Abstract
Infection is an important arbiter of success or failure of surgical practice and the incidence of infection is incorporated into all surgical audit systems. If audit is to be of value the outcome end points of clinical practice must be defined. We have attempted to derive clinical definitions suitable for bedside diagnosis of infection and believe that these should bs supported by, but not be dependent upon, the results of laboratory or imaging techniques. The proposed definitions are intended to form the basis for clinical audit and to allow meaningful comparisons to be made on clear clinical criteria.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Benson M. K., Hughes S. P. Infection following total hip replacement in a general hospital without special orthopaedic facilities. Acta Orthop Scand. 1975 Dec;46(6):968–978. doi: 10.3109/17453677508989286. [DOI] [PubMed] [Google Scholar]
- Dellinger E. P. Use of scoring systems to assess patients with surgical sepsis. Surg Clin North Am. 1988 Feb;68(1):123–145. doi: 10.1016/s0039-6109(16)44436-1. [DOI] [PubMed] [Google Scholar]
- Evans M., Pollock A. V. A score system for evaluating random control clinical trials of prophylaxis of abdominal surgical wound infection. Br J Surg. 1985 Apr;72(4):256–260. doi: 10.1002/bjs.1800720403. [DOI] [PubMed] [Google Scholar]
- Garner J. S., Jarvis W. R., Emori T. G., Horan T. C., Hughes J. M. CDC definitions for nosocomial infections, 1988. Am J Infect Control. 1988 Jun;16(3):128–140. doi: 10.1016/0196-6553(88)90053-3. [DOI] [PubMed] [Google Scholar]
- Gordon D. S., Reid A. G. Colon resection nomenclature: a practical problem in surgical audit. J R Coll Surg Edinb. 1986 Jun;31(3):164–168. [PubMed] [Google Scholar]
- LJUNGQVIST U. WOUND SEPSIS AFTER CLEAN OPERATIONS. Lancet. 1964 May 16;1(7342):1095–1097. doi: 10.1016/s0140-6736(64)91291-7. [DOI] [PubMed] [Google Scholar]
- Law D. J., Mishriki S. F., Jeffery P. J. The importance of surveillance after discharge from hospital in the diagnosis of postoperative wound infection. Ann R Coll Surg Engl. 1990 May;72(3):207–209. [PMC free article] [PubMed] [Google Scholar]
- Machiedo G. W., Suval W. D. Detection of sepsis in the postoperative patient. Surg Clin North Am. 1988 Feb;68(1):215–228. doi: 10.1016/s0039-6109(16)44441-5. [DOI] [PubMed] [Google Scholar]
- Nixon S. J. Audit in person: Defining essential hospital data. BMJ. 1990 Feb 10;300(6721):380–381. doi: 10.1136/bmj.300.6721.380. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nyström P. O., Bax R., Dellinger E. P., Dominioni L., Knaus W. A., Meakins J. L., Ohmann C., Solomkin J. S., Wacha H., Wittmann D. H. Proposed definitions for diagnosis, severity scoring, stratification, and outcome for trials on intraabdominal infection. Joint Working Party of SIS North America and Europe. World J Surg. 1990 Mar-Apr;14(2):148–158. doi: 10.1007/BF01664867. [DOI] [PubMed] [Google Scholar]
- Pollock A. V., Leaper D. J., Evans M. Single dose intra-incisional antibiotic prophylaxis of surgical wound sepsis: a controlled trial of cephaloridine and ampicillin. Br J Surg. 1977 May;64(5):322–325. doi: 10.1002/bjs.1800640506. [DOI] [PubMed] [Google Scholar]
- Wilson A. P., Treasure T., Sturridge M. F., Grüneberg R. N. A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis. Lancet. 1986 Feb 8;1(8476):311–313. doi: 10.1016/s0140-6736(86)90838-x. [DOI] [PubMed] [Google Scholar]