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[Continuous monitoring of wound infections and other postoperative complications using MIKRO-ORT]
L P Jensen1, H H Noer, M Waadegaard
1Ortopaed-kirurgisk afdeling, Amtssygehuset i Roskilde.
Abstract:
Registration of 883 operations, performed on the Orthopedic Department, Roskilde County Hospital, from 06.20.1988 to 12.31.1988, is presented. 95.9% of all operations were registrated primarily. 2.6% superficial wound infections and 1.2% deep were registered. Other infections constituted 2.3%, other complications 4.5%. A significant increase in the incidence of deep wound infections in contaminated wounds was observed. We also found an increase in incidence in prolonged operations (NS). Where types of infections and complications were concerned pronounced extension of the hospitalization occurred. The 4.1% of operations not registered primarily, were more often performed in the evening and night time, were more often contaminated operations and were more often patients with more than one operation during the registration period. No significant loss of information could be found. It is concluded, that establishing a continuous surveillance of wound infections has benefited to the department's control of its infection rate. We were satisfied with the program MIKRO-ORT, which we have used for the registration.
Insights
Continuous surveillance of orthopedic surgical site infections (SSIs) using the MIKRO-ORT program improved infection rate control. The study registered 883 operations, identifying key risk factors for deep wound infections.
Area of Science:
- Orthopedic Surgery
- Infectious Disease Epidemiology
- Healthcare Quality Improvement
Background:
- Orthopedic surgery carries risks of surgical site infections (SSIs).
- Effective infection surveillance is crucial for maintaining low infection rates.
- The MIKRO-ORT program was utilized for data registration.
Purpose of the Study:
- To present the registration of 883 orthopedic operations.
- To analyze the incidence of wound infections and other complications.
- To evaluate the impact of a continuous surveillance program on infection control.
Main Methods:
- Prospective registration of all orthopedic operations over a six-month period.
- Data collection on operation details, infection types, and complications.
- Analysis of infection rates in relation to wound contamination and operation duration.
Main Results:
- 95.9% of operations were registered. Superficial SSIs: 2.6%, Deep SSIs: 1.2%. Other infections: 2.3%, Other complications: 4.5%.
- Increased incidence of deep SSIs observed in contaminated wounds and prolonged operations.
- Unregistered operations were more frequent during night shifts, for contaminated cases, and patients with multiple procedures.
Conclusions:
- Continuous surveillance of SSIs using the MIKRO-ORT program effectively aids in controlling the department's infection rate.
- Identifying risk factors like wound contamination and prolonged surgery is vital for targeted prevention strategies.
- The surveillance program demonstrated satisfaction and no significant loss of information.