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Perioperative Enterprise Committee Surgical Site Infection Report

Perioperative Enterprise Committee Surgical Site Infection Report. October 15, 2009. Pod 1. C-Section Hysterectomy. Cesarean Section SSIs. 2.4%. 2.64%. Abdominal Hysterectomy SSIs. 4.5%. 4.37%. Vaginal Hysterectomy SSIs. 0%. 1.3%. Pod 3. Colorectal Surgery.

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Perioperative Enterprise Committee Surgical Site Infection Report

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  1. Perioperative Enterprise CommitteeSurgical Site Infection Report October 15, 2009

  2. Pod 1 C-Section Hysterectomy

  3. Cesarean Section SSIs 2.4% 2.64%

  4. Abdominal Hysterectomy SSIs 4.5% 4.37%

  5. Vaginal Hysterectomy SSIs 0% 1.3%

  6. Pod 3 Colorectal Surgery

  7. Elective Colon Surgery SSIs 10.86% 8.4%

  8. Elective Rectal Surgery SSIs 21.2% 20%

  9. Pod 4 Ambulatory Services

  10. Outbreak in Thyroidectomy Cases • 5 cases from 2 surgeons within a 3 month time frame • No common pathogens • IC Team needs to observe

  11. Sterilization in the Dental Clinic • Non-standard practices observed in the Dental/Orthodontic clinics at VAV • One person was the local expert • Non-standard practices when this person was out • Standardized to off site sterilization • Labeling instruments • Be able to inspect and repair • Standard treatment for all persons

  12. Pod 6 Orthopedic Surgery

  13. Total Hip Arthroplasty SSIs 4.9% 2.97%

  14. Hip Infection Details • One infection occurring in July 1 infection deep ( 6+ hr surgery, EBL 1300-1500cc, with 5 units PRBCs/FFP intraop. Multiple procs– ORIF then THA. • ABX and timing appropriate • Three infections for August • 1 SIP • 2 DIP

  15. Total Knee Arthroplasty SSIs 1.82%

  16. Pod 7 EGS - Colorectal

  17. EGS Colon Surgery SSIs 15.6% 10.86%

  18. EGS Rectal Surgery SSIs 15% 0%

  19. Pod 8 Neurosurgery

  20. Craniotomy SSI 4.68% 2.7%

  21. Pod 9 Vascular Surgery

  22. Abdominal Aortic Aneurysm SSI 5.2% 0%

  23. Carotid Endarterectomy SSI 1/15=6.7% 0.42%

  24. Peripheral Vascular Bypass SSI 25% 6.7%

  25. Pod 10 Cardiac Surgery

  26. Adult CABG (Procedures w/ Sternotomy + Donor Site) SSIs 4.3% 4.88%

  27. Adult CABG (Sternotomy-Only Procedures) SSIs 0% 2.88%

  28. Adult Cardiac (non-CABG) SSIs 1.71% 0%

  29. State Mandatory Reporting • Delayed due to H1N1 • TDOH will publish hospital infection rates for the public to view • CLABSI rates for each ICU will be published by unit per facility (excluding BICU and Trauma) • Cardiac SSI rates will be published as an aggregate for the state (Coronary bypass grafts) • Will likely be a SIR for 2008 • Tennessee regions may be separate

  30. Vanderbilt Cardiac SIR (CBGB)

  31. VCH ORs Pediatric Cardiac Pediatric V Shunt

  32. Pediatric Cardiac SSIs 2.3% 1.71%

  33. Pediatric VP Shunt SSI 5.16% 2.3%

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