Evidence map›Paper›PMID 39716285›Full record

ArticleAntimicrobial resistance and infection control2024

Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks-expert perspectives for implementation.

Luisa A Denkel, Isabelle Arnaud, Manon Brekelmans, Mireia Puig-Asensio, Hoger Amin, Sophie Gubbels, Pernille Iversen, Mohamed Abbas, Elisabeth Presterl, Pascal Astagneau and 2 more

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Current state and potential of hospitals for automated healthcare-associated infection surveillance: data from 24 European countries, 2022 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Luisa A DenkelInstitute of Hygiene and Environmental Medicine, Charité Universitätsmedizin Berlin, Humboldt-Universität Zu Berlin and Berlin Institute of Health, Hindenburgdamm 27, 12203, Berlin, Germany. luisa.denkel@charite.de.ORCID 0000-0003-4005-1315
Isabelle ArnaudCentre for Prevention of Healthcare-Associated Infections, Assistance Publique-Hôpitaux de Paris, Paris, France.
Manon BrekelmansCentre for Infectious Diseases Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Mireia Puig-AsensioDepartment of Infectious Diseases, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Hoger AminDepartment of Data Integration and Analysis, Staten Serum Institut, Copenhagen, Denmark.
Sophie GubbelsDepartment of Data Integration and Analysis, Staten Serum Institut, Copenhagen, Denmark.
Pernille IversenRegionernes Kliniske Kvalitetsudviklingsprogram, Aarhus, Denmark.
Mohamed AbbasInfection Control Programme and WHO Collaborating Centre on Infection Prevention and Control and Antimicrobial Resistance, Geneva University Hospitals, Geneva, Switzerland.
Elisabeth PresterlDepartment of Hospital Epidemiology and Infection Control, Medical University of Vienna, Vienna, Austria.
Pascal AstagneauCentre for Prevention of Healthcare-Associated Infections, Assistance Publique-Hôpitaux de Paris, Paris, France.
Stephanie van RoodenCentre for Infectious Diseases Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
PRAISE SSI working group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis work aims at providing practical recommendations for implementing automated surveillance (AS) of surgical site infections (SSI) in hospitals and surveillance networks. It also provides an overview of the steps, choices, and obstacles that need to be taken into consideration when implementing such surveillance. Hands-on experience with existing automated surveillance systems of SSI (AS SSI systems) in Denmark, France, the Netherlands and Spain is described regarding trend monitoring, benchmarking, quality control, and research for surveillance purposes.

methodsBetween April and October 2023, specific aspects/options of various surveillance purposes for AS SSI were identified during regular meetings of the SSI working group in the PRAISE (Providing a Roadmap for Automated Infection Surveillance in Europe) network. Expert discussions provided the basis for this perspective article.

resultsDecisions for implementation of AS SSI systems highly depend on the purpose of the surveillance. AS SSI systems presented here differ according to study population, setting, central or local implementation; the level of automation, design, and the data sources used. However, similarities were found for the rationales of automation, design principles and obstacles that were identified. There was consensus among all the experts that shortcomings in interoperability of databases, limited time, a want of commitment on the part of stakeholders, and a shortage of resources for information technology (IT) specialists represent the main obstacles for implementing AS SSI. To overcome obstacles, various solutions were reported, including training in the development of AS systems and the interpretation of AS SSI results, early consultation of end-users, and regular exchanges between management levels, IT departments, infection prevention and control (IPC) teams, and clinicians.

conclusionClarity on the intended application (e.g. purpose of surveillance) and information on the availability of electronic and structured data are crucial first steps necessary for guiding decisions on the design of AS systems. Adequate resources for IT specialists and regular communication between management, IT departments, IPC teams, and clinicians were identified as essential for successful implementation. This perspective article may be helpful for a wider implementation of more homogeneous AS SSI systems in Europe.

Indexed as

Epidemiological MonitoringHospitalsSurgical Wound InfectionAutomationEuropeHumansNetherlandsSpainAutomated surveillanceBarriersExperiencesExpert recommendationsSurgical site infection

Identifiers

PMID39716285
PMCPMC11667888

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.