Correlation of Risk and Postoperative Assessment Methods in Wound Surveillance

Topaloglu, Serdar; Akin, Merve; Avsar, Fatih M.; Ozel, Hakan; Polat, Erdal; Akin, Tezcan; Karabulut, Erdem; Hengirmen, Suleyman

doi:10.1016/j.jss.2007.05.016

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Volume 146, Issue 2 , Pages 211-217, 15 May 2008

Correlation of Risk and Postoperative Assessment Methods in Wound Surveillance

Serdar Topaloglu, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
- To whom correspondence and reprint requests should be addressed at Uzun-Altuntas Apt. No. 12, Cinaralti Sk., Besirli Cad., Trabzon, Turkey.
Merve Akin, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Fatih M. Avsar, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Hakan Ozel, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Erdal Polat, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Tezcan Akin, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
Erdem Karabulut, Ph.D.
- Department of Biostatistics, Hacettepe University, School of Medicine, Ankara, Turkey
Suleyman Hengirmen, M.D.
- First Department of Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey

Received 15 February 2007 published online 09 July 2007.

Background

Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine practicality of SSI risk assessment methods (Study on the Efficacy of Nosocomial Infection Control [SENIC] and National Nosocomial Infections Surveillance [NNIS]) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure.

Materials and methods

Patients were followed with a prospective data chart from January 1, 2003, to December 31, 2005. Correlation of SENIC and NNIS together with ASEPSIS were performed.

Results

During the study period, 222 SSI occurred. SSIs were determined within the 21-d period after operations. Correlation between SENIC with ASEPSIS (r_s = 0.47, P < 0.001) was found better than that for NNIS with ASEPSIS (r_s = 0.41, P < 0.001). Type of operation (emergency versus elective), body mass index, operation class, and American Society of Anesthesiologists scores were found independently predictive factors for SSI.