Evidence of the medical and economic benefits of implementing hygiene measures by hygienic physicians in trauma surgery/orthopedics

Not Applicable

Recruiting

Conditions: Assessment of the effectiveness of existing measures to prevent antibiotic resistance and nosocomial infections

Registration Number: DRKS00013296

Lead Sponsor: Kliniken der Stadt Köln gGmbH, Institut für Hygiene

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 7000

Inclusion Criteria

In-patient admission to an accident-surgical/orthopaedic normal ward and in-patient surgery on the basis of an accident-surgical diagnosis. In addition, the inclusion takes place according to Kiss definition. Patients who, for example, undergo three procedures that build upon each other (e. g.: 1st fixator, 2nd plate/nail; 3rd metal removal) always restart 90 days after the respective procedure. If the patient reaches his outcome (wound infection) there, he will be excluded from the study from this point in time and the outcome will be counted for this wound infection.
The three interventions count as multivariable for the subsequent calculation. If an infected patient dies, he or she is counted as one of them again. Polytraumas do not consider infections that cannot be prevented by accident surgery. In addition, patients are excluded after their first stay in the intensive care unit.

Exclusion Criteria

If an outcome for wound infection has been achieved, the patient is only considered for wound infections up to this point in time and then only counted for the prevention of urinary tract infections, vascular catheter infections and pneumonia. If he gets a urinary tract infection, from then on he can only be counted for the prevention of vascular catheter infections and pneumonia. If he gets one of both, from this point on either the vascular catheter infections or the pneumonia (for the infection that is not present) can be counted.
If he reaches all four outcomes, this patient will not be examined any further.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Postoperative wound infections<br>Urinary tract infections<br>Pneumonia<br>Catheter sepsis<br> C.difficile infections<br>Consumption of antibiotics<br>Health economic outcomes<br>Mortality<br>

Secondary Outcome Measures