Bloodstream infections following different types of surgery in a Finnish tertiary care hospital, 2009–2014. Issue 1 (May 2018)

• Record Type: Journal Article
• Authors: Skogberg, K.; Kontula, K.S.K.; Järvinen, A.; Lyytikäinen, O.
• Is Part Of: Journal of hospital infection. Volume 99:Issue 1(2018)
• Page Start: 89
• Page End: 93
• Publication Date: 2018-05
• Subjects: Bloodstream infection -- Bacteraemia -- Surgery -- Postoperative -- Healthcare-associated; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2017.10.005
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: The risk and outcome of bloodstream infections (BSIs) were evaluated following surgery. BSIs were identified in Helsinki University Hospital during 2009–2014 as part of the national surveillance. Of 711 BSIs identified, 51% were secondary and 49% primary. The rate was highest after cardiovascular surgery (8.7 per 1000 procedures) and lowest after gynaecologic (1.0 per 1000). Surgical site infection was the most frequent source of secondary BSIs (34%) and 45% of primary BSIs were central-line-associated. The 28-day case fatality ranged from zero in gynaecology/obstetrics to 21% in cardiovascular surgery. Besides BSIs related to surgical site infections, half of BSIs were primary, providing additional foci for prevention.