Point prevalence survey of surgical site infections in hospitals

1. Point prevalence survey of surgical site infections in hospitals Paata Imnadze Director National Center for Disease Control Georgia George Kurtsikashvili Epidemiologist National CDC Georgia

2. 1992 data - SSI consequences 7,3 additional hospital-days $3 152 additional expenses 27 million surgical procedures are performed annually in US SSI is second most frequent in-hospital infection Surgical Site Infections

3. Frequency of nosocomial infections by localization (SENIC, USA 1976)

4. Preventable Nosocomial Infections 32% SSI 35% Urinary tract 33% Sepsis 35% Pneumonia 22% SENIC research Preventable nosocomial infections

5. Data collection and systematization by means of adaptation of CDC (USA) definitions in all medical organizations Implementation of active epidemiological surveillance SSI epidemiological surveillance goals and objectives: Training of Active surveillance Passive surveillance medical personnel

6. Study SSI prevalence and incidence in order to monitor infection in hospitals and at national level Infection frequency by stratified risk index Assessment and implementation of peri-operational prevention by means of antibiotics SSI epidemiological surveillance goals and objectives:

7. Participants: specialists from Harvard University, CDC (USA), NCDC (Georgia) General strategies and workplan were developed in order to initiate the process of active SSI surveillance AIHA Our Achievements through Partnership Support: Harvard University CDC (USA) NCDC (Georgia)

8. Three hospitals with relatively high occupancy were selected The coordinators were appointed in hospitals, who were trained at the NCDC (Georgia) Infection Control TOT workshops. Our Achievements through Partnership Support:

9. Hospital coordinators provide the following support: Organize regular meetings with hospital administration Organize seminars for hospital personnel to educate them in new definitions and guidelines for SSI and preventive use of antibiotics Organize Infection Control Committees at the hospitals Our Achievements through Partnership Support:

10. Data collection forms are developed for SSI prevalence and incidence study in accordance with standard definitions of SSI cases Nurses performing dressings are involved in epidemiological data collection process; they have to record detected infection signs in special forms. Our Achievements through Partnership Support:

11. Collected data are sent for analysis to the NCDC-Georgia First data on SSI prevalence were presented at Society of Hospital Epidemiology of USA (SHEA) annual conference Our Achievements through Partnership Support:

12. Part of the manual «Basics of Infection Control» has been translated into Georgian and approved as methodological guideline by the order of Georgian Minister of Health Guidelines for adequate use of antibiotics for SSI prevention are included into the state «standard care package» , which determines operation costs decrease unjustified costs SSI incidence and prevalence study is included in State Epidemiological Surveillance Program personnel is interested to be involved in study and get financial support through participation. Regulatory Documents Developed: