Surgeons’ perspectives on surgical wound infection rate data in Queensland, Australia.

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Title Surgeons’ perspectives on surgical wound infection rate data in Queensland, Australia.
Author Macbeth, Deborough; Gardner, Glenn; Wallis, Marianne; Gerrard, John
Journal Name American Journal of Infection Control
Editor Dr Elaine Lrson
Year Published 2005
Place of publication St. Louis, United States
Publisher Mosby, Inc.
Abstract Background The results of the Study on the Efficacy of Nosocomial Infection Control (SENIC) project demonstrated that hospitals with active infection control programs had lower rates of nosocomial infection than those without such programs. A key component of these programs was the inclusion of a systematic method for monitoring nosocomial infection and reporting these infections to clinicians. Objectives To identify the perspectives of surgeons in Queensland, Australia, regarding infection rate data in terms of its accuracy and usefulness as well as their perceptions regarding acceptable infection rates for surgical procedures classified as “clean” or “contaminated.” Methods A postal survey was conducted, with a convenience sample of 510 surgeons. Results More than 40% (n = 88) of respondents believed that the acceptable infection rate associated with clean surgical procedures should be less than 1%, a rate much lower than the threshold of 1.4% to 4.1% set by the Australian Council on Healthcare Standards (ACHS). Almost 30% (n = 55) of respondents reported that they would accept infection rates of 10% or higher for contaminated surgical procedures, which is higher than the ACHS threshold of 1.4% to 7.9%. Respondents identified failure to include postdischarge infections in the data and difficulties standardizing criteria for diagnosis of infection as the major impediments to the accuracy and usefulness of data provided. Conclusion The results of this study have significant implications in relation to the preparation of surgical site infection reports, especially in relation to the inclusion of postdischarge surveillance data and information regarding pathogens, antibiotic sensitivities, and comorbidities of patients developing surgical site infection. Surgeons also identified the need to include information regarding the use of standardized definitions in the diagnosis of wound infection and parameters that allow comparison of infection rates to improve their perceptions regarding data accuracy and usefulness.
Peer Reviewed Yes
Published Yes
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Copyright Statement Copyright 2005 The Association for Professionals in Infection Control and Epidemiology Inc. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
Volume 33
Issue Number 2
Page from 97
Page to 103
ISSN 0196-6553
Date Accessioned 2006-03-06
Date Available 2015-02-04T04:26:02Z
Language en_US
Research Centre Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject PRE2009-Clinical Nursing: Secondary (Acute Care)
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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