Infections after coronary artery bypass graft surgery in Victorian hospitals - VICNISS Hospital Acquired Infection Surveillance

摘要: Objective: To establish a surveillance program reporting surgical site infection rates after coronary artery bypass graft surgery (CABGS) in Victorian public hospitals. Methods: The VICNISS Coordinating Centre was established 2002 to implement and co-ordinate standardised system for hospital-acquired infections acute care hospitals. Using validated definitions methodology from the Centers Disease Control Prevention's National Nosocomial Infection Surveillance (NNIS) program, data on risk-adjusted (SSI) were collected submitted collation reporting. Results: Six large Melbourne metropolitan hospitals contributed CABGS period 11 November 30 June 2004, comprising total of 3,482 patient records. Of 3,398 complete records, aggregate SSI per 100 procedures NNIS risk category 1 2 4.4 (95% CI 3.7-5.3) 6.0 4.5–7.8) respectively. deep sternal 0.6 0.4-1.3) 0.5 0.5-2.4 patients most common pathogen identified Staphylococcus aureus. Conclusion: This early demonstrates similar those reported by USA, but higher than German System. Implications: adoption statewide, co-ordinated using internationally accepted methodologies allows benchmark their against local international examine prevention interventions.