International Comparison of Results of Infection Surveillance: The Netherlands versus Belgium

摘要: OBJECTIVE To explore the potential benefit of comparing results from two national surveillance networks. DESIGN Two prospective multicenter cohort studies surgical wound infections (SWI). SETTING Thirty-five and 62 acute-care hospitals in The Netherlands (NL) Belgium (B), respectively, October 1, 1991, to June 30, 1992. RESULTS participation was equivalent countries: 27% 28% (B) all hospitals. Marked differences emerged between Dutch Belgian crude infection rates specific by class other risk factors. Because case-mix countries is quite different, comparisons can be made only category. for inguinal hernia repair appendectomy are compared as an example. In herniorrhaphies, difference rate (0.4% [NL] versus 1.2% [B]) not explained distribution shorter hospital stay (4 days 6 [B]), more effective postdischarge Belgium, fact that than thirds detected occurred after first postoperative week probably account most difference. There a striking prophylaxis use (3.7% 41.9% [B]). appendectomies, patient population shows on average higher profile, surgery urgent much often (78.3%) (49.2%). Netherlands, especially among patients without prophylaxis, which again employed less frequently there. CONCLUSION We conclude international yield interesting insights regarding quality care, reaching beyond field nosocomial prevention. This argument favor harmonization