Review of Surgical Site Infection Registration Routine at Surgery Departments in Sweden and Validation of One of the Used Routines

Study Overview
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Brief Summary
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This study explores the routines of registration of surgical site infections (SSI) at different surgical centers in Sweden. It explores the sensitivity and specificity of the registration routines of SSI are at Halmstad County Hospital, Sweden.

Conditions
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Surgical Site Infections

Intervention / Treatment
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* Other: this is a survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Surgical Clinics in Sweden that report tho the Swedish national register for Colorectal Cancer. Exclusion Criteria: Clinics that dosen´t report.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Surgical site infection registration<br>Is there a routine for SSI registration | Other: this is a survey<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| In which proportion do surgical clinics in Sweden register Surgical Site Infections | A questionnaire will be sent to every surgical clinic in Sweden. This study will then summarize in what way the surgical clinics in Sweden perform their SSI surveillance. | spring 2013 | 
| In which proportion does the routine SSI registration at Halmstad County Hospital register the actual number of SSI´s. | Aiming to validate the SSI surveillance at Halmstad County Hospital. Patients who underwent elective colorectal resection between 2007-2008 were identified for inclusion in the study. A total of 66 patient were included. They were followed prospectively for four weeks and were controlled daily regarded SSI as a part of the study. After these four weeks the patients also filled a form regarding SSI. This group where then used as a control group. The results from the SSI registration routine at Halmstad County Hospital were then compared with the control group regarded SSI. | up to four years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Which method is used for routine registration of SSI´s in Sweden. | A questionnaire will be sent to every surgical clinic in Sweden. This study will then summarize in what way the surgical clinics in Sweden perform their SSI surveillance. | spring 2013 | 
| How is the SSI classified in different hospitals in Sweden. | A questionnaire will be sent to every surgical clinic in Sweden. This study will then summarize in what way the surgical clinics in Sweden perform their SSI surveillance. | spring 2013 | 
| How is the variation of SSI at the surgical clinic in Halmstad County Hospital, Sweden, the last 10 years. | The study aims to do a statistical Analysis of the SSI surveillance material collected at the Halmstad County Hospital between 2002-2012. We want to know how big the variation is between years regarding SSI and if the statistics i good enough to draw conclusions from. | for 10 years | 
| How large the difference have to be between in registered SSI frequency to surely detect a deviation in SSI presence | The study aims to do a statistical Analysis of the SSI surveillance material collected at the Halmstad County Hospital between 2002-2012. We want to know how big the variation is between years regarding SSI and if the statistics i good enough to draw conclusions from. | for 10 years |