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Surgical site infection surveillance in Australian public and private hospitals: a comparative analysis.

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Názov: Surgical site infection surveillance in Australian public and private hospitals: a comparative analysis.
Autori: Bull AL; Victorian Healthcare Associated Infection Coordinating Centre, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic, Australia., Lim LL; Victorian Healthcare Associated Infection Coordinating Centre, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic, Australia.; Department of Infectious Diseases, University of Melbourne, Parkville, Vic, Australia., Tanamas SK; Victorian Healthcare Associated Infection Coordinating Centre, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic, Australia., Worth LJ; Victorian Healthcare Associated Infection Coordinating Centre, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic, Australia., Friedman DN; Victorian Healthcare Associated Infection Coordinating Centre, The Peter Doherty Institute for Infection and Immunity, Melbourne, Vic, Australia.; Department of Infectious Diseases, University of Melbourne, Parkville, Vic, Australia.
Zdroj: Australian health review : a publication of the Australian Hospital Association [Aust Health Rev] 2025 Dec 04; Vol. 49 (6).
Spôsob vydávania: Journal Article; Comparative Study
Jazyk: English
Informácie o časopise: Publisher: CSIRO Pub Country of Publication: Australia NLM ID: 8214381 Publication Model: Print Cited Medium: Internet ISSN: 1449-8944 (Electronic) Linking ISSN: 01565788 NLM ISO Abbreviation: Aust Health Rev Subsets: MEDLINE
Imprint Name(s): Publication: 2010- : Collingwood, Victoria : CSIRO Pub.
Original Publication: [Sydney, Australia] : The Association.
Výrazy zo slovníka MeSH: Surgical Wound Infection*/epidemiology , Surgical Wound Infection*/prevention & control , Hospitals, Public*/statistics & numerical data , Hospitals, Private*/statistics & numerical data, Humans ; Female ; Male ; Victoria/epidemiology ; Middle Aged ; Aged ; Adult ; Coronary Artery Bypass/adverse effects ; Coronary Artery Bypass/statistics & numerical data ; Cesarean Section/adverse effects ; Cesarean Section/statistics & numerical data ; Arthroplasty, Replacement, Knee/adverse effects ; Arthroplasty, Replacement, Hip/adverse effects ; Australia ; Antibiotic Prophylaxis/statistics & numerical data ; Cross Infection/epidemiology
Abstrakt: Objectives: To utilise data submitted to the state coordinating centre for healthcare-associated infection surveillance to compare surgical site infection outcomes (SSIs) in public and private hospitals in Victoria, Australia.
Methods: Coronary artery bypass graft, caesarean section (CSEC), hip (HPRO) and knee prostheses procedures reported between 2020 and 2023 were analysed. Patient characteristics included age, gender and American Society of Anaesthesiology (ASA) score. Procedure characteristics included duration, infection and surgical antibiotic prophylaxis. Logistic regression was used to model odds of SSI adjusted for patient and procedure characteristics.
Results: This study analysed 153,264 records. Public hospitals reported more coronary artery bypass graft and CSEC procedures; private hospitals more knee prostheses and HPRO. Public hospital patients were generally younger, with longer procedure durations. Public hospitals reported more emergency procedures, proportionally more patients in high-risk categories, and longer lengths of stay for coronary artery bypass graft and HPRO. Odds of SSI were 51% lower in private hospitals for CSEC, but comparable for other procedures. Surgical antibiotic prophylaxis choice, timing and duration compliance was higher in public hospitals, except for CSEC and HPRO timing compliance, which was higher in private hospitals.
Conclusions: In addition to patient and procedure characteristics, hospital sector is an important consideration when interpreting SSI data. For the studied procedures, although SSI outcomes were largely comparable across public and private sectors, public hospitals performed more emergency procedures and had a higher proportion of patients classified as high risk. Further studies comparing public and private hospitals should consider additional patient factors, including comorbidities, to better identify risks and inform prevention activities.
(© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.)
Contributed Indexing: Keywords: private hospitals; public hospitals; surgical infections; surveillance
Entry Date(s): Date Created: 20251111 Date Completed: 20251112 Latest Revision: 20251112
Update Code: 20251113
DOI: 10.1071/AH25058
PMID: 41215472
Databáza: MEDLINE
Popis
Abstrakt:Objectives: To utilise data submitted to the state coordinating centre for healthcare-associated infection surveillance to compare surgical site infection outcomes (SSIs) in public and private hospitals in Victoria, Australia.<br />Methods: Coronary artery bypass graft, caesarean section (CSEC), hip (HPRO) and knee prostheses procedures reported between 2020 and 2023 were analysed. Patient characteristics included age, gender and American Society of Anaesthesiology (ASA) score. Procedure characteristics included duration, infection and surgical antibiotic prophylaxis. Logistic regression was used to model odds of SSI adjusted for patient and procedure characteristics.<br />Results: This study analysed 153,264 records. Public hospitals reported more coronary artery bypass graft and CSEC procedures; private hospitals more knee prostheses and HPRO. Public hospital patients were generally younger, with longer procedure durations. Public hospitals reported more emergency procedures, proportionally more patients in high-risk categories, and longer lengths of stay for coronary artery bypass graft and HPRO. Odds of SSI were 51% lower in private hospitals for CSEC, but comparable for other procedures. Surgical antibiotic prophylaxis choice, timing and duration compliance was higher in public hospitals, except for CSEC and HPRO timing compliance, which was higher in private hospitals.<br />Conclusions: In addition to patient and procedure characteristics, hospital sector is an important consideration when interpreting SSI data. For the studied procedures, although SSI outcomes were largely comparable across public and private sectors, public hospitals performed more emergency procedures and had a higher proportion of patients classified as high risk. Further studies comparing public and private hospitals should consider additional patient factors, including comorbidities, to better identify risks and inform prevention activities.<br /> (© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.)
ISSN:1449-8944
DOI:10.1071/AH25058