Estudio de seroprevalencia de la rubéola en las mujeres en edad fértil de Aragón (2003–2007) / Seroepidemiologic study of rubella in childbearing women in Aragon, Spain (2003–2007)

Objetivos: Cuantificar la población susceptible a la rubéola en Aragón, caracterizarla según las variablessociodemográficas y evaluar el cumplimiento del límite establecido por la Organización Mundial de laSalud (OMS) del 5%.Métodos: Estudio de las pruebas serológicas de rubéola solicitadas a mujeres en edad fértil en el HospitalMiguel Servet de 2003 a 2007. Análisis descriptivo de seronegatividad por edad, a˜nos de estudio y regiónde la OMS (para 2007). Regresión logística con las variables independientes procedencia y edad.Resultados: Estudiamos 13.136 mujeres con una edad media de 31,2 a˜nos. Durante el periodo de estudio,el 5% eran susceptibles a la rubéola (intervalo de confianza del 95%: 4,63–5,37). El a˜no 2003 lo fueron el8,8%, y el grupo de edad de 15 a 19 a˜nos, con un 12,3%, presenta la mayor susceptibilidad. Según su procedencia,las mujeres extranjeras, principalmente de la región de Asia, presentan mayor seronegatividad(7,7%) que las espa˜nolas (3,3%; p<0,05).Conclusiones: Deben establecerse estrategias preventivas de inmunización selectiva posparto, que prevenganposibles brotes de rubéola y eviten la aparición de casos de síndrome de rubéola congénita (AU)

Objectives: To quantify and identify the rubella-susceptible population in Aragon according to sociodemographicvariables, with the aim of assessing compliance with the 5% limit set by the World HealthOrganization (WHO).Methods: Rubella serology tests performed in women of childbearing age in the Miguel Servet Hospitalfrom 2003 to 2007 were studied. A descriptive analysis of seronegativity was performed by age, years ofstudy, and WHO region (for 2007). A logistic regression was performed with the independent variablesof age and geographical origin.Results: We studied 13,136 women. The mean age was 31.2 years. During the study period, 5% weresusceptible to rubella (95%CI: 4.63–5.37). In 2003, 8.8% were seronegative and the highest percentage(12.3%) was found in women aged 15 to 19 years. The percentage of seronegativity was higher in foreignbornwomen (7.7%), especially those from Asia, than in Spanish women (3.3%; p<0.05).Conclusions: Postpartum preventive strategies should be established to prevent possible rubella outbreaksand cases of congenital rubella syndrome (AU)

[Seroepidemiologic study of rubella in childbearing women in Aragon, Spain (2003-2007)]. / Estudio de seroprevalencia de la rubéola en las mujeres en edad fértil de Aragón (2003-2007).

OBJECTIVES: To quantify and identify the rubella-susceptible population in Aragon according to sociodemographic variables, with the aim of assessing compliance with the 5% limit set by the World Health Organization (WHO). METHODS: Rubella serology tests performed in women of childbearing age in the Miguel Servet Hospital from 2003 to 2007 were studied. A descriptive analysis of seronegativity was performed by age, years of study, and WHO region (for 2007). A logistic regression was performed with the independent variables of age and geographical origin. RESULTS: We studied 13,136 women. The mean age was 31.2 years. During the study period, 5% were susceptible to rubella (95%CI: 4.63-5.37). In 2003, 8.8% were seronegative and the highest percentage (12.3%) was found in women aged 15 to 19 years. The percentage of seronegativity was higher in foreign-born women (7.7%), especially those from Asia, than in Spanish women (3.3%; p<0.05). CONCLUSIONS: Postpartum preventive strategies should be established to prevent possible rubella outbreaks and cases of congenital rubella syndrome.

[EPINETAC study]. / Estudio EPINETAC.

Daily, health professionals face biological risks, which have important repercussions for their own health, while performing their professional duties. A system which records data that quantifies and specifies the causes of work place accidents, the instruments most frequently involved in accidents, the professional categories having the greatest exposure, the tasks most at risk and the types of lesions is fundamental in order to grasp the true dimensions of these problems related to accidents and serum-borne disease transmission. Such a data base-could lead to the necessity, and highlight the importance, to increase preventive and protective measures for health personnel. To meet this objective, the EPINETAC project has been developed thanks to the information provided by 106 centers having various degrees of participation during the different years this study has taken.

Estudio EPINETAC / EPINETAC study

Los profesionales sanitarios se enfrentan diariamente al riesgo biológico en la realización de sus funciones, con importantes repercusiones para su salud. Un sistema de recogida de datos donde se cuantifiquen y se especifiquen las causas y los dispositivos más frecuentemente implicados en la producción de accidentes, las categorías profesionales más expuestas, las tareas con más riesgo y tipos de lesión, es fundamental para darle la dimensión real al problema de la accidentabilidad y transmisión sérica. Así puede incidirse en la necesidad e importancia de incrementar las medidas de prevención y protección en el personal sanitario. Con este fin surge el proyecto EPINETAC, gracias a la información aportada por 106 centros con participación variable en los diferentes años del estudio

Daily health professionals face biological risks, which have important repercussions for their own health while performing their professional duties. A system which records data that quantifies and specifies the causes of work place accidents, the instruments most frequently involved in accidents, the professional categories having the greatest exposure, the tasks most at risk and the types of lesions is fundamental in order to grasp the true dimensions of these problems related to accidents and serum-borne disease transmission. Such a data base-could lead to the necessity, and highly the importance, to increase preventive and protective measures for health personnel. To meet this objective, the EPINETAC project has been developed thanks to the information provided by 106 centers having various degrees of participation during the different years this study has taken

[Quality improvement program of nosocomial infection in colorectal cancer surgery]. / Programa de mejora de la infección nosocomial en cirugía por cáncer colorrectal.

BACKGROUND AND OBJECTIVE: The surgical-site infection (SSI) is a complication of colorectal neoplasia surgery. The objectives of the study were to identify the SSI risk factors associated with colon surgery and to describe a strategy of quality improvement using surgical-site rates. PATIENTS AND METHOD: Prospective cohort study of in-patients undergoing neoplasia colorectal surgery between 1st July 2002 to 30th June 2003. A descriptive analysis was implemented. Benchmarking was used as tool of quality improvement, and the outcomes were measured using the standardized infection ratio (SIR). To define the risk factors, the Chi square test and logistic regression test were used in univariate and multivariate analysis, respectively. RESULTS: 148 patients were included in the study. The SSI accumulative incidence rate (IA) was 10.14%, and the incidence rate was 6.47 SSI per 1000 days. The SIR was 1.53 the first semester and 1.02 the second one. The multivariate analysis identified two risk factors associated with SSI: unscheduled admission (odds ratio [OR] = 7.47, 95% confidence interval [CI] 2.03-27.48) and a risk index of American Society of Anaesthesiologists (ASA) > or = 3 (OR = 6.77, IC 95%, 1.15-39.84). CONCLUSIONS: An unscheduled admission and high risk ASA index were risk factors associated with SSI in patients undergoing colorectal surgery. The program of quality improvement based on benchmark achieved a reduction of SSI rates similar to the standard ones.

Programa de mejora de la infección nosocomial en cirugía por cáncer colorrectal / Quality improvement program of nosocomial infection in colorectal cancer surgery

Fundamento y objetivo: La infección nosocomial de la herida quirúrgica (INHQ) es una complicación de la cirugía colorrectal. Los objetivos del estudio son analizar los factores de riesgo asociados a la INHQ en cirugía de colon y establecer una estrategia de mejora basado en los indicadores de INHQ. Pacientes y método: Estudio longitudinal de cohortes prospectivo sobre pacientes intervenidos de neoplasia colorrectal entre el 1 de julio de 2002 y el 30 de junio de 2003. Se realizó un análisis descriptivo. Se utilizó la técnica de punto de referencia o comparación de resultados (benchmarking) como herramienta de estrategia de mejora y se evaluó con la razón de infección estandarizada (RIE). Se realizó un análisis univariante y multivariante de los factores de riesgo para desarrollar infección. Resultados: Se incluyó en el estudio a un total de 148 pacientes. La incidencia acumulada de INHQ fue de 10,14% y la densidad de incidencia de 6,47 infecciones por cada 1.000 días de estancia. La RIE del primer semestre fue de 1,53 y la del segundo semestre de 1,02. El análisis multivariante identificó 2 factores de riesgo independientes para el desarrollo de infección nosocomial: el ingreso urgente (odds ratio [OR] = 7,47; intervalo de confianza [IC] del 95%, 2,03-27,48) y el índice de riesgo ASA (American Society of Anesthesiologists) >= 3 (OR = 6,77; IC del 95%, 1,15-39,84). Conclusiones: El ingreso urgente y el riesgo de base elevado previo a la cirugía fueron los factores asociados a riesgo de INHQ tras cirugía colorrectal. El plan de mejora con benchmarking consiguió disminuir las tasas de INHQ e igualarlas al estándar

Background and objective: The surgical-site infection (SSI) is a complication of colorectal neoplasia surgery. The objectives of the study were to identify the SSI risk factors associated with colon surgery and to describe a strategy of quality improvement using surgical-site rates. Patients and method: Prospective cohort study of in-patients undergoing neoplasia colorectal surgery between 1st July 2002 to 30th June 2003. A descriptive analysis was implemented. Benchmarking was used as tool of quality improvement, and the outcomes were measured using the standardized infection ratio (SIR). To define the risk factors, the Chi square test and logistic regression test were used in univariate and multivariate analysis, respectively. Results: 148 patients were included in the study. The SSI accumulative incidence rate (IA) was 10.14%, and the incidence rate was 6.47 SSI per 1000 days. The SIR was 1.53 the first semester and 1.02 the second one. The multivariate analysis identified two risk factors associated with SSI: unscheduled admission (odds ratio [OR] = 7.47, 95% confidence interval [CI] 2.03-27.48) and a risk index of American Society of Anaesthesiologists (ASA) >= 3 (OR = 6.77, IC 95%, 1.15-39.84). Conclusions: An unscheduled admission and high risk ASA index were risk factors associated with SSI in patients undergoing colorectal surgery. The program of quality improvement based on benchmark achieved a reduction of SSI rates similar to the standard ones