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Surgical wound infection rates in Spain: Data summary, January 1997 through June 2012

  • Cristina Díaz-Agero Pérez
    Correspondence
    Address correspondence to Cristina Díaz-Agero Pérez, MD, Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Km 9.1, 28034 Madrid, Spain.
    Affiliations
    Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain
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  • Ana Robustillo Rodela
    Affiliations
    Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain
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  • María José Pita López
    Affiliations
    Servicio de Medicina Preventiva, Hospital Universitario del Henares, Coslada, Madrid, Spain
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  • Nieves López Fresneña
    Affiliations
    Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain
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  • Vicente Monge Jodrá
    Affiliations
    Indicadores Clínicos de Mejora Continua de la Calidad Network, Servicio de Medicina Preventiva, Hospital Universitario Ramón y Cajal Carretera de Colmenar, Madrid, Spain
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  • for theQuality Control Indicator Working Group
    Author Footnotes
    † Members of the Quality Control Indicator Working Group are as follows [region: hospital (city), team leader(s)]:Andalucía: Hospital Regional Universitario Carlos Haya (Málaga), F. Calbo Torrecillas; Hospital Regional Materno Infantil Carlos Haya (Málaga), S. Oña Compán; Hospital Universitario Nuestra Señora de Valme (Sevilla), M. Torres Ortiz; Hospital Infanta Elena (Huelva), C. Caballero Alonso; Hospital Comarcal de la Serranía (Ronda), D. Román Rico; Hospital de Jerez (Jerez de la Frontera), J. Bajo Arenas; Hospital Universitario Puerta del Mar (Cádiz), F. J. López Fernández; Agencia Sanitaria de Poniente (El Ejido), M. A. Lucerna Méndez; Hospital de Río Tinto (Huelva), M. García de la Vega Sosa; Hospital San Juan de Dios del Aljarafe (Bormujos, Sevilla), S. Expósito Gracía; Agencia Pública Hospital Alto Guadalquivir (Andújar, Jaén), L. Ballesteros García.Aragón: Hospital Royo Villanova (Zaragoza), W. Varona LópezPrincipado de Asturias: Hospital de Cabueñes (Gijón), G. Rubiera López; Hospital Comarcal de Jarrio (Coaña), M. E. Llaneza Velasco; Hospital Fundación Jové (Gijón), E. Hidalgo; Hospital Universitario Central de Asturias (Oviedo), M. C. Martínez Ortega; Hospital de la Cruz Roja (Gijón), M. Fernández Fernández; Hospital Carmen y Severo Ochoa (Cangas del Narcea), J. Verano García, L. Barreiro Hurlé; Hospital Álvarez Buylla (Mieres), B. Álvarez Cueto; Hospital Valle de Nalón (Langreo), M. M. Martínez Suárez; Hospital San Agustín (Avilés), H. Villar PérezIslas Baleares: Hospital Universitario Son Dureta (Palma de Mallorca), O. Hidalgo Pardo, C. López BilbaoIslas Canarias: Hospital Dr. Negrín (Las Palmas de Gran Canaria), M. T. Montserrat Blasco; Hospital Nuestra Sra de la Candelaria (Santa Cruz de Tenerife), V. Fernández Vaquero; Hospital Universitario Materno-Infantil de Canarias (Las Palmas de Gran Canaria), J. Molina CabrillanaCantabria: Hospital Comarcal Sierrallana (Torrelavega): C. Fariñas Álvarez; V. Brugos LlamazaresCastilla-La Mancha: Hospital Virgen de Altagracia (Manzanares), I. Salamanca; Hospital General Mancha-Centro (Alcázar de San Juan): I. Salamanca; Hospital de Tomelloso (Cuidad Real), I. Salamanca; Hospital Santa Bárbara (Puertollano), A. F. Hita Fernández; Hospital Virgen de la Luz (Cuenca), M. M. Gómez SantillanaCastilla y León: Hospital General Yagüe (Burgos), P. Vicente Cobos, M. D. García Arcal; Hospital Clínico Universitario (Valladolid), C. Hernán García; Hospital Santiago Apóstol (Miranda de Ebro), M. D. Martín Melero, C. Gimeno Crespo; Hospital Comarcal de Medina del Campo (Valladolid), B. Cantón; Hospital Complejo Asistencial de Palencia (Palencia), I. García Palomar, E. Gutiérrez González, M. J. Tejedor Boto; Hospital General de Segovia (Segovia), G. Fernández; Hospital Universitario Río Hortega (Valladolid), A. Sacristán SalgadoCiudad Autónoma de Ceuta: Hospital Universitario de Ceuta (Ceuta), J. Domínguez FernándezExtremadura: Complejo Hospitalario de Cáceres (Cáceres), M. C. Gómez GonzálezMadrid: Hospital Universitario Ramón y Cajal (Madrid), V. Monge Jodra, C. Díaz-Agero Pérez, A. Robustillo Rodela; Hospital General Universitario de Móstoles (Móstoles), J. L. Valencia Martín; Hospital Central de la Cruz Roja de San José y Santa Adela (Madrid), I. González Solana; Hospital Central de la Defensa “Gómez Ulla” (Madrid), J. R. Méndez Montesinos; Hospital Fundación Alcorcón (Alcorcón): G. Rodríguez Caravaca; Hospital Universitario de Getafe (Getafe), M. T. Sayalero, C. Moreno Gomila; Hospital Universitario 12 de Octubre (Madrid), J. R. de Juanes Pardo, F. Jaén Herreros, M. I. Sanz Gallardo; Hospital Universitario Príncipe de Asturias (Alcalá de Henares), D. Troncoso Viejo; Hospital Severo Ochoa (Leganés), B. Martínez Mondéjar; Hospital de Fuenlabrada (Fuenlabrada), E. García Puente; Hospital Universitario de la Princesa (Madrid), A. Figuerola Tejerina; Hospital Universitario del Niño Jesús (Madrid), A. Quintás Viqueira; Hospital Universitario del Henares (Coslada), N. López Fresneña; Hospital Universitario Infanta Sofía (San Sebastián de los Reyes), C. García Fernández, C. Saa Requejo; Hospital del Sureste (Arganda del Rey), L. Sainz de los Terreros Soler; Hospital Infanta Leonor (Madrid), S. de Juan García; Hospital de Madrid-Montepríncipe (Madrid), L. Antolín Manuel; Hospital de Madrid (Madrid), L. Antolín Manuel; Hospital de Madrid-Torrelodones (Madrid), L. Antolín Manuel; Hospital de Madrid Norte-Sanchinarro (Madrid), L. Antolín ManuelMurcia: Hospital Universitario Virgen de la Arrixaca (Murcia): F. Botía Martínez, A. GostPaís Vasco: Policlínica Guipuzkoa (San Sebastián): J. A. Jimenez Alfaro.
  • Author Footnotes
    † Members of the Quality Control Indicator Working Group are as follows [region: hospital (city), team leader(s)]:Andalucía: Hospital Regional Universitario Carlos Haya (Málaga), F. Calbo Torrecillas; Hospital Regional Materno Infantil Carlos Haya (Málaga), S. Oña Compán; Hospital Universitario Nuestra Señora de Valme (Sevilla), M. Torres Ortiz; Hospital Infanta Elena (Huelva), C. Caballero Alonso; Hospital Comarcal de la Serranía (Ronda), D. Román Rico; Hospital de Jerez (Jerez de la Frontera), J. Bajo Arenas; Hospital Universitario Puerta del Mar (Cádiz), F. J. López Fernández; Agencia Sanitaria de Poniente (El Ejido), M. A. Lucerna Méndez; Hospital de Río Tinto (Huelva), M. García de la Vega Sosa; Hospital San Juan de Dios del Aljarafe (Bormujos, Sevilla), S. Expósito Gracía; Agencia Pública Hospital Alto Guadalquivir (Andújar, Jaén), L. Ballesteros García.Aragón: Hospital Royo Villanova (Zaragoza), W. Varona LópezPrincipado de Asturias: Hospital de Cabueñes (Gijón), G. Rubiera López; Hospital Comarcal de Jarrio (Coaña), M. E. Llaneza Velasco; Hospital Fundación Jové (Gijón), E. Hidalgo; Hospital Universitario Central de Asturias (Oviedo), M. C. Martínez Ortega; Hospital de la Cruz Roja (Gijón), M. Fernández Fernández; Hospital Carmen y Severo Ochoa (Cangas del Narcea), J. Verano García, L. Barreiro Hurlé; Hospital Álvarez Buylla (Mieres), B. Álvarez Cueto; Hospital Valle de Nalón (Langreo), M. M. Martínez Suárez; Hospital San Agustín (Avilés), H. Villar PérezIslas Baleares: Hospital Universitario Son Dureta (Palma de Mallorca), O. Hidalgo Pardo, C. López BilbaoIslas Canarias: Hospital Dr. Negrín (Las Palmas de Gran Canaria), M. T. Montserrat Blasco; Hospital Nuestra Sra de la Candelaria (Santa Cruz de Tenerife), V. Fernández Vaquero; Hospital Universitario Materno-Infantil de Canarias (Las Palmas de Gran Canaria), J. Molina CabrillanaCantabria: Hospital Comarcal Sierrallana (Torrelavega): C. Fariñas Álvarez; V. Brugos LlamazaresCastilla-La Mancha: Hospital Virgen de Altagracia (Manzanares), I. Salamanca; Hospital General Mancha-Centro (Alcázar de San Juan): I. Salamanca; Hospital de Tomelloso (Cuidad Real), I. Salamanca; Hospital Santa Bárbara (Puertollano), A. F. Hita Fernández; Hospital Virgen de la Luz (Cuenca), M. M. Gómez SantillanaCastilla y León: Hospital General Yagüe (Burgos), P. Vicente Cobos, M. D. García Arcal; Hospital Clínico Universitario (Valladolid), C. Hernán García; Hospital Santiago Apóstol (Miranda de Ebro), M. D. Martín Melero, C. Gimeno Crespo; Hospital Comarcal de Medina del Campo (Valladolid), B. Cantón; Hospital Complejo Asistencial de Palencia (Palencia), I. García Palomar, E. Gutiérrez González, M. J. Tejedor Boto; Hospital General de Segovia (Segovia), G. Fernández; Hospital Universitario Río Hortega (Valladolid), A. Sacristán SalgadoCiudad Autónoma de Ceuta: Hospital Universitario de Ceuta (Ceuta), J. Domínguez FernándezExtremadura: Complejo Hospitalario de Cáceres (Cáceres), M. C. Gómez GonzálezMadrid: Hospital Universitario Ramón y Cajal (Madrid), V. Monge Jodra, C. Díaz-Agero Pérez, A. Robustillo Rodela; Hospital General Universitario de Móstoles (Móstoles), J. L. Valencia Martín; Hospital Central de la Cruz Roja de San José y Santa Adela (Madrid), I. González Solana; Hospital Central de la Defensa “Gómez Ulla” (Madrid), J. R. Méndez Montesinos; Hospital Fundación Alcorcón (Alcorcón): G. Rodríguez Caravaca; Hospital Universitario de Getafe (Getafe), M. T. Sayalero, C. Moreno Gomila; Hospital Universitario 12 de Octubre (Madrid), J. R. de Juanes Pardo, F. Jaén Herreros, M. I. Sanz Gallardo; Hospital Universitario Príncipe de Asturias (Alcalá de Henares), D. Troncoso Viejo; Hospital Severo Ochoa (Leganés), B. Martínez Mondéjar; Hospital de Fuenlabrada (Fuenlabrada), E. García Puente; Hospital Universitario de la Princesa (Madrid), A. Figuerola Tejerina; Hospital Universitario del Niño Jesús (Madrid), A. Quintás Viqueira; Hospital Universitario del Henares (Coslada), N. López Fresneña; Hospital Universitario Infanta Sofía (San Sebastián de los Reyes), C. García Fernández, C. Saa Requejo; Hospital del Sureste (Arganda del Rey), L. Sainz de los Terreros Soler; Hospital Infanta Leonor (Madrid), S. de Juan García; Hospital de Madrid-Montepríncipe (Madrid), L. Antolín Manuel; Hospital de Madrid (Madrid), L. Antolín Manuel; Hospital de Madrid-Torrelodones (Madrid), L. Antolín Manuel; Hospital de Madrid Norte-Sanchinarro (Madrid), L. Antolín ManuelMurcia: Hospital Universitario Virgen de la Arrixaca (Murcia): F. Botía Martínez, A. GostPaís Vasco: Policlínica Guipuzkoa (San Sebastián): J. A. Jimenez Alfaro.
Published:March 20, 2014DOI:https://doi.org/10.1016/j.ajic.2013.12.016

      Background

      The Indicadores Clínicos de Mejora Continua de la Calidad (INCLIMECC) program was established in Spain in 1997.

      Methods

      INCLIMECC is a prospective system of health care–associated infection (HAI) surveillance that collects incidence data in surgical and intensive care unit patients. The protocol is based on the National Healthcare Safety Network (NHSN) surveillance system, formerly known as the National Nosocomial Infection Surveillance (NNIS) system, and uses standard infection definitions from the US Centers for Disease Control and Prevention. Each hospital takes part voluntarily and selects the units and surgical procedures to be surveyed.

      Results

      This report is a summary of the data collected between January 1997 and June 2012. A total of 370,015 patients were included, and the overall incidence of surgical wound infection (SWI) was 4.51%. SWI rates are provided by NHSN operating procedure category and NNIS risk index category. More than 27% of the patients received inadequate antibiotic prophylaxis, the main reason being unsuitable duration (57.05% of cases).

      Conclusions

      Today, the INCLIMECC network includes 64 Spanish hospitals. We believe that an HAI surveillance system with trained personnel external to the surveyed unit is a key component not only in infection control and prevention, but also in a quality improvement system.

      Key Words

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