{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T07:45:19Z","timestamp":1694677519279},"reference-count":9,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T00:00:00Z","timestamp":1444262400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Lifeline Vascular Access"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Abstract<\/jats:title>A surgical site infection (SSI<\/jats:styled-content>) is an infection related to surgery that develops within 30 days after an operation or within 1 year of implant placement. Postoperative SSIs<\/jats:styled-content> are the most common health\u2010care\u2010associated infections, occurring in up to 5% of surgical patients. Endovascular surgical procedures related to vascular access are common in the dialysis population and may cause SSIs<\/jats:styled-content>. A large outpatient vascular access system developed and implemented a surveillance program to measure and monitor SSIs<\/jats:styled-content> in their population. The health\u2010care surveillance system extended to 76 ambulatory care centers across the U<\/jats:styled-content>nited S<\/jats:styled-content>tates and P<\/jats:styled-content>uerto R<\/jats:styled-content>ico. Based on a recorded 92,880 patient encounters, the surveillance system tabulated 12,541 valid patient survey responses documenting self\u2010reported symptoms of infection within a 30\u2010day postoperative period. The SSI<\/jats:styled-content> rate was tabulated based on the presence of two or more specified indicators of infection: antibiotics, pus, dehiscence, pain, warmth, and swelling. Patients undergoing interventional procedures received surveys at discharge. Data were collected and analyzed using SPSS<\/jats:styled-content> software. Survey analysis indicated a less than 3% superficial incisional SSI<\/jats:styled-content> rate in hemodialysis patients undergoing endovascular procedures. The SSI<\/jats:styled-content> rate for clean wound procedures is generally 2% or less. These data indicate that dialysis patients undergoing interventional procedures in vascular access centers may have a slightly greater risk of developing SSIs<\/jats:styled-content> due to the presence of additional risk factors including obesity, diabetes, and age. This study was limited by a set of loose diagnostic criteria self\u2010reported by patients, which may have overestimated the prevalence of infection. SSIs<\/jats:styled-content> are a serious medical problem associated with increased morbidity and mortality and increased medical care costs. All providers should consider an active surveillance program following endovascular procedures given the comorbidities associated with the dialysis population.<\/jats:p>","DOI":"10.1111\/hdi.12349","type":"journal-article","created":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T20:43:34Z","timestamp":1444337014000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical site infection rates in dialysis patients undergoing endovascular procedures"],"prefix":"10.1111","volume":"19","author":[{"given":"Aris Q.","family":"Urbanes","sequence":"first","affiliation":[{"name":"Lifeline Vascular Access Vernon Hills Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry","family":"Litchfield","sequence":"additional","affiliation":[{"name":"Lifeline Vascular Access Vernon Hills Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Graham","sequence":"additional","affiliation":[{"name":"Lifeline Vascular Access Vernon Hills Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"Hutyra","sequence":"additional","affiliation":[{"name":"Lifeline Vascular Access Vernon Hills Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.07.017"},{"key":"e_1_2_8_3_1","unstructured":"RheeH HarrisBReducing Surgical Site Infection (abstract). Virginians Improving Patient Care and Safety 7th Annual Conference 2007."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/501620"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"712","DOI":"10.2307\/30141914","article-title":"An apparent excess of operative site infections: Analyses to evaluate false\u2010positive diagnoses","volume":"16","author":"Ehrenkranz NJ","year":"1995","journal-title":"Infect Control Hosp Epidemiol"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(90)90228-K"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(91)90416-D"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/662016"},{"key":"e_1_2_8_9_1","volume-title":"How\u2010to\u2010Guide: Prevent Surgical Site Infections","year":"2012"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2008.05.008"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhdi.12349","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.12349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T11:41:09Z","timestamp":1694605269000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.12349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":9,"journal-issue":{"issue":"S3","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/hdi.12349"],"URL":"https:\/\/doi.org\/10.1111\/hdi.12349","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}