Assessment of the surgical site infection in colon surgery and antibiotic prophylaxis adequacy: a multi-center incidence study.

INTRODUCTION: Surgically site infections (SSIs) are a major problem that limits the benefits of surgical interventions. The cumulative incidence of SSIs in colon surgery and compliance with antibiotic prophylaxis as well as the causes of non-compliance were evaluated. METHODS: Multi-centre prospective surveillance study between 2012 and 2019 in seven hospitals of the Canary Health Service using an active epidemiological surveillance system. SSIs was defined according to the criteria of the Centers for Disease Control and Prevention. RESULTS: In 2019, the cumulative incidence of SSIs was 10.6% (n = 80), which implies maintaining the downward trend since 2012. The appearance of SSIs was more frequent during admission (76%). Surgical prophylaxis was adequate in 81.2%, the main causes of inadequacy being the excessive duration of the antimicrobial prescription (49%) and failure in the indication (33%). The incidence was higher in the group of organ-space infections (53.75% of the total) compared to superficial and deep infections. CONCLUTION: The cumulative incidence of SSIs obtained is similar to that calculated in other studies carried out under similar conditions. Preoperative chemoprophylaxis was adequate in most of the interventions.

Assessment of the surgical site infection in colon surgery and antibiotic prophylaxis adequacy: A multi-center incidence study. / Evaluación de la infección de localización quirúrgica en cirugía de colon y adecuación de la profilaxis antibiótica: estudio multicéntrico de incidencia.

INTRODUCTION: Surgically site infections (SSIs) are a major problem that limits the benefits of surgical interventions. The cumulative incidence of SSIs in colon surgery and compliance with antibiotic prophylaxis as well as the causes of non-compliance were evaluated. METHODS: Multi-centre prospective surveillance study between 2012 and 2019 in seven hospitals of the Canary Health Service using an active epidemiological surveillance system. SSIs was defined according to the criteria of the Centers for Disease Control and Prevention. RESULTS: In 2019, the cumulative incidence of SSIs was 10.6% (n=80), which implies maintaining the downward trend since 2012. The appearance of SSIs was more frequent during admission (76%). Surgical prophylaxis was adequate in 81.2%, the main causes of inadequacy being the excessive duration of the antimicrobial prescription (49%) and failure in the indication (33%). The incidence was higher in the group of organ-space infections (53.75% of the total) compared to superficial and deep infections. CONCLUSION: The cumulative incidence of SSIs obtained is similar to that calculated in other studies carried out under similar conditions. Preoperative chemoprophylaxis was adequate in most of the interventions.

Evaluación de la infección de localización quirúrgica en cirugía de colon y adecuación de la profilaxis antibiótica: estudio multicéntrico de incidencia / Assessment of the surgical site infection in colon surgery and antibiotic prophylaxis adequacy: A multi-center incidence study

Introducción: Las infecciones de localización quirúrgica (ILQ) son un importante problema que limita los beneficios de las intervenciones quirúrgicas. Se evaluó la incidencia acumulada de ILQ en cirugía de colon y el cumplimiento de la profilaxis antibiótica, así como las causas de su incumplimiento. Métodos: Estudio prospectivo observacional multicéntrico entre los años 2012 y 2019 en 7 hospitales del Servicio Canario de Salud mediante un sistema de vigilancia epidemiológica activa. Se definió ILQ de acuerdo con los criterios de los Centers for Disease Control and Prevention. Resultados: En el año 2019 la incidencia acumulada de ILQ fue del 10,6% (n=80), lo que supone mantener la tendencia descendente desde el año 2012. La aparición de ILQ fue más frecuente durante el ingreso (76%). La profilaxis quirúrgica fue adecuada en el 81,2%, siendo las principales causas de inadecuación la duración excesiva de la prescripción del antimicrobiano (49%) y los fallos en la indicación (33%). La incidencia ha sido superior en el grupo de ILQ órgano-espacio (53,75% del total) en comparación con las superficiales o profundas. Conclusión: La incidencia acumulada de ILQ obtenida es similar a la calculada en otros estudios realizados en condiciones semejantes. La quimioprofilaxis preoperatoria fue adecuada en la mayoría de intervenciones. (AU)

Introduction: Surgically site infections (SSIs) are a major problem that limits the benefits of surgical interventions. The cumulative incidence of SSIs in colon surgery and compliance with antibiotic prophylaxis as well as the causes of non-compliance were evaluated. Methods: Multi-centre prospective surveillance study between 2012 and 2019 in seven hospitals of the Canary Health Service using an active epidemiological surveillance system. SSIs was defined according to the criteria of the Centers for Disease Control and Prevention. Results: In 2019, the cumulative incidence of SSIs was 10.6% (n=80), which implies maintaining the downward trend since 2012. The appearance of SSIs was more frequent during admission (76%). Surgical prophylaxis was adequate in 81.2%, the main causes of inadequacy being the excessive duration of the antimicrobial prescription (49%) and failure in the indication (33%). The incidence was higher in the group of organ-space infections (53.75% of the total) compared to superficial and deep infections. Conclusion: The cumulative incidence of SSIs obtained is similar to that calculated in other studies carried out under similar conditions. Preoperative chemoprophylaxis was adequate in most of the interventions. (AU)

Incrementar la adherencia a la higiene de manos en el hospital es posible / Greater hand hygiene adherence in hospitals is possible

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Características de la asistencia sanitaria a la llegada de inmigrantes africanos a las Islas Canarias / Health care for African immigrants arriving in the Canary Islands a descriptive study

Objetivo: Describir las características de la asistencia sanitaria a la llegada de los inmigrantes tanto en el ámbito de atención primaria (AP) como en el hospitalario, y, en este último, tanto la atención en urgencias y como en hospitalización. Método: Se diseñó un estudio descriptivo y transversal. El periodo de estudio comprendió desde el 15 de agosto hasta el 31 de diciembre de 2006. Se utilizaron tres tipos de población: una incluyó la totalidad de las asistencias realizadas en AP. La segunda abarcó el total de las asistencias realizadas en las urgencias hospitalarias y la tercera comprendió el total de pacientes ingresados en los 5 hospitales universitarios de Tenerife y Gran Canaria. Para las dos primeras el ámbito geográfico fue toda la Comunidad Autónoma de Canarias. Resultados: Durante el periodo del estudio se realizaron en AP 3.658 asistencias y en las urgencias de los hospitales 1.122. El número de pacientes hospitalizados fue de111. Los motivos de asistencias más importantes fueron la revisión del estado de salud, los traumatismos y trastornos gastrointestinales en AP; el síndrome febril y el dolor abdominal en las urgencias hospitalarias; y los motivos más frecuentes de ingreso en los hospitales fueron el paludismo y los trastornos hidro-electrolíticos. Discusión: La llegada de embarcaciones con inmigrantes tras haber recorrido miles de kilómetros de distancia afectó en menor o mayor medida al estado de salud de muchos de ellos. Su asistencia sanitaria se gestionó en base al número de pacientes a atender en un intervalo de tiempo y por la gravedad de sus enfermedades (AU)

Background: The aim of this study was to describe the characteristics of health care provided to arriving African immigrants, including primary care, hospital emergency care, and hospital admissions. Methods: A descriptive cross-sectional study was carried out from August 15 to December 31, 2006. Three datasets were used. One included all primary care visits. The second comprised all visits to hospital emergency rooms. The third covered all patients admitted to the 5 university hospitals on Tenerife and Grand Canary islands. The first 2 datasets included the entire area of the Spanish autonomous community of the Canary Islands. Results: A total of 3658 primary care visits and 1122 emergency room visits were recorded during the study period; 111patients were hospitalized. Most primary care visits were for a general health check-up, for trauma, or for gastrointestinal disorders. Fever and abdominal pain were the most common reasons for emergency visits. Malaria and dehydration or electrolyte imbalance were the reasons for most hospital admissions. Conclusions: The boat crossings of thousands of kilometers affect the health of many immigrants to greater or lesser degrees. Health care was managed according to the number of patients who had to be attended, the time available, and the seriousness of the condition (AU)