Monitoring data for deep infections following total knee replacement (TKR) are now available online

The national Danish monitoring system for hospital-acquired infections, HAIBA (Hospital-Acquired Infections Database) now provides a national overview of deep infections following total knee replacement (TKR). Data are available at eSundhed.

Deep infections following TKR are rare, but very serious complications. They may be caused by bacteria acquired during surgery and, in more rare cases, later in connection with blood poisoning.

The new HAIBA monitoring was developed in collaboration with orthopaedic surgeons with a special interest in deep infections following TKR. The Danish Society for Hip and Knee Arthroplasty (DSHKA) has approved the case definition.

HAIBA monitors deep infections following TKR through existing data sources and requires no active notification from surgeons. HAIBA figures show that approx. 48 patients a year have a deep infection following TKR in Denmark.

HAIBA reports may be used as an indicator in the assessment of trends observed at a single hospital. However, the figures cannot be used to determine or compare the disease burden between hospitals as different diagnostic methodologies and practices are applied and as the basic data are employed differently in each hospital.

Hopefully, dissemination of data through HAIBA may trigger discussions as to possible explanations of observed trends and lead to the initiation of new measures to strengthen the prevention of infections at hospitals. In collaboration with the Danish Orthopaedic Surgery Society, a process was initiated in which departments of orthopaedic surgery and departments of clinical microbiology explore which tools and presentations are best suited for underpinning the local monitoring and infection control.

For more information, please see EPI-NEWS 51/17

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