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Evaluation of two surveillance methods for surgical site infection

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Author(s): M. Haji Abdolbaghi | J. Makarem | M. Rasoolinejad | Sh. Afahami | M.S. Fazeli | M. Unesian | F. Adili | S. SH. Alavi

Journal: Tehran University Medical Journal
ISSN 1683-1764

Volume: 64;
Issue: 8;
Start page: 14;
Date: 2006;
Original page

Keywords: Surgical wound infection | surveillance | postoperative antibiotic

ABSTRACT
Background: Surgical wound infection surveillance is an important facet of hospital infection control processes. There are several surveillance methods for surgical site infections. The objective of this study is to evaluate the accuracy of two different surgical site infection surveillance methods. Methods: In this prospective cross sectional study 3020 undergoing surgey in general surgical wards of Imam Khomeini hospital were included. Surveillance methods consisted of review of medical records for postoperative fever and review of nursing daily note for prescription of antibiotics postoperatively and during patient’s discharge. Review of patient’s history and daily records and interview with patient’s surgeon and the head-nurse of the ward considered as a gold standard for surveillance. Results: The postoperative antibiotic consumption especially when considering its duration is a proper method for surgical wound infection surveillance. Accomplishments of a prospective study with postdischarge follow up until 30 days after surgery is recommended. Conclusion: The result of this study showed that postoperative antibiotic surveillance method specially with consideration of the antibiotic usage duration is a proper method for surgical site infection surveillance in general surgery wards. Accomplishments of a prospective study with post discharge follow up until 30 days after surgery is recommended.
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