Inter-rater agreement of CDC criteria and ASEPSIS score in assessing surgical site infections after cesarean section: a prospective observational study.
ASEPSIS score
CDC criteria
cesarean delivery
cesarean section
inter-rater agreement
reliability
surgical site infections
surveillance
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2023
2023
Historique:
received:
13
12
2022
accepted:
07
08
2023
medline:
7
9
2023
pubmed:
7
9
2023
entrez:
7
9
2023
Statut:
epublish
Résumé
To assess and compare the inter-rater agreement of the CDC criteria and the ASEPSIS score in identifying surgical site infections after cesarean section. Prospective observational study including 110 patients subjected to a cesarean section at our institution. Surgical wounds were managed according to standard care and were photographed on the third, seventh, and thirtieth postoperative day or during any evaluation in case of complications. Three expert surgeons reviewed the prospectively gathered data and photographs and classified each wound using CDC criteria and the ASEPSIS score. The inter-rater agreements of CDC criteria and ASEPSIS score were determined with Krippendorff's Alpha with linear weights and compared with a confidence interval approach. The weighted ASEPSIS score presents a "very good" inter-rater agreement for surgical site infections identification after cesarean, resulting in a more objective method than CDC criteria ("moderate" inter-rater agreement). ASEPSIS score could represent an objective tool for managing and monitoring surgical site infections after cesarean section, also by photographic evaluation.
Identifiants
pubmed: 37675248
doi: 10.3389/fsurg.2023.1123193
pmc: PMC10477579
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1123193Informations de copyright
© 2023 Delli Carpini, Giannella, Di Giuseppe, Fioretti, Franconi, Gatti, Sabbatini, Montanari, Marconi, Tafuri, Tibaldi, Fichera, Pizzagalli and Ciavattini.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Hosp Infect. 2010 Jul;75(3):173-7
pubmed: 20338667
BMJ Glob Health. 2021 Jun;6(6):
pubmed: 34130991
Acta Obstet Gynecol Scand. 2007;86(9):1097-102
pubmed: 17712651
Ann Surg. 2020 Jan;271(1):48-53
pubmed: 31283565
Surg Infect (Larchmt). 2019 Oct;20(7):541-545
pubmed: 31460834
J Adv Nurs. 2021 May;77(5):2530-2538
pubmed: 33608915
J Matern Fetal Neonatal Med. 2017 Jan;30(1):8-12
pubmed: 27023698
BMJ. 2004 Sep 25;329(7468):720
pubmed: 15367425
J Obstet Gynaecol Can. 2017 Aug;39(8):645-651.e1
pubmed: 28729097
Plast Surg (Oakv). 2019 May;27(2):93-99
pubmed: 31106164
Am J Obstet Gynecol. 2018 Dec;219(6):533-544
pubmed: 30118692
Arch Gynecol Obstet. 2022 Dec 26;:
pubmed: 36567354
Surg Infect (Larchmt). 2016 Oct;17(5):510-9
pubmed: 27463235
J Hosp Infect. 2013 May;84(1):44-51
pubmed: 23507051
BMC Infect Dis. 2019 Aug 28;19(1):752
pubmed: 31455246
Lancet. 2018 Oct 13;392(10155):1349-1357
pubmed: 30322585
Surg Infect (Larchmt). 2014 Aug;15(4):372-6
pubmed: 24811074
Int J Orthop Trauma Nurs. 2019 May;33:18-26
pubmed: 30846357
Lancet. 1986 Feb 8;1(8476):311-3
pubmed: 2868173
J Wound Care. 2018 Mar 2;27(3):128-135
pubmed: 29509108
J R Coll Surg Edinb. 1988 Jun;33(3):154-5
pubmed: 3225797
J Clin Epidemiol. 2012 Jul;65(7):778-84
pubmed: 22560852
Int J Infect Dis. 2020 Nov;100:123-131
pubmed: 32712427
J Pediatr Adolesc Gynecol. 2022 Aug;35(4):472-477
pubmed: 35031447
BJOG. 2018 Jul;125(8):956-964
pubmed: 29336106
Dis Colon Rectum. 2015 Nov;58(11):1070-7
pubmed: 26445180
J Wound Care. 2012 Mar;21(3):124, 126-30
pubmed: 22399080