2015
DOI: 10.1089/sur.2013.195
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Factors Affecting Surgical Site Infection Rates in Hepatobiliary Surgery

Abstract: Most of the independent risk factors for hepatobiliary system surgery are similar to those for other general abdominal surgical procedures. The presence of an external-internal biliary drainage catheter and direct bilirubin concentrations higher than 15 mg/dL were found to be specific risk factors for HPB surgery.

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Cited by 34 publications
(61 citation statements)
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“…[35,36] In hepatobiliary surgery, the presence of biliary drainage catheter preoperatively was also found to be a specific risk factor for postoperative SSIs. [37] In the present study, preoperative biliary drainage was not a risk factor indicating SSIs. We suppose that bacterial culture may be necessary to explode the real bile infection rate after biliary drainage and the preoperative bile infection caused by biliary drainage may be an independent risk factor indicating postoperative SSIs.…”
Section: Discussionmentioning
confidence: 41%
“…[35,36] In hepatobiliary surgery, the presence of biliary drainage catheter preoperatively was also found to be a specific risk factor for postoperative SSIs. [37] In the present study, preoperative biliary drainage was not a risk factor indicating SSIs. We suppose that bacterial culture may be necessary to explode the real bile infection rate after biliary drainage and the preoperative bile infection caused by biliary drainage may be an independent risk factor indicating postoperative SSIs.…”
Section: Discussionmentioning
confidence: 41%
“…Several factors have been shown to be linked with SSI rate following general surgery across studies including open surgical approach, smoking status, insulin-dependent (Table 1). 13,28,30,[38][39][40][41][42][43][44] As an example, knowing that a patient has a clean-contaminated or contaminated wound may help guide a surgeon's preference for closure with a biologic prosthesis rather than synthetic mesh when reinforcement of the abdominal wall is necessary.…”
Section: Risk Factorsmentioning
confidence: 99%
“…21,102,103 Finally, closed suction drainage, whether placed in a subcutaneous or intra-abdominal location, should be used judiciously as regular use may be associated with an increased risk of infection. 40,68 Prophylactic antibiotic timing is a nationally mandated quality metric and the timing of administration of preincision antibiotics has been well studied. [104][105][106][107][108] The utility of prophylactic antibiotics in clean cases remains controversial.…”
Section: Wound Dressingsmentioning
confidence: 99%
“…Antibiotic use and CRP were identified as risk factors for digestive surgeries from the multivariate analysis, which were identified during the literature search for thoracic and orthopaedic surgeries, respectively. Antibiotic use and temperature were statistically significant for all three groups of surgeries and were included because of two studies regarding thoracic and digestive system surgeries, respectively [ 40 , 55 ].…”
Section: Resultsmentioning
confidence: 99%