Key result
Post-discharge surveillance increased the detected global rates of surgical site infections to 33.7% and 17.9% in two institutions, representing a 5.02 and 3.98-fold increase over in-hospital rates.
Why the study?
Does post-discharge surveillance improve the detection of surgical site infections compared to in-hospital surveillance alone in patients undergoing digestive system surgery?
Observational
Yes
Does post-discharge surveillance improve the detection of surgical site infections compared to in-hospital surveillance alone in patients undergoing digestive system surgery?
Post-discharge surveillance is crucial for accurately determining the true incidence of surgical site infections, as in-hospital surveillance alone significantly underreports them.
Answers are grounded in this paper and cite their sources.
Post-discharge surveillance markedly raises detected SSI rates after digestive surgery; leaves open whether routine adoption improves outcomes without prospective trials.
The Surgical Site Infection (SSI) has been pointed as one of the most important infection sites. This study aimed to determine the surgical site infection incidence during hospitalization and the impact of notification after discharge through two methods. This prospective study was carried out in the digestive system surgery service (DSS) of two general hospitals of São Paulo, in the period from August, 2001 to March, 2002. Incidence levels of 6.7% and 4.5% were notified in the institutions A and B respectively. The incidence of SSI after discharge in the institution A was 27% and 13.4% in the institution B. Surveillance after discharge evidenced global rates of 33.7% and 17.9% for institutions A and B respectively. The rates of infection increased 5.02 and 3.98 times respectively in institutions A and B.
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Oliveira et al. (2007) conducted an observational in Surgical Site Infection. Post-discharge surveillance vs. In-hospital notification was evaluated on Surgical site infection incidence. Post-discharge surveillance increased the detected global rates of surgical site infections to 33.7% and 17.9% in two institutions, representing a 5.02 and 3.98-fold increase over in-hospital rates.
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