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Infection Control & Hospital Epidemiology


the 30-day window and was subject to recall bias. Finally, our out- comes may be subject to misclassification. In this study, we have identified that the rate of SSI after


pediatric ambulatory surgery is low, although there may be a substantial additional burden of infectious morbidity related to surgery that is not captured by current surveillance strategies and definitions. Furthermore, given the volume of pediatric ambula- tory surgery, even with a low risk, the overall burden on the population may be very high and should not be ignored.


Supplementary material. To view supplementary material for this article, please visit https://doi.10.1017/ice.2018.211


Acknowledgments. We thank the network of surgeons, surgical facility staff, and their patients and families for their contributions to this project and clinical research facilitated through the Pediatric Research Consortium (PeRC) at the Children’s Hospital of Philadelphia. We also thank the research staff who coordi- nated and conducted the thousands of interviews for this project including Folasade Odeniyi, MPH (CHOP), Christina Voigt, BS (CRF Health), Heather Brouwer, BS (Samsara,Inc.),Matthew Miller, MS (CHOP),CoryMatchulat,BA (no current affiliation) and Brandon Putz, BS (University of Chicago); and Mark Ramos, BS from the CHOP Department of Biomedical and Health Informatics for his assis- tance with extraction of electronic health record data. All of these individuals were compensated for their work on this project. We also thank and acknowledge Dr Katherine Deans, who was instrumental in helping us design this study.


Financial support. The research was supported by the Agency for Healthcare Research and Quality (AHRQ grant no. R01HS20921). The contents presented in this publication are solely the responsibility of the authors and do not necessarily represent the official views of AHRQ. The authors have no financial relationships relevant to this article to disclose.


Conflicts of interest. The authors have no potential conflicts of interest to disclose.


References


1. Magill SS, Wilson LE, Thompson DL, et al. Emerging Infections Program Hospital Prevalence Survey Team: reduction in the prevalence of healthcare-associated infections in US acute-care hospitals, 2015 vs 2011. Open Forum Infect Dis 2017;4:S49.


157


2. The Society for Hospital Epidemiology of America, The Association for Practitioners in Infection Control, The Centers for Disease Control, and The Surgical Infection Society. Consensus paper on the surveillance of surgical wound infections. Infect Control Hosp Epidemiol 1992;13: 599–605.


3. Perencevich EN, Sands KE, Cosgrove SE, Guadagnoli E, Meara E, Platt R. Health and economic impact of surgical site infections diagnosed after hospital discharge. Emerg Infect Dis 2003;9:196–203.


4. Hall MJ, Schwartzman A, Zhang J, Liu X. Ambulatory Surgery Data From Hospitals and Ambulatory Surgery Centers: United States, 2010. Washing- ton, DC: US Department of Health and Human Services; 2017.


5. Somme S, Bronsert M, Morrato E, Ziegler M. Frequency and variety of inpatient pediatric surgical procedures in the United States. Pediatrics 2013;132:e1466–e1472.


6. Hyder JA, Hanson KT, Storlie CB, et al. Safety of overlapping surgery at a high-volume referral center. Ann Surg 2018;267:e91–e92.


7. Schaffzin JK, Harte L, Marquette S, et al. Surgical site infection reduction by the solutions for patient safety hospital engagement network. Pediatrics 2015;136:e1353–e1360.


8. Edwards JR, Peterson KD, Mu Y, et al. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783–805.


9. Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN) Patient Safety Component Key Terms. Atlanta, GA: CDC; 2010.


10. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309–332.


11. Rinke ML, Jan D, Nassim J, Choi J, Choi SJ. Surgical site infections following pediatric ambulatory surgery: an epidemiologic analysis. Infect Control Hosp Epidemiol 2016;37:931–938.


12. Owens PL, Barrett ML, Raetzman S, Maggard-Gibbons M, Steiner CA. Surgical site infections following ambulatory surgery procedures. JAMA 2014;311:709–716.


13. Kulaylat AN, Engbrecht BW, Rocourt DV, et al. Measuring surgical site infections in children: comparing clinical, electronic, and administrative data. J Am Coll Surg 2016;222:823–830.


14. Dicks KV, Lewis SS, Durkin MJ, et al. Surveying the surveillance: surgical site infections excluded by the January 2013 updated surveillance definitions. Infect Control Hosp Epidemiol 2014;35:570–573.


15. Costello JM, Graham DA, Morrow DF, et al. Risk factors for surgical site infection after cardiac surgery in children. Ann Thorac Surg 2010;89:1833–1841.


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