Surveillance Practices and Related Factors of Surgical Site Infection in Government Hospitals
Keywords:
Practices, Surveillance, Surgical Site Infection, Related Factors, government hospitalsAbstract
The surveillance of surgical site infections (SSI) can help surgical facilities determine the situation and trend of SSI leading to effective SSI prevention and reducing the incidence of SSIs. This descriptive study aimed to study the SSI surveillance practices and related factors at government hospitals from June 2014 to March 2015. The samples consisted of 99 infection control nurses or key responsible persons for SSI surveillance in government hospitals. (80.49%) The research instrument was a questionnaire consisting of 4 parts: a demographic questionnaire, a hospital information questionnaire, a surveillance practices questionnaire, and a SSI surveillance related factors questionnaire. Data were analyzed using descriptive statistics
The study found that most SSI data collection and recording was performed by infection control ward nurses (72.73%). The US Centers for Disease Control and Prevention definition was used to classify SSIs (68.69 %). Most SSIs were diagnosed by surgeons (61.62%). The SSI rates were analyzed monthly (73.74%) and data were electronically recorded (51.52%). Post-discharge surveillance was performed (83.84%) SSI surveillance efficiency were evaluated (24.24%). The factors related to the SSI surveillance practices were: 1) the structure: the hospital had full-time infection control nurses (71.72%); 2) the process: the hospital organized training on SSI prevention for new personnel (73.74%) and conducted refresh training for involved personnel (84.85%); and 3) the outcome: most respondents agreed that changing the responsible person for SSI surveillance affected the SSI surveillance system (61.62%) and that they required support from colleagues (88.89%).
The findings showed that there were a variety of SSI surveillance practices in government hospitals. Planning and developing SSI surveillance procedures are recommended to improve SSI surveillance of Thai government hospitals of standard comprehension
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