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ID 52342
フルテキストURL
著者
Fujiwara, Y. Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Surg Gastroenterol
Yamada, T. Kawasaki Med Univ, Dept Gen Surg
Naomoto, Y. Kawasaki Med Univ, Dept Gen Surg
Yamatsuji, T. Kawasaki Med Univ, Dept Gen Surg
Shirakawa, Y. Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Surg Gastroenterol
Tanabe, S. Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Surg Gastroenterol
Noma, K. Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Surg Gastroenterol
Kimura, T. Okayama Saiseikai Gen Hosp, Dept Surg
Aoki, H. Hiroshima City Hosp, Dept Surg
Matsukawa, H. Hiroshima City Hosp, Dept Surg
Kimura, M.
Nonaka, Y. Tsuyama Cent Hosp, Dept Surg
Sasaki, H. Shobara Red Cross Hosp, Dept Surg
Onoda, T. Shobara Red Cross Hosp, Dept Surg
Otawa, Y. Chugoku Cent Hosp, Dept Surg
Takaoka, M. Kawasaki Med Univ, Dept Gen Surg
Fukazawa, T. Kawasaki Med Univ, Dept Gen Surg
Ohno, Y. Osaka Univ, Grad Sch Med, Dept Math Hlth Sci
Fujiwara, T. Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Surg Gastroenterol
抄録
Background: Surgical site infection (SSI) is an ongoing major public health problem throughout the world that increases healthcare costs. Utilizing a methodology that can help clinicians to continuously collect data about SSIs, analyse it and implement the feedback into routine hospital practice has been identified as a top national priority in Japan. Aim: To conduct an intervention study through 'operations research' using partitioning at multiple facilities, and to reduce the incidence and consequences of SSI. Methods: The Setouchi SSI Surveillance Group, which consists of seven institutes, started SSI surveillance in 2006. Until May of 2008, there were four surveillance periods (A-D). In all, 3089 patients underwent gastrointestinal surgery and were followed up for 30 days after their operations. Twenty-six factors that have been reported to be related to SSI were evaluated for all patients. The top three factors from each surveillance period were determined and then actual practice improvements were planned for each subsequent period. Findings: The total SSI occurrence was 6.9% for period A, 6.3% for period B, 6.4% for period C and 3.9% for period D. Comparing periods A and D, there was a statistical significance in the decrease of SSI occurrence (P = 0.012). Conclusion: Using the results and partitioning analysis of active SSI surveillance to contribute to action plans for improving clinical practice was effective in significantly reducing SSIs.
キーワード
Active surveillance
Partitioning analysis
Surgical site infection
発行日
2013-12
出版物タイトル
Journal of Hospital Infection
85巻
4号
開始ページ
282
終了ページ
288
ISSN
0195-6701
資料タイプ
学術雑誌論文
オフィシャル URL
http://www.sciencedirect.com/science/article/pii/S0195670113003009
関連URL
http://ousar.lib.okayama-u.ac.jp/metadata/52242
言語
English
著作権者
(C) 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
論文のバージョン
author
査読
有り
DOI
Web of Sience KeyUT