PMID- 26313320
OWN - NLM
STAT- MEDLINE
DCOM- 20170125
LR  - 20220409
IS  - 1360-046X (Electronic)
IS  - 0268-8697 (Linking)
VI  - 30
IP  - 1
DP  - 2016
TI  - Surgical-site infection surveillance in cranial neurosurgery.
PG  - 35-7
LID - 10.3109/02688697.2015.1071321 [doi]
AB  - INTRODUCTION: Surgical-site infection (SSI) is associated with significant 
      morbidity and mortality. Public Health England or PHE has published guidance on 
      its surveillance, which is now mandatory in some specialities. We review how 
      appropriate their programme is for monitoring SSI in cranial neurosurgery [CN]. 
      METHOD: SSI data on all patients [N = 2375] undergoing CN, over two years, at 
      Salford Royal Foundation NHS Trust or SRFT were prospectively recorded. SSI was 
      defined as arising within 30 days of operation or 1 year where an implant(s) 
      remains. Follow-up, by a dedicated SSI nurse, was at 30 days using inpatient, 
      outpatient clinic or telephone consultation, or post-discharge postal 
      questionnaires [PDpQ] and by monitoring for readmissions. A descriptive analysis 
      was performed looking at the follow-up process and SSI rate. RESULTS: Thirty-day 
      follow-up data was obtained in 1776 patients (74.8%). Overall, 82 (3.5%) patients 
      had a confirmed SSI. 22/82 (27%) were identified as inpatients [median time from 
      operation: 14.5 days, inter-quartile range (IQR): 16] and 60/82 (73%) as 
      readmissions [median time from operation: 31.5 days, IQR: 186.5]. No SSIs were 
      identified via PDpQ. CONCLUSIONS: These data suggest that active outpatient 
      follow-up is not necessary and that monitoring of inpatients and readmissions is 
      enough for a cranial neurosurgical SSI programme.
FAU - Davies, Benjamin M
AU  - Davies BM
AD  - a Department of Neurosurgery , Greater Manchester Neuroscience Centre, Salford 
      Royal Foundation Trust (SRFT) , Salford , UK.
FAU - Jones, Anna
AU  - Jones A
AD  - a Department of Neurosurgery , Greater Manchester Neuroscience Centre, Salford 
      Royal Foundation Trust (SRFT) , Salford , UK.
FAU - Patel, Hiren C
AU  - Patel HC
AD  - a Department of Neurosurgery , Greater Manchester Neuroscience Centre, Salford 
      Royal Foundation Trust (SRFT) , Salford , UK.
LA  - eng
PT  - Journal Article
DEP - 20150824
PL  - England
TA  - Br J Neurosurg
JT  - British journal of neurosurgery
JID - 8800054
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cross Infection/*epidemiology
MH  - England
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Neurosurgical Procedures/adverse effects
MH  - Patient Discharge/statistics & numerical data
MH  - Risk Factors
MH  - Surgical Wound Infection/*epidemiology
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - cranial neurosurgery
OT  - post-discharge postal questionnaire
OT  - surgical-site infection
OT  - surveillance
EDAT- 2015/08/28 06:00
MHDA- 2017/01/26 06:00
CRDT- 2015/08/28 06:00
PHST- 2015/08/28 06:00 [entrez]
PHST- 2015/08/28 06:00 [pubmed]
PHST- 2017/01/26 06:00 [medline]
AID - 10.3109/02688697.2015.1071321 [doi]
PST - ppublish
SO  - Br J Neurosurg. 2016;30(1):35-7. doi: 10.3109/02688697.2015.1071321. Epub 2015 
      Aug 24.