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2015 | 86 | 1 | 26-32
Article title

Surgical site infection– the authors’ own prospective research

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EN
Abstracts
EN
Surgical site infection is a common complication in surgery, which increases treatment cost, extends hospitalization time and can lead to septic complications. The aim of the study was analysis of postoperative infections in own material and finding significant risk factors with preserving the obligatory procedures in the clinic. Material and methods. Prospective analysis of 270 consecutively operated patients aged from 18 to 101 was performed with observation of early infection until 7th day postoperatively. Factors judged included: age, sex, BMI, operation type: elective or urgent, physical preparation for surgery, antibiotic prophylaxis, length and type of surgery. Wound observation card was used. Data were analysed statistically (t-Student’s test, chi2 test, U Mann Whitney test and logistic regression analysis). Results. Wound infection was observed in 33 patients (12.22% of the entire group). In 24 (8.88%) it was a superficial infection and in 9 (3.33%) deep infection. Statistically significant risk factors were age, presence of diabetes, operation time and operations on large bowel. The average age of patients with present infection was 61.2. In the group without infection there were 6,3% patients with diabetes and 20.8% in the group with infection. In our study diabetes increased the risk of infection four times. The longer the operation time the higher was the risk of deep infection (without complications 76.2 minutes, superficial 94.9 minutes, deep 148.9 minutes). Operations on large bowel were performed in 11.9%of all study patients. In the group of 33 patients with surgical wound infection, 39.4% had colon surgery, 39.4% of all deep infections and 29.2% of all superficial infections. Conclusions. In own study material significant risk factors of surgical wound infection were: age, presence of diabetes, length of operation, large bowel surgery. In preoperative course risk factors should be identified to perform certain prophylactic procedures to lower the risk of infectious complications.
Publisher
Year
Volume
86
Issue
1
Pages
26-32
Physical description
Dates
published
1 - 01 - 2014
online
27 - 02 - 2014
References
  • 1. Mangram IA , Horan TC, Pearson LM et al.: Guideline for prevention of surgical site infection. Infect Control Hosp Epidemiol 1999; 20(4): 247-78.
  • 2. Horan TC, Gaynes RP, Mortone WJ et al.: CDC definitions of Nosocomial Surgical Site Infections, 1992: a modification of CDC definitions of Surgical Wound Infections. Inf Control Hosp Epidemiol 1992; 13(10): 606-08.
  • 3. Ortega G, Rhee DS, Papandria JD et al.: An evaluation of Surgical Site Infections by Wound Classification System using ACS-NSQIP. J Surgical Res 2012; 174(1): 33-38.
  • 4. Coelo R, Charlett A, Wilson J et al.: Adverse impact of surgical site infections in English hospitals.Journal of Hospital Infections 2005; 60: 93-103.
  • 5. Montewka M, Skrzek A, Plewik D i wsp.: Zakażenia miejsca operowanego - charakterystyka czynników ryzyka, endogennych źródeł zakażenia i metody zapobiegania. Post Mikrobiol 2012; 51(3): 227-35.
  • 6. Quinn A, Hill AD, Humphreys H: Evolving issues in the prevention of surgical site infections.Surgeon 2009; 7: 170-72.[PubMed][WoS]
  • 7. Saermon MJ, Wobb J, Gaughan JP et al.: The effects of intraoperative hypopthermia on surgical site infection an analisis of 524 trauma laparotomies.Ann Surg 2012; 256(3): 469-75.[WoS]
  • 8. Utsumi M, Shimizu J, Miyamoto A et al.: Age as an independent risk factor for surgical site infections in large gastrointestinal surgery cohort in Japan. J Hosp Infect 2010; 75: 183-87.
  • 9. Ismael H, Horst M, Farooq M et al.: Adverse effects of preoperative steroid use on surgical outcomes.Am J Surg 2011; 201: 305-09.
  • 10. Hohmann C, Eickhoff C, Radziwill R et al.: Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicenter evaluation involving pharmacy interns.Infection 2012, 40 (2): 131-37.[WoS][Crossref][PubMed]
  • 11. Ryska O, Serclova Z, Konecna E et al.: Antibiotic prpphylaxis in acute surgical procedures - the current praxis in Czech Republic. Rozhl Chir 2011; 90(7): 535-44.
  • 12. Enzler MJ: Antimicrobial prophilaxis in adults.Mayo Clinic Proc 2011; 86(7): 686-701.[Crossref]
  • 13. Jeong SJ , Kim CO ,Han SH et al.: Risk factors for surgical site infection after gastric surgery: a multicentre case-control study. Scand J Infect Dis 2012; 44(6): 419-26.[WoS][Crossref][PubMed]
  • 14. Ata A, Valerian BT, Lee EC et al.: The effecte of diabetes mellitus on surgical site infections after colorectal and noncolorectal general surgical operations.Am Surg 2010; 76(7): 697-702.
  • 15. Kiran RP, Ahmed AU , Coffey JC et al.: Impact of resident participation in surgical operations on postoperatives outcomes: National Surgical Quality Improvement Program. Ann Surg 2012; 256(3): 469-75[WoS]
  • 16. Mohan HM, McDermontt S, Fenelon L et al.: Plastic wound retractors as bacteriological barriers in gastrointestinal surgery: a prospective multiinstitution trial. J Hosp Infect 2012; 81 (2): 109-13. [WoS][Crossref]
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0005
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