Zakażenie miejsca operowanego po zabiegach endoprotezowania stawu biodrowego - analiza wyników nadzoru w dwóch polskich oddziałach ortopedycznych

2009
journal article
article
dc.abstract.enBackground Surgical Site Infections (SSIs) are a major infection control problem in modern hospitals. The aim of this study was to carry out an epidemiological analysis of surgical site infections diagnosed in patients after hip endoarthroplasty in two clinical centres in 2005. Material and methods Surveillance of hospital infections was performed according to the definitions and criteria of the National Nosocomial Infections Surveillance System (NNIS). 187 and 479 surgical procedures were performed in two hospital wards. Results Incidence was found to be 7.5% and 2.3%, respectively. Deep infections were the dominant type in Clinical Centre I and superficial infections predominated in Clinical Centre II. In one of the centres, an effective post-discharge infection registration system was implemented (63.6% of the cases); the second centre registered SSI cases predominantly during the patients’ stay on the ward. Gram-positive cocci were the most common aetiological factor for all types of SSIs. All Staphylococcus aureus strains isolated were MSSA and the main therapeutic problem was multi-resistant coagulase-negative staphylococci.Conclusions The results of the study point to a significantly higher SSI incidence in the population of patients in Clinical Centre I. Prolonged preoperative hospital stay was shown to raise the risk for SSI. The technical skill of the surgeons, expressed as the number of procedures carried out at each centre, was another significant factor. Drug resistance of isolates points to the problem of multi-resistant coagulase-negative staphylococci infections in the study population.pl
dc.affiliationWydział Lekarski : Zakład Bakteriologii,Ekologii Drobnoustrojów i Parazytologiipl
dc.affiliationWydział Nauk o Zdrowiu : Instytut Fizjoterapiipl
dc.affiliationWydział Lekarski : Zakład Epidemiologii Zakażeńpl
dc.contributor.authorWójkowska-Mach, Jadwiga - 133844 pl
dc.contributor.authorBulanda, Małgorzata - 128927 pl
dc.contributor.authorJaje, Ewapl
dc.contributor.authorRomaniszyn, Dorota - 133292 pl
dc.contributor.authorZiółkowski, Grzegorzpl
dc.contributor.authorFrańczuk, Bogusławpl
dc.contributor.authorGaździk, Tadeusz - 228065 pl
dc.contributor.authorKochan, Piotr - 130192 pl
dc.contributor.authorHeczko, Piotr - 129700 pl
dc.date.accession2016-04-20pl
dc.date.accessioned2016-04-20T17:22:45Z
dc.date.available2016-04-20T17:22:45Z
dc.date.issued2009pl
dc.date.openaccess2
dc.description.accesstimepo opublikowaniu
dc.description.additionalTekst równolegle w jęz. pol. i ang. Bibliogr. s. 263pl
dc.description.number3pl
dc.description.physical253-263pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume11pl
dc.identifier.eissn2084-4336pl
dc.identifier.issn1509-3492pl
dc.identifier.urihttp://ruj.uj.edu.pl/xmlui/handle/item/24406
dc.identifier.weblinkwww.journals.indexcopernicus.com/fulltxt.php?ICID=891287pl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsDodaję tylko opis bibliograficzny*
dc.rights.licenceOTHER
dc.rights.uri*
dc.share.typeotwarte czasopismo
dc.subject.ennosocomial infectionspl
dc.subject.ensurveillancepl
dc.subject.ensurgical site infectionpl
dc.subject.enendoarthroplasty of hippl
dc.subject.plzakażenia szpitalnepl
dc.subject.plnadzór nad zakażeniamipl
dc.subject.plzakażenia miejsca operowanegopl
dc.subject.plendoprotezoplastyka stawu biodrowegopl
dc.subtypeArticlepl
dc.titleZakażenie miejsca operowanego po zabiegach endoprotezowania stawu biodrowego - analiza wyników nadzoru w dwóch polskich oddziałach ortopedycznychpl
dc.title.alternativeThe risk related to surgical site infections after hip endoarthroplasty - surveillance outcome analysis in two Polish orthopaedic centrespl
dc.title.journalOrtopedia, Traumatologia, Rehabilitacjapl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background Surgical Site Infections (SSIs) are a major infection control problem in modern hospitals. The aim of this study was to carry out an epidemiological analysis of surgical site infections diagnosed in patients after hip endoarthroplasty in two clinical centres in 2005. Material and methods Surveillance of hospital infections was performed according to the definitions and criteria of the National Nosocomial Infections Surveillance System (NNIS). 187 and 479 surgical procedures were performed in two hospital wards. Results Incidence was found to be 7.5% and 2.3%, respectively. Deep infections were the dominant type in Clinical Centre I and superficial infections predominated in Clinical Centre II. In one of the centres, an effective post-discharge infection registration system was implemented (63.6% of the cases); the second centre registered SSI cases predominantly during the patients’ stay on the ward. Gram-positive cocci were the most common aetiological factor for all types of SSIs. All Staphylococcus aureus strains isolated were MSSA and the main therapeutic problem was multi-resistant coagulase-negative staphylococci.Conclusions The results of the study point to a significantly higher SSI incidence in the population of patients in Clinical Centre I. Prolonged preoperative hospital stay was shown to raise the risk for SSI. The technical skill of the surgeons, expressed as the number of procedures carried out at each centre, was another significant factor. Drug resistance of isolates points to the problem of multi-resistant coagulase-negative staphylococci infections in the study population.
dc.affiliationpl
Wydział Lekarski : Zakład Bakteriologii,Ekologii Drobnoustrojów i Parazytologii
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Fizjoterapii
dc.affiliationpl
Wydział Lekarski : Zakład Epidemiologii Zakażeń
dc.contributor.authorpl
Wójkowska-Mach, Jadwiga - 133844
dc.contributor.authorpl
Bulanda, Małgorzata - 128927
dc.contributor.authorpl
Jaje, Ewa
dc.contributor.authorpl
Romaniszyn, Dorota - 133292
dc.contributor.authorpl
Ziółkowski, Grzegorz
dc.contributor.authorpl
Frańczuk, Bogusław
dc.contributor.authorpl
Gaździk, Tadeusz - 228065
dc.contributor.authorpl
Kochan, Piotr - 130192
dc.contributor.authorpl
Heczko, Piotr - 129700
dc.date.accessionpl
2016-04-20
dc.date.accessioned
2016-04-20T17:22:45Z
dc.date.available
2016-04-20T17:22:45Z
dc.date.issuedpl
2009
dc.date.openaccess
2
dc.description.accesstime
po opublikowaniu
dc.description.additionalpl
Tekst równolegle w jęz. pol. i ang. Bibliogr. s. 263
dc.description.numberpl
3
dc.description.physicalpl
253-263
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
11
dc.identifier.eissnpl
2084-4336
dc.identifier.issnpl
1509-3492
dc.identifier.uri
http://ruj.uj.edu.pl/xmlui/handle/item/24406
dc.identifier.weblinkpl
www.journals.indexcopernicus.com/fulltxt.php?ICID=891287
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Dodaję tylko opis bibliograficzny
dc.rights.licence
OTHER
dc.rights.uri*
dc.share.type
otwarte czasopismo
dc.subject.enpl
nosocomial infections
dc.subject.enpl
surveillance
dc.subject.enpl
surgical site infection
dc.subject.enpl
endoarthroplasty of hip
dc.subject.plpl
zakażenia szpitalne
dc.subject.plpl
nadzór nad zakażeniami
dc.subject.plpl
zakażenia miejsca operowanego
dc.subject.plpl
endoprotezoplastyka stawu biodrowego
dc.subtypepl
Article
dc.titlepl
Zakażenie miejsca operowanego po zabiegach endoprotezowania stawu biodrowego - analiza wyników nadzoru w dwóch polskich oddziałach ortopedycznych
dc.title.alternativepl
The risk related to surgical site infections after hip endoarthroplasty - surveillance outcome analysis in two Polish orthopaedic centres
dc.title.journalpl
Ortopedia, Traumatologia, Rehabilitacja
dc.typepl
JournalArticle
dspace.entity.type
Publication

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