Risk Factors for Surgical Site Infection among Obese Patients Versus Non-obese Patients Undergoing Colon Surgery

<p>Introducción: La infección de sitio quirúrgico (ISQ) es la infección intrahospitalaria más frecuente en los pacientes quirúrgicos con una incidencia entre 5-30%. Objetivos: Identificar los factores de riesgo para ISQ en cirugía colónica en nuestra población. Los objetivos secundarios son determinar la incidencia y tipo de ISQ, así como la incidencia de dehiscencia de anastomosis (DA). Materiales y métodos: Estudio de casos-controles de pacientes intervenidos de colectomía entre 2010-2014 en el Hospital Privado Universitario de Córdoba y Hospital Raúl Ferreyra. Se incluyeron las intervenciones convencionales y laparoscópicas, con seguimiento de 30 días, pacientes entre 20 y 85 años y con ASA I-III. Se excluyeron las cirugías de urgencia y las resecciones recto-anales. Se definió ISQ a aquella que ocurre dentro de 30 días. Resultados: Se incluyeron 238 pacientes. Se diagnosticó ISQ en 27,7% (n=66) de los pacientes de los cuales 12,2% fue superficial, 4,6% profunda y 10,9% de órgano/espacio. El análisis multivariado demostró que la ISQ se asocia con sexo masculino (odds ratio [OR] 3,15; IC95%:1,43-6,92; p=0,004), quimioterapia neoadyuvante (OR 6,72; IC95%:1,48-30,93; p=0,01), conversión (OR 3,32; IC95%:1,13-9,77; p=0,02), reintervención dentro de 30 días postquirúrgicos (OR 12,34; IC95%:2,65-57,37, p=0,001) y DA (OR 12,83; IC95%:2,97- 55,5; p=0,001). La DA presenta una incidencia del 9,6%, de los cuales el 91% presentó ISQ y todas fueron de órgano/espacio. Conclusión: Sexo masculino, quimioterapia neoadyuvante, conversión, reintervención dentro de 30 días postquirúrgicos y DA son factores de riesgo para ISQ en nuestra población. Estos resultados deben ser considerados para implementar medidas preventivas para ISQ.</p>

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Incidence and risk factors of surgical site infection following colorectal surgery in Iran: a prospective cohort study

10.21203/rs.3.rs-272952/v1 ◽

2021 ◽

Author(s):

Siamak Rajaei ◽

Masoud Mohammadi ◽

Mohammad Hosein Taziki Balajelini ◽

Reza Afghani ◽

Mehrshad Zare ◽

...

Keyword(s):

Risk Factors ◽

Colorectal Surgery ◽

Surgical Site Infection ◽

Colon Surgery ◽

Site Infection ◽

Prospective Design ◽

Related Risk ◽

Scientific Principles ◽

Golestan Province ◽

Univariate Analyses

Abstract Background Surgical site infection (SSI) after colorectal surgery remains a significant problem for its negative clinical outcomes. The aim of this study was to determine the incidence of SSI after colorectal surgery in 5-Azar hospital of Gorgan, Golestan province, Iran and to further evaluate the related risk factors. Methods A prospective design was applied. Patients in the 5-Azar hospital of Gorgan, Golestan province, Iran was prospectively monitored for SSI after colorectal surgery. The demographic and perioperative characteristics were collected, and the main outcome were SSI within postoperative 30 days. Univariate analyses were used to identify risk factors. Results A total of 240 patients were enrolled in the study and the overall SSI rate was 23.3% (56 patients). Univariate analyses indicated that corticosteroids use (Risk Ratio (RR) = 3, 95% CI: 1.62–5.54), segmental resection with anastomosis (RR = 2.28, 95% CI: 1.12–4.63), anemia (RR = 4.52, 95% CI: 3.11–6.59), diabetics (RR = 2.68, 95% CI: 1.73–4.14), and opium use (RR = 1.87, 95% CI: 1.17–2.99) are risk factors for SSI. Conclusions SSI still seems to be a problem in colon surgery despite the observance of scientific principles. There are some risk factors for SSI that can be prevented.

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Surgical Site Infection after Colon Surgery: National Healthcare Safety Network Risk Factors and Modeled Rates Compared with Published Risk Factors and Rates

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2012.01.041 ◽

2012 ◽

Vol 214 (5) ◽

pp. 852-859 ◽

Cited By ~ 33

Author(s):

Heather Young ◽

Bryan Knepper ◽

Ernest E. Moore ◽

Jeffrey L. Johnson ◽

Phillip Mehler ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Colon Surgery ◽

Site Infection ◽

National Healthcare ◽

National Healthcare Safety Network ◽

Network Risk

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Surgical site infection and its risk factors in colon surgeries

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420160000100006 ◽

2016 ◽

Vol 50 (1) ◽

pp. 43-49 ◽

Cited By ~ 6

Author(s):

Suzimar de Fátima Benato Fusco ◽

Natiara Medolago Massarico ◽

Maria Virginia Martins Faria Fadul Alves ◽

Carlos Magno Castelo Branco Fortaleza ◽

Érika Cibele Pereira Pavan ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Medical Records ◽

Mechanical Bowel Preparation ◽

Colon Surgery ◽

Tertiary Hospital ◽

Male Gender ◽

Surgical Patients ◽

Site Infection

Abstract OBJECTIVE To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. METHOD Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. RESULTS In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. CONCLUSION The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections.

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Study on surgical site infection following laryngectomy and its risk factors

Academic Journal of Second Military Medical University ◽

10.3724/sp.j.1008.2011.00521 ◽

2011 ◽

Vol 31 (5) ◽

pp. 521-523

Author(s):

Qian XIE ◽

Bin CAO ◽

Yong-xiang WEI ◽

Ning-yu WANG ◽

Jin-feng LIU ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Site Infection

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Risk Factors of Surgical Site Infection among Infants: Descriptive Study

Assiut Scientific Nursing Journal ◽

10.21608/asnj.2017.60621 ◽

2017 ◽

Vol 5 (12) ◽

pp. 108-116

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Descriptive Study ◽

Site Infection

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Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

Veterinary Record Open ◽

10.1136/vetreco-2017-000233 ◽

2019 ◽

Vol 6 (1) ◽

pp. e000233

Author(s):

Jorge Espinel-Rupérez ◽

Maria Dolores Martín-Ríos ◽

Veronica Salazar ◽

Maria Rosario Baquero-Artigao ◽

Gustavo Ortiz-Díez

Keyword(s):

Risk Factors ◽

Soft Tissue ◽

Surgical Site Infection ◽

Economic Impact ◽

Teaching Hospital ◽

Primary Outcome Measure ◽

Site Infection ◽

Urinary Catheterisation ◽

Organ Space Infection ◽

Soft Tissue Surgery

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

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