Publications by authors named "Marie-Christine Eisenring"
Association of antimicrobial perioperative prophylaxis with cefuroxime plus metronidazole or amoxicillin/clavulanic acid and surgical site infections in colorectal surgery.
Antimicrob Resist Infect Control
September 2023
Objective: To compare intravenous (IV) amoxicillin/clavulanic acid (A/CA) to IV cefuroxime plus metronidazole (C + M) for preventing surgical site infections (SSI) in colorectal surgery.
Background: Given their spectra that include most Enterobacterales and anaerobes, C + M is commonly recommended as prophylaxis of SSI in colorectal surgery. A/CA offers good coverage of Enterobacterales and anaerobes as well, but, in contrast to C + M, it also includes Enterococcus faecalis which is also isolated from patients with SSI and could trigger anastomotic leakage.
Surveillance quality correlates with surgical site infection rates in knee and hip arthroplasty and colorectal surgeries: A call to action to adjust reporting of SSI rates.
Infect Control Hosp Epidemiol
December 2021
Objective: The incidence of surgical site infections may be underreported if the data are not routinely validated for accuracy. Our goal was to investigate the communicated SSI rate from a large network of Swiss hospitals compared with the results from on-site surveillance quality audits.
Design: Retrospective cohort study.
Objective: To assess the validity of multivariable models for predicting risk of surgical site infection (SSI) after colorectal surgery based on routinely collected data in national surveillance networks.
Design: Retrospective analysis performed on 3 validation cohorts.
Patients: Colorectal surgery patients in Switzerland, France, and England, 2007-2017.
Structure, Process, and Outcome Quality of Surgical Site Infection Surveillance in Switzerland.
Infect Control Hosp Epidemiol
October 2017
OBJECTIVE To assess the structure and quality of surveillance activities and to validate outcome detection in the Swiss national surgical site infection (SSI) surveillance program. DESIGN Countrywide survey of SSI surveillance quality. SETTING 147 hospitals or hospital units with surgical activities in Switzerland.
View Article and Find Full Text PDFFirst Results of the Swiss National Surgical Site Infection Surveillance Program: Who Seeks Shall Find.
Infect Control Hosp Epidemiol
June 2017
Article Synopsis
- The Swiss national surgical site infection (SSI) surveillance program analyzed data from 187,501 surgeries over four years, revealing varying SSI rates based on the type of surgery; knee arthroplasty had a low rate of 0.9%, while colon surgery had a high rate of 14.4%.
- The study highlighted that high post-discharge SSI rates were observed, with some surgeries showing rates as high as 93.3%, and the duration of the surveillance program was linked to reduced SSI rates in specific surgeries.
- The findings suggest that while intensive post-discharge monitoring is crucial, actual reductions in SSI rates require structured quality improvement measures beyond just surveillance.
Article Synopsis
- Surgical site infections (SSI) from Staphylococcus aureus are serious and can lead to high mortality and morbidity, prompting the need for effective prevention strategies.
- A study analyzed data from 249 patients with S. aureus SSI compared to 54,988 uninfected individuals, uncovering various risk factors tied to certain surgical procedures and the overall severity of the patient's condition.
- Findings showed that longer hospital stays, specific surgeries like colectomy, and other factors increased the risk for S. aureus SSI, while minimally invasive surgeries offered some protection, suggesting targeted prevention efforts could help high-risk patients.
Article Synopsis
- The study aimed to explore how a surgeon's adherence to guidelines and experience influences the occurrence of surgical site infections (SSIs) after colon surgeries in Swiss hospitals.
- Out of 2393 patients studied between 1998 and 2008, 428 SSIs were identified, with significant variations in infection rates among hospitals and individual surgeons, indicating some surgeons have a higher risk of SSIs, independent of guidelines followed.
- Multivariate analysis showed that certain patient, procedure, and surgeon characteristics contributed to the risk of SSI, but no link was found between the surgeons' individual risk and their adherence to guidelines or years of experience.
Background: The present study was designed to evaluate surgeons' strategies and adherence to preventive measures against surgical site infections (SSIs).
Materials And Methods: All surgeons participating in a prospective Swiss multicentric surveillance program for SSIs received a questionnaire developed from the 2008 National (United Kingdom) Institute for Health and Clinical Excellence (NICE) clinical guidelines on prevention and treatment of SSIs. We focused on perioperative management and surgical technique in hernia surgery, cholecystectomy, appendectomy, and colon surgery (COL).
Objective: To compare surgical site infection (SSI) rates in open or laparoscopic appendectomy, cholecystectomy, and colon surgery. To investigate the effect of laparoscopy on SSI in these interventions.
Background: Lower rates of SSI have been reported among various advantages associated with laparoscopy when compared with open surgery, particularly in cholecystectomy.
Objective: The purpose of this article is to compare the Charlson comorbidity index derived from a rapid single-day chart review with the same index derived from administrative data to determine how well each predicted inpatient mortality and nosocomial infection.
Design: Cross-sectional study.
Setting: The study was conducted in the context of the Swiss Nosocomial Infection Prevalence (SNIP) study in six hospitals, canton of Valais, Switzerland, in 2002 and 2003.