Nosocomial Infections after Peripheral Arterial Bypass Surgery

Abstract

Background Hospital-acquired infections account for a substantial increase in morbidity and mortality. This prospective, single-center observational study was conducted to assess the incidence and analyze the risk factors of nosocomial infection after peripheral arterial bypass surgery. Methods The incidence of nosocomial infections was registered in all patients undergoing peripheral arterial bypass surgery from January 1996 until December 2004, and risk factors for the development of a nosocomial infection were analyzed. Results A total of 67 infections were diagnosed in association with 607 procedures, yielding an infection ratio of 10.0%. Surgical site infection was the most common (55.2%), followed by urinary tract infection (16.4%), pneumonia (14.9%) and bacteremia (10.4%). Staphylococcus aureus was the most commonly found isolate in surgical site infections (48.6%) and in bacteremia (42.9%). Age, the use of corticosteroids (p = 0.02), and critical ischemia with tissue loss (p = 0.009) could be identified as risk factors for the development of a nosocomial infection.

Measurement of Foot Traffic in the Operating Room: Implications for Infection Control

“…Surgical site infections (SSI) represent a major cause of morbidity and mortality in the perioperative period. Surgical site infections are the most common nosocomial infection in surgical patients [1][2][3][4] and are associated with excess costs of $400 to $30,000 per infection. 5,6 Additionally, as the average age of the patient population increases so, too, may the burden of these infections.…”

Efecto de la adecuación de la profilaxis antibiótica en la incidencia de infección de sitio qruirúrgico en la cirugía vascular periférica

“…The most commonly isolated microorganisms were Staphylococcus aureus and Escherichia coli, according to the series reviewed 31,32…”

Patient and procedure-related risk factors for adverse events after infrainguinal bypass

“…8,11,12 The Association of Surgeons of the Netherlands (ASN) 13 developed a uniform definition of an AE. Three teaching hospitals in the Netherlands-the Department of Vascular Surgery of the St. Elisabeth Hospital in Tilburg (EH), 3,8,14 the Red Cross (RCH) and the Leyweg locations in The Hague of the Haga Hospital, [4][5][6][15][16][17][18][19][20][21][22][23][24] and the Leiden University Medical Centre (LUMC) 13,[25][26][27] -used this definition and have been documenting AEs prospectively according to this definition for Ͼ15 years.…”