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Volume 10, Number 11—November 2004


Enhanced Identification of Postoperative Infections among Inpatients

Deborah S. Yokoe*Comments to Author , Gary A. Noskin†, Susan M. Cunningham†, Gianna Zuccotti‡, Theresa Plaskett‡, Victoria J. Fraser§, Margaret A. Olsen§, Jerome I. Tokars¶, Steven Solomon¶, Trish M. Perl#, Sara E. Cosgrove#, Richard S. Tilson*, Maurice Greenbaum**, David C. Hooper††, Kenneth E. Sands‡‡, John Tully§§, Loreen A. Herwaldt¶¶, Daniel J. Diekema¶¶, Edward S. Wong##, Michael Climo##, and Richard Platt***
Author affiliations: *Brigham and Women's Hospital, Boston, Massachusetts, USA; †Northwestern University, Chicago, Illinois, USA; ‡Memorial Sloan-Kettering Cancer Center, New York, New York, USA; §Washington University School of Medicine, St. Louis, Missouri, USA; ¶Centers for Disease Control and Prevention, Atlanta, Georgia, USA; #Johns Hopkins Medical Institutions, Baltimore, Maryland, USA; **North Shore Medical Center-Salem Hospital, Salem, Massachusetts, USA; ††Massachusetts General Hospital, Boston, Massachusetts, USA; ‡‡Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; §§Mount Auburn Medical Center, Cambridge, Massachusetts, USA; ¶¶University of Iowa Carver College of Medicine, Iowa City, Iowa, USA; ##McGuire Veterans Affairs Medical Center, Richmond, Virginia, USA; ***Harvard Pilgrim Health Care, Boston, Massachusetts, USA

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Table A8

SSI ratesa after breast proceduresb,c

Hospital SSI rates (%)
Routine surveillance Any method (routine, antimicrobial,
discharge diagnoses)
1A 0 0
1B 1.0 1.2
1C 1.2 2.1
1D 0 0
1E 0 0
1F 1.3 1.3
1G 0 0
Phase 1 pooled (SSI/procedures) 0.7 (10/1,477) 0.9 (14/1,477)
2A 0.3 1.6
2B 0.4 0.9
2C NA 3.6
2D NA 3.3
2E NA 1.8
Phase 2 pooled (SSI/procedures) 0.4 (7/1,765) 2.3 (110/4,698)

aThe numbers of SSI and procedures by hospital are not specified to maintain confidentiality of the hospitals' identities.
bSSI, surgical site infection; NA, routine SSI surveillance for this procedure type was not performed at this hospital.
cOn the basis of routine surveillance versus routine surveillance plus screening by antimicrobial exposure or diagnosis code criteria.

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