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Healthcare-associated (HA) bloodstream infections (BSI) secondary top surgical site infections: surveillance program across Quebec hospitals (2007 to 2010)
BMC Proceedings volume 5, Article number: P63 (2011)
Introduction / objectives
To describe HA-BSI secondary to surgical site infections (SSI) in Quebec hospitals.
Acute care centers with ≥ 1000 admissions/year were invited to participate voluntarily and declare via a web portal all HA-BSIs secondary to a SSI between 2007 and 2010.The surveillance program also included outpatients and paediatric patients.
56 of the 89 eligible centers participated (67% of short-term hospital beds), 64 % of those beds were in teaching hospitals. Of the 7709 episodes of HA-BSIs, 874 (11 %) were secondary to a SSI. Gastrointestinal surgeries were, by far, the leading cause of BSIs (244 – 28%) followed by cardiac surgery (132 – 15%), and orthopaedic surgery (98 – 11%). Implants were present in 25 cases (19%). The majority of SSIs (496 -57%) were organ space infections. S. aureus was the organism most often isolated in 28% (274), followed by E. coli in 13% (130) of patients. Overall, 79% of patients were admitted on a general/specialised ward upon onset, compared to 15% in ICU, and 6% in ambulatory care. The mean time to infection was 21 days with a median of 10 days (median time to infection for cardiac compared to gastrointestinal surgery: 11 and 8 days respectively). 75% of BSIs occurred in teaching hospitals.
The Quebec surveillance program for HA-BSIs is a convenient way to survey the most severe SSIs, awaiting the development of a complete SSI surveillance program. Further analyses are needed to better understand the correlation between this targeted program and a complete SSI surveillance program.
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Blouin, V., Fortin, E., Rocher, I. et al. Healthcare-associated (HA) bloodstream infections (BSI) secondary top surgical site infections: surveillance program across Quebec hospitals (2007 to 2010). BMC Proc 5 (Suppl 6), P63 (2011). https://doi.org/10.1186/1753-6561-5-S6-P63
- Paediatric Patient
- Median Time
- Teaching Hospital
- Care Center
- Acute Care