Predictive factors for surgical site infection in general surgery

Haridas, Manjunath; Malangoni, Mark A.

doi:10.1016/j.surg.2008.06.001

Cited by 188 publications

(124 citation statements)

References 24 publications

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“…In our study, overall the rate of SSI was found 5,1 % and this rate is consistent with the literature (2,11,12). In the literature, rates of SSI have been reported to 2-40 % depending on the surgical procedures and surgery centers (1).…”

Section: Discussionsupporting

confidence: 91%

Cerrahi Alan İnfeksiyonları ve Risk Faktörleri: Türkiye’de Doğu Anadolu Bölgesinde bir Devlet Hastanesinin Sonuçları

Çağlayan¹,

Bal²,

Balcı³

et al. 2016

Kocatepe Tıp Dergisi

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ÖZETAmaç: Cerrahi alan infeksiyonları (CAİ) cerrahiden sonra görülen major bir problemdir. Hasta konforunun bozulmasına, morbidite ve mortalite artışa, hastanede kalış sü-resinin uzamasına ve hastane maliyetlerinde artışa neden olurlar. Bu çalışmanın amacı cerrahi alan infeksiyonlarını etkileyen risk faktörlerini araştırmaktır. Materyal ve Metod: Bir devlet hastanesinde Kasım 2007ile Ağustos 2009 tarihleri arasında cerrahi uygulanan 1040 hasta; CAİ ve onunla ilişkili yaş, cinsiyet, ASA derecelendirmesi, anestezi tipi, cerrahinin zamanlaması ve böl-gesi, yara tipi ve altta yatan hastalık açısından retrospektif olarak incelendi. Bulgular:Hastaların yaşları 4 ile 82 yıl (ort. 36,1 ±15,8 yıl) arasında ve kadın/erkek oranı 43/57 idi. 1040 hastanın 53'ünde (% 5,1) CAİ tanısı konmuştu. CAİ gelişen vakaların % 39,2'sinde S. aureus izole edildi. CAİ gelişen hastaların ortalama yatış süresi 7 gün iken, gelişmeyen hastalarda bu oran 2,7 gün idi. Yaş, yara tipi, ASA skoru ve altta hastalıkla CAİ gelişmesi arasında anlamlı fark bulundu (p<0,05). Sonuç:Hastaların ameliyat sonrası CAİ oranları literatür ile uyumlu idi. Hastanın yaşı, ASA skoru, yara tipi ve ek hastalık varlığı faktörleri değiştirilmez. Ancak CAİ için risk ameliyat öncesi antibiyotik profilaksisi ile azaltılabilir.Anahtar Kelimeler: Cerrahi alan infeksiyonu, insidans, risk faktörleri. ABSTRACTObjective: Surgical site infections (SSIs) are a major problem after surgery. They cause to impairment of patient comfort, increase morbidity, mortality, in hospital stay and costs. The aim of this study is to investigate the risk factors affecting SSIs. Results: Patients ranged in age from 4 to 82 years (mean 36,1 ±15,8) and female to male ratio was 43/ 57. Of 1040 patients, 53 (5,1 %) had a diagnosis of SSI. The isolated pathogen in the 39,2 % of the patients who developed wound infection was S. aureus. The hospital stay was average 7 days in the patients developed SSI while it was 2,7 days in the patients without SSI. The age, wound type, ASA scores and underlying diseases were found significant in the development of SSIs (p<0,05). Material and Methods Conclusions:Postoperative wound infection rates in our patients were in compatible with literature. Patient's age, ASA score, wound type and the presence of additional disease are not changed factors but this risk can be reduced in patients with preoperative antibiotic prophylaxis.

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Section: Discussionsupporting

confidence: 91%

Cerrahi Alan İnfeksiyonları ve Risk Faktörleri: Türkiye’de Doğu Anadolu Bölgesinde bir Devlet Hastanesinin Sonuçları

Çağlayan¹,

Bal²,

Balcı³

et al. 2016

Kocatepe Tıp Dergisi

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“…For example, a study reported an SSI rate of 3.1%, but the study design was retrospective and did not include postdischarge followup. 12 Another study reported a rate of just 1.0%, but it was carried out by analyzing administrative discharge registers and included only 7 surgical procedures. Another multicentre study, which reported a rate of 5.0%, was carried out over a period of just 1 month.…”

Section: Discussionmentioning

confidence: 99%

Analyzing the risk factors influencing surgical site infections: the site of environmental factors

Martínez

Martín-Moreno

et al. 2017

CJS

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Background: Addressing surgical site infection (SSI) is accomplished, in part, through studies that attempt to clarify the nature of many essential factors in the control of SSI. We sought to examine the link between multiple risk factors, including environmental factors, and SSI for prevention management. Methods:We conducted a longitudinal prospective study to identify SSIs in all patients who underwent interventions in 2014 in 8 selected hospitals on the Mediterranean coast of Spain. Risk factors related to the operating theatre included level of fungi and bacterial contamination, temperature and humidity, air renewal and differential air pressure. Patient-related variables included age, sex, comorbidity, nutrition level and transfusion. Other factors were antibiotic prophylaxis, electric versus manual shaving, American Society of Anaesthesiologists physical status classification, type of intervention, duration of the intervention and preoperative stay.Results: Superficial SSI was most often associated with environmental factors, such as environmental contamination by fungi (from 2 colony-forming units) and bacteria as well as surface contamination. When there was no contamination in the operating room, no SSI was detected. Factors that determined deep and organ/space SSI were more often associated with patient characteristics (age, sex, transfusion, nasogastric feeding and nutrition, as measured by the level of albumin in the blood), type of intervention and preoperative stay. Antibiotic prophylaxis and shaving with electric razor were protective factors for both types of infection, whereas the duration of the intervention and the classification of the intervention as "dirty" were shared risk factors. Conclusion:Our results suggest the importance of environmental and surface contamination control to prevent SSI.Contexte : La lutte contre les infections du site opératoire (ISO) passe entre autres par des études visant à clarifier la nature de nombreux facteurs essentiels de contrôle. Nous avons donc cherché à examiner le lien entre divers facteurs de risque, notamment de nature environnementale, et les ISO, dans une optique de prévention.

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“…Higher ASA class was a risk factor for SSI among our laparotomy patients, confirming prior reports. [19][20][21][22][23][24] Potential explanations for the link between SSI and obesity include increased thickness of poorly vascularized subcutaneous adipose tissue layer, local tissue trauma resulting from excessive retraction, and higher bacterial density at abdominal or groin creases. Therefore, careful attention to closure technique and proper choice and dosing of prophylactic antibiotics might be helpful in lowering the incidence of SSI in obese patients.…”

Section: Discussionmentioning

confidence: 99%

Rate and Risk Factors for Surgical Site Infection in Gynecologic Oncology Surgeries at a Tertiary Care Facility in a Developing Country

Khan¹,

Irfan²,

Khalid³

et al. 2017

Journal of SAFOMS

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Predictive factors for surgical site infection in general surgery

Cited by 188 publications

References 24 publications

Cerrahi Alan İnfeksiyonları ve Risk Faktörleri: Türkiye’de Doğu Anadolu Bölgesinde bir Devlet Hastanesinin Sonuçları

Cerrahi Alan İnfeksiyonları ve Risk Faktörleri: Türkiye’de Doğu Anadolu Bölgesinde bir Devlet Hastanesinin Sonuçları

Analyzing the risk factors influencing surgical site infections: the site of environmental factors

Rate and Risk Factors for Surgical Site Infection in Gynecologic Oncology Surgeries at a Tertiary Care Facility in a Developing Country

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