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            <idno type="halRefHtml">&lt;i&gt;Bulletin Epidémiologique Hebdomadaire&lt;/i&gt;, 2007, 12-13, pp.97-100</idno>
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                <title xml:lang="en">Surveillance of surgical-site infections: RAISIN 1999-2004 national database</title>
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                <title level="j">Bulletin Epidémiologique Hebdomadaire</title>
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                <term xml:lang="en">Surveillance</term>
                <term xml:lang="en">Surgical site infection</term>
                <term xml:lang="en">Cross infection</term>
                <term xml:lang="en">Surgery</term>
                <term xml:lang="fr">Système de surveillance</term>
                <term xml:lang="fr">Infections du site opératoire (ISO)</term>
                <term xml:lang="fr">Infections nosocomiales</term>
                <term xml:lang="fr">Réseau national d'alerte d'investigation et de surveillance des infections nosocomiales (Raisin)</term>
                <term xml:lang="fr">Infections du site opératoire</term>
                <term xml:lang="fr">Chirurgie</term>
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              <p>&lt;br&gt;Introduction&lt;br&gt;Surgical-site infections (SSI) are one of the nosocomial infections targeted by the national control programme. A database has been set up since 1999 derived from the regional surveillance networks which contribute to the national Nosocomial Infection Alert, Investigation and Surveillance Network (Raisin).&lt;br&gt;Methods&lt;br&gt;Every year, each volunteer surgery unit taking part in the surveillance network included 200 operated patients and collected individual data including NNIS risk index components (surgery duration, ASA, wound class) and other peri-operative factors. All the patients included had to be followed up to D30 following surgery, whenever possible. SSI were defined according to usual standard criteria.&lt;br&gt;Results&lt;br&gt;Of the 620,176 surgical procedures surveyed between 1999 and 2004, 10,349 SSI were identified (crude incidence rate: 1.7%), including 42% with deep or organ-space infection. SSI incidence varied according to risk NNIS index from 0.9% for lower risk to 14% for higher risk category. For the most commonly surveyed surgical operations, crude SSI incidence varied from 0.2% to 9.2% depending on procedures. Emergency conditions and video-surgery were considered as risk factors in addition to the NNIS risk index for specific procedures. NISS-O SSI incidence decreased for certain operations such as hernioraphia during the study period (- 50%).&lt;br&gt;Conclusion&lt;br&gt;SSI surveillance system based on volunteer networks is an interesting tool to estimate the risk of infection in surgery patients, and could provide relevant data to evaluate the impact of the national nosocomial infection control policy.</p>
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              <p>&lt;br&gt;Introduction&lt;br&gt;Les infections du site opératoire (ISO) font partie des infections nosocomiales cibles du programme national de lutte. Depuis 1999, une base de données a été créée à partir des réseaux de surveillance inter-régionaux dans le cadre du réseau national d'alerte, d'investigation et de surveillance des infections nosocomiales (Raisin). &lt;br&gt;Méthodes&lt;br&gt;Chaque année, chaque service de chirurgie volontaire participant au réseau de surveillance devait inclure 200 patients opérés et recueillir des informations individuelles comprenant en particulier les composants de l'index de risque NNIS (durée opératoire, ASA, classe de contamination) et d'autres facteurs péri-opératoires. Tous les patients inclus devaient si possible être suivis jusqu'au 30ème jour postopératoire. Les ISO étaient définies selon les critères standard usuels. &lt;br&gt;Résultats&lt;br&gt; Parmi 620 176 interventions chirurgicales surveillées entre 1999 et 2004, 10 349 ISO ont été identifiées (taux d'incidence brut : 1,7 %) dont 42 % étaient profondes. L'incidence des ISO variait avec l'index de risque NNIS de 0,9 % pour les patients à faible risque jusqu'à 14 % pour les patients les plus à risque. Pour les interventions chirurgicales les plus souvent surveillées, l'incidence des ISO variait de 0,2 % à 9,2 % selon la procédure. Le caractère urgent de l'intervention et la vidéochirurgie étaient des facteurs de risque en plus de l'index NNIS pour certaines interventions spécifiques. Sur la période d'étude, l'incidence des ISO en NNIS-0 diminuait pour certaines interventions telles que les hernies de paroi (- 50 %). &lt;br&gt;Conclusion&lt;br&gt; Le système de surveillance des ISO basé sur des réseaux de services de chirurgie volontaires est un bon outil pour estimer le risque infectieux chez les patients opérés, et fournit des données pertinentes pour évaluer l'impact de la politique nationale de lutte contre les infections nosocomiales. (R.A.)</p>
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