In December 2014, Public Health England reported its latest data, Surveillance of Surgical Site Infections in NHS Hospitals in England 2013/14. The data shows that, between 2008/9 and 2013/14, there was a significant decrease in the inpatient/readmission SSI incidence for repair of neck of femur and reduction of long bone fracture, reaching 1% in each category in 2013/14.
No overall trends for hip and knee prosthesis were found and the incidence remained low (<1%) in these categories. Analysis of hospital-level trends for the orthopaedic categories showed that the majority of centres exhibited stable or decreasing trends over time.
Among non-orthopaedic categories, a significant increasing trend in SSI was found for patients undergoing spinal surgery with an SSI rate of 1.3% in 2013/14. A significantly decreasing trend in was found for patients undergoing bile duct/liver/pancreatic and gastric surgery.
S. aureus as a reported cause of inpatient SSIs accounted for 16% of cases in 2013/14. This followed a decreasing trend observed from 2006/07 due to concurrent decreases in methicillinresistant S. aureus (MRSA). MRSA decreased from 26% in 2004/5 to 4% by 2013/14. Enterobacteriaceae increased from 2008/9 and accounted for 26% of cases by 2013/14.
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