+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Prospective surveillance for surgical site infection in St. Petersburg, Russian Federation



Prospective surveillance for surgical site infection in St. Petersburg, Russian Federation



Infection Control and Hospital Epidemiology 28(3): 319-325



To assess the risk-adjusted incidence and predictors of surgical site infections (SSIs). Prospective, multicenter, observational cohort study. Seven surgical departments at 3 urban academic hospitals in St. Petersburg, Russian Federation. All patients had surgery performed between January 15 and May 12, 2000. A total of 1,453 surgical procedures were followed up. Medical records were unavailable for less than 3% of all patients; patients were not excluded for any other reason. The mean patient age was 49.3 years, 61% were female, and 34% had an American Society of Anesthesiologists physical status classification (hereafter, "ASA classification") of at least 3. Surgery for 45% of the patients was emergent. In all, 138 patients (9.5%) developed SSI, for a rate that was approximately 3.5 times the risk-stratified rates in the United States. Male sex (odds ratio [OR], 1.54), ASA classifications of 3 (OR, 3.7) or 4 (OR, 5.0), longer duration of surgery (OR, 2.2), and wound classes of 3 (OR, 5.5) or 4 (OR, 14.3) were associated with increased SSI risk in multivariate analysis. Endoscopic surgery was associated with a lower risk of SSI (OR, 0.23). Antibiotic prophylaxis was used in 0%-33% of operations, and 69% of uninfected patients received antibiotics after the operation. The SSI rates are significantly higher than previously reported. Although this finding may be attributable to inadequate antibiotic prophylaxis, local infection control and surgical practices may also be contributors. Use of antibiotic prophylaxis should be encouraged and the effect of local practices further investigated. Active SSI surveillance should be expanded to other parts of the Russian Federation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 016795778

Download citation: RISBibTeXText

PMID: 17326023

DOI: 10.1086/509849


Related references

The first scientific practical conference "High surgical laser and information technologies in the medicine of St. Petersburg and North-West region of the Russian Federation: perspectives of further development" (the I scientific-practical conference of North-West region of the Russian Federation, November 20-21, 2003, St. Petersburg). Vestnik Khirurgii Imeni I. I. Grekova 163(3): 88-90, 2004

HIV disclosure, condom use, and awareness of HIV infection among HIV-positive, heterosexual drug injectors in St. Petersburg, Russian Federation. Aids and Behavior 15(1): 45-57, 2011

Prospective surgical site infection surveillance in dogs. Veterinary Surgery 44(1): 2-8, 2015

The 2nd Russian International Congress on Cerebrovascular Pathology and Stroke, 17-20 September, St Petersburg, Russian Federation. International Journal of Stroke 3(2): 150-151, 2008

Geological and physicochemical controls of the spatial distribution of partition coefficients for radionuclides (Sr-90, Cs-137, Co-60, Pu-239,240 and Am-241) at a site of nuclear reactors and radioactive waste disposal (St. Petersburg region, Russian Federation). Journal of Environmental Radioactivity 162-163: 205-218, 2016

The status and basic trends in the improvement of epidemiological health surveillance in the Armed Forces of the Russian Federation (based on materials from a working conference in the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation). Voenno-Meditsinskii Zhurnal 1994(4): 76-77, 1994

Surgical site infection surveillance for neurosurgical procedures: a comparison of passive surveillance by surgeons to active surveillance by infection control professionals. American Journal of Infection Control 35(3): 200-202, 2007

Surgical site infection in a tertiary hospital. A prospective surveillance study (2001-2004). Cirugia Espanola 88(5): 319-327, 2011

The main tasks concerning the organization of surveillance and prophylaxis of HIV-infection in Russian Federation. Vestnik Rossiiskoi Akademii Meditsinskikh Nauk 2007(1): 36-41, 2007

St Petersburg, Russian Federation. Cities 31: 469-490, 2013

Epidemiological Surveillance of Surgical Site Infection and its Risk Factors in Cardiac Surgery: A Prospective Cohort Study. Revista Espanola de Cardiologia 69(9): 842-848, 2017

Maternal mortality in St. Petersburg, Russian Federation. Bulletin of the World Health Organization 84(4): 283-289, 2006

Use of administrative data for surgical site infection surveillance after congenital cardiac surgery results in inaccurate reporting of surgical site infection rates. Annals of Thoracic Surgery 97(2): 651-7; Discussion 657-8, 2014

What women say about antenatal care in St Petersburg, Russian Federation. Journal of Psychosomatic Obstetrics & Gynecology 20(1): 1-10, March, 1999