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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

Open Access Poster presentation

Healthcare-associated (HA) bloodstream infections (BSI) secondary top surgical site infections: surveillance program across Quebec hospitals (2007 to 2010)

V Blouin1*, E Fortin2, I Rocher3, A Fortin2, C Tremblay4, C Frenette1, C Quach1 and SPIN Network

  • * Corresponding author: V Blouin

Author Affiliations

1 McGill University, Montreal, Canada

2 INSPQ, Quebec, Canada

3 INSPQ, Montreal, Canada

4 CHUQ, Quebec, Canada

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BMC Proceedings 2011, 5(Suppl 6):P63  doi:10.1186/1753-6561-5-S6-P63

The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/5/S6/P63


Published:29 June 2011

© 2011 Blouin et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

To describe HA-BSI secondary to surgical site infections (SSI) in Quebec hospitals.

Methods

Acute care centers with ≥ 1000 admissions/year were invited to participate voluntarily and declare via a web portal all HA-BSIs secondary to a SSI between 2007 and 2010.The surveillance program also included outpatients and paediatric patients.

Results

56 of the 89 eligible centers participated (67% of short-term hospital beds), 64 % of those beds were in teaching hospitals. Of the 7709 episodes of HA-BSIs, 874 (11 %) were secondary to a SSI. Gastrointestinal surgeries were, by far, the leading cause of BSIs (244 – 28%) followed by cardiac surgery (132 – 15%), and orthopaedic surgery (98 – 11%). Implants were present in 25 cases (19%). The majority of SSIs (496 -57%) were organ space infections. S. aureus was the organism most often isolated in 28% (274), followed by E. coli in 13% (130) of patients. Overall, 79% of patients were admitted on a general/specialised ward upon onset, compared to 15% in ICU, and 6% in ambulatory care. The mean time to infection was 21 days with a median of 10 days (median time to infection for cardiac compared to gastrointestinal surgery: 11 and 8 days respectively). 75% of BSIs occurred in teaching hospitals.

Conclusion

The Quebec surveillance program for HA-BSIs is a convenient way to survey the most severe SSIs, awaiting the development of a complete SSI surveillance program. Further analyses are needed to better understand the correlation between this targeted program and a complete SSI surveillance program.

Disclosure of interest

None declared.