TY  -  JOUR
AU  -  Grandi, Annise
AU  -  Canino, Rosario
AU  -  Ferrari, Daniela
T1  -  Sorveglianza delle infezioni del sito chirurgico: misurare per migliorare. L’esperienza di un approccio multifattoriale all’interno di un percorso <BR>di accreditamento con Joint Commission International
PY  -  2013
Y1  -  2013-10-01
DO  -  10.1716/1405.15599
JO  -  GIMPIOS
JA  -  Gimpios
VL  -  3
IS  -  4
SP  -  176
EP  -  180
PB  -  Il Pensiero Scientifico Editore
SN  -  1122-407X
Y2  -  2026/04/30
UR  -  http://dx.doi.org/10.1716/1405.15599
N2  -  Introduction. Surgical Site Infections (SSI) are considered to be one of the most relevant healthcare associated infection since they significantly impact both patient health and healthcare expenditure. Inspite of the fact that SSI have multiple and difficult to identify causes, it has been shown that it is possible to reduce SSI incidence significantly. One of the most effective tool is continuous surveillance and periodic feed-back of the collected data. Aim of this article is to describe the surveillance program and the results obtained at the Oglio-Po Hospital in Vicomoscano, Cremona, Italy. Methods. A surgical site infection surveillance program is active since 2004. The protocol of the national health system, SNIch, has been used by the surveillance program since 2010. SNIch has been extended to include all the surgical wards of our Hospital. Data collection has been performed partly through paper forms, filled by health-care workers, partly trough a specific software provided by SNIch and through the software Ormaweb of the Operation Theatre and it allows tracking of infections developed in patients during their hospital stay, at 30 days from surgical intervention and after 1 year from prosthetic device implantation. Data are regularly transmitted to the wards and, when necessary, analyzed and discussed. According to the standards of Joint Commission Internazional (JCI), that has accredited our Hospital since 2006, SSI surveillance is now part of a global and multifactorial prevention and control of health-care associated infections program. This program includes: Guide Lines and Protocols definition, staff training, work organization improvements based on active feedback. Results. From 2004 to 2012 we have observed a constant reduction of SSI cumulative infection incidence (ratio from 3.0% to 1.6%). Chi-square test analysis showed a statistically significant reduction of SSI infection (p=0.004). Conclusion. SSI surveillance, associated with a consistant feedback of data to the wards and a multifactorial program of health-care workers training and involvment, impacts on hospital cultural and organizational model and allows to obtain a significative reduction of infections incidence.
ER  -