration (57.05% of cases).
  
  
  CONCLUSIONS
  Today, the INCLIMECC network includes 64 Spanish hospitals. We believe that an HAI surveillance system with trained personnel external to the surveyed unit is a key component not only in infection control and prevention, but also in a quality improvement system.
authors.affiliation: Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain. Electronic address: cristina.diazagero@salud.madrid.org.
authors.forename: Cristina
authors.initials: C
authors.lastname: Díaz-Agero Pérez
authors.affiliation: Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Robustillo Rodela
authors.affiliation: Servicio de Medicina Preventiva, Hospital Universitario del Henares, Coslada, Madrid, Spain.
authors.forename: María José
authors.initials: MJ
authors.lastname: Pita López
authors.affiliation: Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain.
authors.forename: Nieves
authors.initials: N
authors.lastname: López Fresneña
authors.affiliation: Indicadores Clínicos de Mejora Continua de la Calidad Network, Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Monge Jodrá
mesh_terms: D006801:Humans; D015994:Incidence; D013030:Spain / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology*
keywords: Antimicrobial prophylaxis; Health care–associated infection; Infection control; Surgical site infection; Surveillance