{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:29:33Z","timestamp":1770902973167,"version":"3.50.1"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"unspecified","delay-in-days":3490,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:sec id=\"S0899823X00197119_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To evaluate the impact of postdischarge surveillance on surgical site infection (SSI) rates after orthopedic surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X00197119_abs2\"><jats:title>Setting.<\/jats:title><jats:p>Nine hospitals participating in the Finnish Hospital Infection Program.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X00197119_abs3\"><jats:title>Patients.<\/jats:title><jats:p>All patients who underwent hip or knee arthroplasty or open reduction of a femur fracture during 1999-2002.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X00197119_abs4\"><jats:title>Results.<\/jats:title><jats:p>The date of discharge was available for 11,812 procedures (90%). The median length of hospital stay was 8 days (range per hospital, 6-9 days). The overall SSI rate was 3.3% (range, 0.8%-6.4%). Of 384 SSIs detected, 216 (56%; range, 28%-90%) were detected after discharge: 93 (43%) were detected on readmission to the hospital, 73 (34%) at completion of a postdischarge questionnaire, and 23 (11%) at a follow-up visit. For 27 postdischarge SSIs (13%), the location of detection was unknown. Altogether, 32 (86%) of 37 of organ\/space SSIs, 57 (80%) of 71 deep incisional SSIs, and 127 (46%) of 276 superficial incisional SSIs were detected after discharge. Most SSIs (70%) detected on readmission were severe (organ\/space or deep incisional), whereas most SSIs (86%) detected at follow-up visits or at completion of a postdischarge questionnaire were superficial. Of all SSIs, 78% (range, 48%-100%) were microbiologically confirmed. Microbiologic confirmation was less common after discharge than during postoperative hospital stay (66% vs 93%; <jats:italic>P<\/jats:italic>&lt; .001).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X00197119_abs5\"><jats:title>Conclusions.<\/jats:title><jats:p>Postdischarge surveillance had a large impact on the rate of SSI detected after orthopedic surgery. However, postdischarge surveillance conducted by means of a questionnaire detected only a minority of deep incisional and organ\/space SSIs.<\/jats:p><\/jats:sec>","DOI":"10.1086\/509840","type":"journal-article","created":{"date-parts":[[2006,11,30]],"date-time":"2006-11-30T00:56:00Z","timestamp":1164848160000},"page":"1324-1329","source":"Crossref","is-referenced-by-count":57,"title":["Impact of Postdischarge Surveillance on the Rate of Surgical Site Infection After Orthopedic Surgery"],"prefix":"10.1017","volume":"27","author":[{"given":"Kaisa","family":"Huotari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Outi","family":"Lyytik\u00e4inen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Hospital Infection Surveillance Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"S0899823X00197119_ref003","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra035415"},{"key":"S0899823X00197119_ref027","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38232.646227.DE"},{"key":"S0899823X00197119_ref025","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(05)70354-8"},{"key":"S0899823X00197119_ref026","doi-asserted-by":"publisher","DOI":"10.2307\/30145247"},{"key":"S0899823X00197119_ref007","first-page":"75","article-title":"Post-discharge surgical site infection surveillance","volume":"10","author":"Fanning","year":"1995","journal-title":"Can J Infect Control"},{"key":"S0899823X00197119_ref024","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B6.15121"},{"key":"S0899823X00197119_ref028","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(90)90228-K"},{"key":"S0899823X00197119_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(97)90035-3"},{"key":"S0899823X00197119_ref002","doi-asserted-by":"publisher","DOI":"10.1086\/502033"},{"key":"S0899823X00197119_ref018","doi-asserted-by":"publisher","DOI":"10.1086\/321860"},{"key":"S0899823X00197119_ref021","doi-asserted-by":"publisher","DOI":"10.3201\/eid0702.010212"},{"key":"S0899823X00197119_ref031","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2003.12.022"},{"key":"S0899823X00197119_ref029","doi-asserted-by":"publisher","DOI":"10.1086\/501923"},{"key":"S0899823X00197119_ref012","doi-asserted-by":"publisher","DOI":"10.3201\/eid1011.040784"},{"key":"S0899823X00197119_ref015","doi-asserted-by":"publisher","DOI":"10.1017\/S0195941700015241"},{"key":"S0899823X00197119_ref010","doi-asserted-by":"publisher","DOI":"10.1086\/314586"},{"key":"S0899823X00197119_ref011","doi-asserted-by":"publisher","DOI":"10.1086\/502566"},{"key":"S0899823X00197119_ref022","doi-asserted-by":"publisher","DOI":"10.1086\/425000"},{"key":"S0899823X00197119_ref013","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2004.10.001"},{"key":"S0899823X00197119_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(05)80148-8"},{"key":"S0899823X00197119_ref017","volume-title":"NNIS Manual","year":"1994"},{"key":"S0899823X00197119_ref030","doi-asserted-by":"publisher","DOI":"10.2307\/30147431"},{"key":"S0899823X00197119_ref001","doi-asserted-by":"publisher","DOI":"10.2307\/30141291"},{"key":"S0899823X00197119_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(97)90084-5"},{"key":"S0899823X00197119_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.01.025"},{"key":"S0899823X00197119_ref019","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra040181"},{"key":"S0899823X00197119_ref014","unstructured":"Surveillance of surgical site infections, HELICS Implementation Phase II, HELICS-SSI Statistical Report, 2000-2003, 2005. Available at: http:\/\/ipse.univ-lyonl.fr\/. 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