Surgical Site Infection in Surgery for Benign Prostatic Hyperplasia: Comparison of Two Skin Antiseptics and Risk Factors

AbreuDiego,; CamposEnrique,; SeijaVerónica,; ArroyoCarlos,; SuarezRuben,; RotembergPablo,; GuillamaFernanda,; CarvalhalGustavo,; CampoloHoracio,; MachadoMiguel,; DeciaRicardo,

doi:10.1089/sur.2013.174

Cited by 16 publications

(16 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6,[25][26][27][28][29][30][31][32][33][34][35][36] In our study, there was a low incidence of contact dermatitis, and no significant difference between groups, consistent with sim ilarly low incidences (0% to 0.8%) reported in the literature. 6,29,34 Staphylococcus aureus was the primary organism cultured from wound swabs, again consistent with previous studies.…”

Section: Discussionsupporting

confidence: 86%

Alcoholic versus aqueous chlorhexidine for skin antisepsis: the AVALANCHE trial

Charles

Heal

Delpachitra

et al. 2017

CMAJ

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

Alcoholic versus aqueous chlorhexidine for skin antisepsis: the AVALANCHE trial

Charles

Heal

Delpachitra

et al. 2017

CMAJ

View full text Add to dashboard Cite

“…The essential procedures on these organs require the use of probes and drain, which are foreign bodies constituting a risk factor in the occurrence of SSI. Abreu D. et al [15], in a series of 70 patients undergoing prostatic adenomectomy, surgical site infections were noted in 18% of cases. Surgery on the urinary tract, especially when urine was infected, was a risk factor for surgical site infections.…”

Section: Discussionmentioning

confidence: 94%

Incidence and Risk Factors of Surgical Site Infections in Urological Surgery at Brazzaville Teaching Hospital

Atipo¹,

Ondziel²,

Odzébé³

et al. 2019

OJU

View full text Add to dashboard Cite

Aim: To evaluate the incidence of surgical site infection in the Urology Department of Brazzaville teaching hospital. Methods: This was a prospective study performed in the Urology Department and operating room of the Brazzaville teaching hospital during six months from February 2 nd to July 2 nd 2017. The study concerned all patients who had undergone surgery, selected during the operating program and those who had been in emergency and then hospitalized in the urology department. These patients were followed for one month after the intervention date. Results: 209 patients were operated on of whom 48 had surgical site infection, a cumulative incidence of 22.96%. The average age of infected patients was 58.3 years ± 17.73 ds (extremes from 13 to 85 years). 43.75% infected patients had co-morbidity factors. The SSI rate was 70% in patients with positive urine culture. Urinary catheters were found in 33.33% of patients. The average length of preoperative hospital stay was two days. The rate of SSI in patients classified Asa I was 10.41%, Asa II 37.5% and Asa III 52.09%. The SSI rate was respectively 5.21%, 56.76% and 38.03%. The infected patients operated first in the operative program accounted for 10.42%. The group of patients who underwent prostatic surgery accounted for 42.58% of patients with an SSI rate of 47.91%. The practice of aseptic measures by staff was found in 70% of cases. The infection rate in patients with drain was 73.23%. The infection rate in patients with catheters was 54.26%. The SSI was superficial in 66.67% of cases, deep in 25% of cases and organ in 8.33% of cases. Escherichia coli was the most frequently isolated germ 50%. Conclusion: Surgical site infection (ISO) is a common feature in our practice. The advanced age of patients and comorbidity factors are associated with a high risk of occurrence of SSI. These infections were not inevitable, their incidence can be greatly reduced by specific preventive measures.

show abstract

“…This is because investigators in the past have reported contradictory results concerning the relationship between increasing age and risk of SSI12. Some researchers affirm that increasing age is associated with a greater risk of SSI13 while others believe factors indirectly related to age such as an increased prevalence of co-morbid conditions, increased severity of acute illness and decreased host response to bacterial invasion are the real reasons why older patients appear to have an increased risk of SSI14. A cohort by Kaye et al12 involving 144,485 consecutive surgical patients and 72,139 procedures however concluded that increasing age independently predicted an increased risk of SSI only until age 65 years; while after 65 years, increasing age independently predicted a decreased risk of SSI.…”

Section: Discussionmentioning

confidence: 99%

An audit of surgical site infection following open prostatectomy in a Nigerian Teaching Hospital

et al. 2019

View full text Add to dashboard Cite

BackgroundSurgical site infections (SSI) are a potential cause of morbidity and increased cost of care after operations such as open prostatectomy.ObjectiveTo audit the occurrence of SSI after open prostatectomy at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, NigeriaMethodsA review of all patients who underwent open prostatectomy over a ten-year period (July 2005 to June 2015). Data analysis was done using the statistical package for social sciences version 21. Association between variables was determined using Chi-square or Fisher's exact test as appropriate. A p-value < 0.05 was considered statistically significant.ResultsA total of 247 open prostatectomy surgeries were reviewed, with the patients' ages ranging from 43 – 91 years and a mean age of 67.0 ± 8.8 years. Elective procedures were 98.8% while the remaining 1.2% were emergency cases. There were 24 (9.8%) surgical site infections. The duration of admission of the patients with SSI ranged from 6 – 15 days with a mean of 9.5 ± 3.2 days, as against 4 – 9 days (mean of 5.0 ± 2.1days) for those without SSI. All the patients with SSI were successfully managed with no resultant mortality. Risk factors identified for SSI were emergency surgery (p=0.001), obesity (p<0.0001), diabetes mellitus (p=0.008), smoking (p<0.0001), pre-operative catheterization (p<0.0001), excessive haemorrhage (p<0.0001) and post-operative suprapubic bladder drainage (p<0.0001).ConclusionSSI is a recognized complication of open prostatectomy. Identified risk factors for its occurrence from this audit are emergency operation, obesity, diabetes mellitus, smoking, pre-operative catheterization, excessive haemorrhage and post-operative suprapubic bladder drainage. Age, approach to prostatectomy (retropubic vs transvesical), incision type (lower midline vs pfannenstiel), level of the surgeon, catheter type and modality of irrigation were however not significant risk factors for post-prostatectomy SSI in this study.

show abstract

Surgical Site Infection in Surgery for Benign Prostatic Hyperplasia: Comparison of Two Skin Antiseptics and Risk Factors

Abstract: In a cohort of patients submitted to open prostatectomy, SSI was not related to the type of antiseptic. The main risk factor was the presence of a urinary catheter preoperatively. All microorganisms isolated from the SSIs were characteristic of urinary tract infections.

Cited by 16 publications

References 19 publications

Alcoholic versus aqueous chlorhexidine for skin antisepsis: the AVALANCHE trial

Alcoholic versus aqueous chlorhexidine for skin antisepsis: the AVALANCHE trial

Incidence and Risk Factors of Surgical Site Infections in Urological Surgery at Brazzaville Teaching Hospital

An audit of surgical site infection following open prostatectomy in a Nigerian Teaching Hospital

Contact Info

Product

Resources

About