作者
Eveline LPE Geubbels, Jan C Wille, Nico JD Nagelkerke, Christina MJE Vandenbroucke-Grauls, Diederick E Grobbee, Annette S De Boer
发表日期
2005/5
期刊
Infection Control & Hospital Epidemiology
卷号
26
期号
5
页码范围
435-441
出版商
Cambridge University Press
简介
Objective
To determine hospital-related risk factors for surgical-site infection (SSI) following hip arthroplasty.
Design
Prospective, multicenter cohort study based on surveillance data and data collected through a structured telephone interview. With the use of multilevel logistic regression, the independent effect of hospital-related characteristics on SSI was assessed.
Setting
Thirty-six acute care hospitals in the Dutch surveillance network for nosocomial infections (PREZIES), from 1996 to 2000.
Patients
Thirteen thousand six hundred eighty patients who underwent total or partial hip arthroplasty.
Results
A high annual volume of operations was associated with a reduced risk of SSI (risk-adjusted risk ratio [RR] per 50 extra operations, 0.85; 95% confidence interval [CI95], 0.74–0.97). With each extra full-time–equivalent infection control staff member per 250 beds available for prevention of SSI, the risk for SSI was decreased …
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