Pre-Operative and Early Post-Operative Factors Associated with Surgical Site Infection after Laparoscopic Sleeve Gastrectomy

Objective.To identify risk factors associated with surgical site infection (SSI) after pediatric posterior spinal fusion procedure by examining characteristics related to the patient, the surgical procedure, and tissue hypoxia.Design.Retrospective case-control study nested in a hospital cohort study.Setting.A 475-bed, tertiary care children's hospital.Methods.All patients who underwent a spinal fusion procedure during the period from January 1995 through December 2006 were included. SSI cases were identified by means of prospective surveillance using National Nosocomial Infection Surveillance system definitions. Forty-four case patients who underwent a posterior spinal fusion procedure and developed an SSI were identified and evaluated. Each case patient was matched (on the basis of date of surgery, ± 3 months) to 3 control patients who underwent a posterior spinal fusion procedure but did not develop an SSI. Risk factors for SSI were evaluated by univariate analysis and multivariable conditional logistic regression. Odds ratios (ORs), with 95% confidence intervals (CIs) andPvalues, were calculated.Results.From 1995 to 2006, the mean annual rate of SSI after posterior spinal fusion procedure was 4.4% (range, 1.1%—6.7%). Significant risk factors associated with SSI in the univariate analysis included the following: a body mass index (BMI) greater than the 95th percentile (OR, 3.5 [95% CI, 1.5–8.3]); antibiotic prophylaxis with clindamycin, compared with other antibiotics (OR, 3.5 [95% CI, 1.2 10.0]); inappropriately low dose of antibiotic (OR, 2.6 [95% CI, 1.0–6.6]); and a longer duration of hypothermia (ie, a core body temperature of less than 35.5°C) during surgery (OR, 0.4 [95% CI, 0.2–0.9]). An American Society of Anesthesiologists (ASA) score of greater than 2, obesity (ie, a BMI greater than the 95th percentile), antibiotic prophylaxis with clindamycin, and hypothermia were statistically significant in the multivariable model.Conclusion.An ASA score greater than 2, obesity, and antibiotic prophylaxis with clindamycin were independent risk factors for SSI. Hypothermia during surgery appears to provide protection against SSI in this patient population.

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Risk factors associated with surgical site infection in upper and lower gastrointestinal surgery

Surgery Today ◽

10.1007/s00595-007-3637-y ◽

2008 ◽

Vol 38 (5) ◽

pp. 404-412 ◽

Cited By ~ 91

Author(s):

Akihiro Watanabe ◽

Shunji Kohnoe ◽

Rinshun Shimabukuro ◽

Takeharu Yamanaka ◽

Yasunori Iso ◽

...

Keyword(s):

Risk Factors ◽

Surgical Site Infection ◽

Gastrointestinal Surgery ◽

Site Infection ◽

Factors Associated

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Magnitude and factors associated with surgical site infection among mothers underwent cesarean delivery in Nekemte town public hospitals, western Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0250736 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250736

Author(s):

Diriba Ayala ◽

Tadesse Tolossa ◽

Jote Markos ◽

Mekdes Tigistu Yilma

Keyword(s):

Surgical Site Infection ◽

General Anesthesia ◽

Cesarean Delivery ◽

Public Health Problem ◽

Public Hospitals ◽

Outcome Variable ◽

Site Infection ◽

Cross Sectional ◽

Factors Associated ◽

Prolonged Labor

Background Surgical site infection (SSI) is a serious public health problem due to its impacts on maternal morbidity and mortality and it can have a significant effect on quality of life for the patient. However, little has been studied regarding the magnitude and factors associated with SSI among women underwent cesarean delivery (CD) in study area. Therefore, the aim of this study was to assess the magnitude and factors associated with SSI among women underwent cesarean delivery in Nekemte Town Public Hospitals 2020. Methods An institution based cross-sectional study was conducted from January 1/2018 to January 1/2020. A simple random sampling technique was employed to select 401 patient cards from all records women underwent CD from January 1/2018 to January 1/2020. Epidata version 3.2 was used for data entry, and STATA version 14 was used for analysis. A logistic regression model was used to determine the association of independent variables with the outcome variable and adjusted odds ratios (AOR) with 95% confidence interval was used to estimate the strength of the association. Results Three hundred eight two (382) cards of women were selected for analysis making a response rate of 95.2%. The mean (±SD) age of the mothers was 25.9 (±4.8) years. The prevalence of SSIs was 8.9% (95% CI: 6.03, 11.76). Age > 35 years (AOR = 5.03, 95% CI:1.69, 14.95), pregnancy-induced hypertension (AOR = 5.63, 95%CI:1.88, 16.79), prolonged labor (AOR = 4.12, 95% CI:1.01, 32.19), receiving general anesthesia (AOR = 3.96 95% CI:1.02, 15.29), and post-operative hemoglobin less than 11 g/dl (AOR = 4.51 95% CI:1.84, 11.07) were significantly associated with the occurrence of SSI after cesarean delivery. Conclusions and recommendations The magnitude of post CD SSI in this study was comparable with the sphere standards of CDC guidelines for SSI after CD. Concerned bodies should give due attention the proper utilization of partograph to prevent prolonged labor, and provision of iron folate to increase the hemoglobin level of pregnant mothers in all health institution. In addition, we would recommend the use of spinal anesthesia over general anesthesia.

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Factors associated with surgical site infection among women undergoing obstetrics surgery at Felegehiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: a retrospective cross-sectional study

Safety in Health ◽

10.1186/s40886-018-0081-1 ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 7

Author(s):

Getnet Gedefaw ◽

Azezu Asires ◽

Shumiye Shiferaw ◽

Dagne Addisu

Keyword(s):

Surgical Site Infection ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Referral Hospital ◽

Bahir Dar ◽

Site Infection ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Trends of and factors associated with cesarean section related surgical site infections in Guinea

Journal of Public Health in Africa ◽

10.4081/jphia.2019.818 ◽

2019 ◽

Vol 10 (1) ◽

Author(s):

Alexandre Delamou ◽

Bienvenu Salim Camara ◽

Sidikiba Sidibé ◽

Alioune Camara ◽

Nafissatou Dioubaté ◽

...

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Surgical Site Infection ◽

Retrospective Cohort ◽

Surgical Site Infections ◽

Obstetric Care ◽

Medical Data ◽

Site Infection ◽

Care Policy ◽

Factors Associated

Since the adoption of free obstetric care policy in Guinea in 2011, no study has examined the surgical site infections in maternity facilities. The objective of this study was to assess the trends of and factors associated with surgical site infection following cesarean section in Guinean maternity facilities from 2013 to 2015. This was a retrospective cohort study using routine medical data from ten facilities. Overall, the incidence of surgical site infections following cesarean section showed a declining trend across the three periods (10% in 2013, 7% in 2014 and 5% in 2015, P<0.001). Women who underwent cesarean section in 2014 (AOR: 0.70; 95%CI: 0.57-0.84) and 2015 (AOR: 0.43; 95%CI: 0.34-0.55) were less likely to develop surgical site infections during hospital stay than women operated in 2013. In the contrary, women with comorbidities were more likely to experience surgical site infection (AOR: 1.54; 95% CI: 1.25-1.90) than those who did not have comorbidities. The reductions achieved in 2014 and 2015 (during the Ebola outbreak) should be sustained in the post-Ebola context.

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Risk Factors for Methicillin-ResistantStaphylococcus aureusSurgical Site Infection

Infection Control and Hospital Epidemiology ◽

10.1086/590193 ◽

2008 ◽

Vol 29 (9) ◽

pp. 890-893 ◽

Cited By ~ 33

Author(s):

Stephan Harbarth ◽

Benedikt Huttner ◽

Pascal Gervaz ◽

Carolina Fankhauser ◽

Marie-Noelle Chraiti ◽

...

Keyword(s):

Risk Factors ◽

Staphylococcus Aureus ◽

Surgical Site Infection ◽

Immunosuppressive Therapy ◽

Emergency Surgery ◽

Intervention Study ◽

Comorbid Condition ◽

Site Infection ◽

Factors Associated ◽

Surgical Duration

We prospectively evaluated 46 possible risk factors for methicillin-resistantStaphylococcus aureus(MRSA) surgical site infection (SSI) among patients with MRSA carriage in a large intervention study. Of 6,130 study patients, 68 (1.1%) developed MRSA SSI, which occurred a median of 14 days after surgery. Risk factors associated with MRSA SSI were receipt of emergency surgery, presence of comorbid condition, receipt of immunosuppressive therapy, receipt of contaminated surgery, and a surgical duration longer than the 75th percentile. MRSA carriage on admission did not predict MRSA SSI.

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