The Effect of Preoperative Skin Preparation Products on Surgical Site Infection

2014 ◽  
Vol 35 (12) ◽  
pp. 1535-1538 ◽  
Author(s):  
Heather L. Young ◽  
Sara Reese ◽  
Bryan Knepper ◽  
Amber Miller ◽  
Cyril Mauffrey ◽  
...  

Skin preparation products contribute to surgical site infection (SSI) prevention. In a case-control study, diabetes was associated with increased SSI (adjusted odds ratio [OR], 5.74 [95% confidence interval (CI), 1.22–27.0]), while the use of chlorhexidine gluconate (CHG) plus isopropyl alcohol versus CHG alone was found to be protective (adjusted OR, 2.64 [95% CI, 1.12–6.20]).Infect Control Hosp Epidemiol 2014;35(12):1535–1538

2019 ◽  
Vol 47 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Khalid BM Saeed ◽  
Paul Corcoran ◽  
Mairead O'Riordan ◽  
Richard A. Greene

2016 ◽  
Vol 135 (S1) ◽  
pp. S107-S110 ◽  
Author(s):  
Boezemwendé Kaboré ◽  
Georges Soudouem ◽  
Ibrahima Seck ◽  
Tieba Millogo ◽  
Wambi Maurice Evariste Yaméogo ◽  
...  

2018 ◽  
Vol 42 (8) ◽  
pp. 2454-2461 ◽  
Author(s):  
F. A. Salem ◽  
M. Almquist ◽  
E. Nordenström ◽  
J. Dahlberg ◽  
O. Hessman ◽  
...  

2018 ◽  
Vol 36 (10) ◽  
pp. 1039-1044 ◽  
Author(s):  
Annie M. Dude ◽  
Ashley Battarbee ◽  
Lynn M. Yee

Objective We determined whether time between deliveries is associated with developing diabetes at the time of a subsequent delivery. Study Design This is a case–control study of women who had two consecutive singleton births at the same institution with no pregestational diabetes in the baseline pregnancy. Cases were defined as women who were diagnosed with any type of diabetes at the time of the subsequent delivery. Controls were defined as women who had no diagnosis of diabetes at the time of the subsequent delivery. Interdelivery interval (IDI) was categorized as < 18, 18 to 60, or > 60 months. Results Of 12,263 women, 4.1% (N = 501) were diagnosed with diabetes at the subsequent delivery. Women with diabetes were more likely to have an IDI of >60 months than women without diabetes (9.0 vs. 4.2%, p < 0.001). After controlling for confounding factors, an IDI > 60 months remained associated with development of pregestational or gestational diabetes by the conclusion of the subsequent pregnancy (adjusted odds ratio = 2.13 compared with an IDI of 18–60 months, 95% confidence interval 1.44–3.15). Conclusion A longer IDI is an independent risk factor for the development of diabetes at the time of a subsequent delivery.


2006 ◽  
Vol 134 (6) ◽  
pp. 1167-1173 ◽  
Author(s):  
D. CARNICER-PONT ◽  
K. A. BAILEY ◽  
B. W. MASON ◽  
A. M. WALKER ◽  
M. R. EVANS ◽  
...  

A case-control study was undertaken in an acute district general hospital to identify risk factors for hospital-acquired bacteraemia caused by methicillin-resistant Staphylococcus aureus (MRSA). Cases of hospital-acquired MRSA bacteraemia were defined as consecutive patients from whom MRSA was isolated from a blood sample taken on the third or subsequent day after admission. Controls were randomly selected from patients admitted to the hospital over the same time period with a length of stay of more than 2 days who did not have bacteraemia. Data on 42 of the 46 cases of hospital-acquired bacteraemia and 90 of the 92 controls were available for analysis. There were no significant differences in the age or sex of cases and controls. After adjusting for confounding factors, insertion of a central line [adjusted odds ratio (aOR) 35·3, 95% confidence interval (CI) 3·8–325·5] or urinary catheter (aOR 37·1, 95% CI 7·1–193·2) during the admission, and surgical site infection (aOR 4·3, 95% CI 1·2–14·6) all remained independent risk factors for MRSA bacteraemia. The adjusted population attributable fraction, showed that 51% of hospital-acquired MRSA bacteraemia cases were attributable to a urinary catheter, 39% to a central line, and 16% to a surgical site infection. In the United Kingdom, measures to reduce the incidence of hospital-acquired MRSA bacteraemia in acute general hospitals should focus on improving infection control procedures for the insertion and, most importantly, care of central lines and urinary catheters.


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Aaron J Tande ◽  
Elie F Berbari ◽  
Priya Ramar ◽  
Shiva P Ponamgi ◽  
Umesh Sharma ◽  
...  

Abstract We performed a case–control study to evaluate an electronic, asynchronous infectious diseases consultative service at 2 rural hospitals within our health system. Patients with consultation via this platform (n = 100) had a significantly decreased odds of death at 30 days compared with propensity-matched controls (n = 300; adjusted odds ratio, 0.3; 95% confidence interval, 0.2–0.7; P = .003).


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