The national nosocomial surveillance network in Hungary: results of two years of surgical site infection surveillance

E. Szilágyi, K. Böröcz, P. Gastmeier, A. Kurcz, E. Horváth-Puhó

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

In 2004, a secure web-based national nosocomial infection surveillance system was established in Hungary. The system, named NNSR (Nemzeti Nosocomiális Surveillance Rendszer), is based on the US National Nosocomial Infection Surveillance System (NNIS). Surgical procedures, definitions, surveillance methodology and patient risk indices are those established by NNIS. In this paper, we present the results of the first two years of the surgical patient component of our system. During this period, 41 hospitals participated and selected 11 surgical procedures for surveillance. Altogether 15 812 procedures were surveyed and 360 resulting surgical site infections (SSI) were recorded. The overall SSI rate was 2.27%. The most commonly selected procedures and corresponding SSI rates were caesarean section (1.31%), herniorrhaphy (2.09%), cholecystectomy (1.52%) and hip replacement (2.91%). Standardised infection ratios (SIR) were calculated for chosen surgical procedures in order to compare against NNIS published rates. SSI rates for colonic surgery, caesarean section and mastectomy were lower than expected according to the NNIS data but higher for cholecystectomy, herniorrhaphy and hip prosthesis infection rates. We intend to recruit more participating hospitals, leading to a robust national database that can be used to target infection control interventions for patients in Hungary.

Original languageEnglish
Pages (from-to)74-80
Number of pages7
JournalJournal of Hospital Infection
Volume71
Issue number1
DOIs
Publication statusPublished - Jan 1 2009

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Keywords

  • Hungary
  • Surgical site infection
  • Surveillance network

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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