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Hanne-Merete Eriksen, Hege Line Løwer, Christian Tappert

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |September 21, 2018
    PubMed
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    Surgical site infections (SSIs) affected 3.9% of patients undergoing major surgeries in Norway in 2016. These infections led to longer hospital stays, readmissions, and revision surgeries, underscoring the need for prevention strategies.

    Area of Science:

    • Healthcare epidemiology
    • Infectious disease surveillance
    • Surgical outcomes research

    Background:

    • Mandatory reporting of surgical site infections (SSIs) in Norway via the Norwegian Surveillance System for Antibiotic Consumption and Healthcare-Associated Infections (NOIS).
    • Focus on five key surgical procedures: coronary artery bypass graft, caesarean section, hip arthroplasty, cholecystectomy, and colonic surgery.
    • Data collected for patients undergoing these procedures in 2016.

    Purpose of the Study:

    • To determine the incidence of surgical site infections (SSIs) in 2016.
    • To evaluate the consequences of SSIs, including prolonged hospitalization, readmission, and revision surgery.
    • To inform strategies for SSI prevention.

    Main Methods:

    • Analysis of data from the NOIS registry for 31,401 patients who underwent specified surgeries in 2016.

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  • Follow-up of patients for 30 days post-surgery.
  • Infection classification based on European Centre for Disease Prevention and Control criteria.

    • Main Results:

    • A total of 1,225 SSIs were recorded, with an overall incidence of 3.9%.
    • Highest SSI incidence was observed in colonic surgery (10.9%), lowest in hip arthroplasty (1.8%).
    • Infected patients experienced median hospital stays of six days (vs. three days for uninfected), with 308 requiring revision surgery and 323 readmissions.

    Conclusions:

    • Surgical site infections represent a significant burden, increasing hospitalisation duration and the need for further interventions.
    • The findings highlight the critical importance of implementing and improving SSI prevention measures in surgical settings.
    • Surveillance data are crucial for monitoring infection rates and guiding public health interventions.