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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Article info
Publication history
Published online: March 20, 2014
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2014 Published by Elsevier Inc.
