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. 2014 May;42(5):521-4.
doi: 10.1016/j.ajic.2013.12.016. Epub 2014 Mar 18.

Surgical wound infection rates in Spain: data summary, January 1997 through June 2012

Cristina Díaz-Agero Pérez  1 , Ana Robustillo Rodela  2 , María José Pita López  3 , Nieves López Fresneña  2 , Vicente Monge Jodrá  4 ; Quality Control Indicator Working Group
Collaborators, Affiliations

Surgical wound infection rates in Spain: data summary, January 1997 through June 2012

Cristina Díaz-Agero Pérez et al. Am J Infect Control. 2014 May.

Abstract

Background: The Indicadores Clínicos de Mejora Continua de la Calidad (INCLIMECC) program was established in Spain in 1997.

Methods: INCLIMECC is a prospective system of health care-associated infection (HAI) surveillance that collects incidence data in surgical and intensive care unit patients. The protocol is based on the National Healthcare Safety Network (NHSN) surveillance system, formerly known as the National Nosocomial Infection Surveillance (NNIS) system, and uses standard infection definitions from the US Centers for Disease Control and Prevention. Each hospital takes part voluntarily and selects the units and surgical procedures to be surveyed.

Results: This report is a summary of the data collected between January 1997 and June 2012. A total of 370,015 patients were included, and the overall incidence of surgical wound infection (SWI) was 4.51%. SWI rates are provided by NHSN operating procedure category and NNIS risk index category. More than 27% of the patients received inadequate antibiotic prophylaxis, the main reason being unsuitable duration (57.05% of cases).

Conclusions: Today, the INCLIMECC network includes 64 Spanish hospitals. We believe that an HAI surveillance system with trained personnel external to the surveyed unit is a key component not only in infection control and prevention, but also in a quality improvement system.

Keywords: Antimicrobial prophylaxis; Health care–associated infection; Infection control; Surgical site infection; Surveillance.

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