Prolonged surgical duration, higher body mass index and current smoking increases risk of surgical site infection after intra‐articular fracture of distal femur

2019 ◽  
Vol 89 (6) ◽  
pp. 723-728 ◽  
Author(s):  
Hang Xu ◽  
Lili Yu ◽  
Yansen Li ◽  
Zhixin Gong
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Distal Femur ◽  
Site Infection ◽  
Current Smoking ◽  
Articular Fracture ◽  
Surgical Duration

Increased incidence of surgical site infection with a body mass index ≥ 35 kg/m2 following abdominal wall reconstruction with open component separation

2018 ◽  
Vol 33 (8) ◽  
pp. 2503-2507 ◽  
Author(s):  
Salvatore Docimo ◽  
Konstantinos Spaniolas ◽  
Michael Svestka ◽  
Andrew T. Bates ◽  
Samer Sbayi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Abdominal Wall ◽  
Body Mass ◽  
Abdominal Wall Reconstruction ◽  
Component Separation ◽  
Site Infection

Body mass index and the risk of deep surgical site infection following posterior cervical instrumented fusion

2019 ◽  
Vol 19 (4) ◽  
pp. 602-609 ◽  
Author(s):  
Christina W. Cheng ◽  
Amy M. Cizik ◽  
Armagan H.C. Dagal ◽  
Larissa Lewis ◽  
John Lynch ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Site Infection ◽  
Instrumented Fusion ◽  
Deep Surgical Site Infection

scholarly journals Risk Factors for Cesarean Section Surgical Site Infections: A Systematic Review

2020 ◽  
Vol 41 (S1) ◽  
pp. s377-s377
Author(s):  
Feah Visan ◽  
Jenalyn Castro ◽  
Yousra Siam Shahada ◽  
Naser Al Ansari ◽  
Almunzer Zakaria
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Body Mass Index ◽  
Risk Factor ◽  
Cesarean Section ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Surgical Site Infections ◽  
Site Infection ◽  
Inclusion Criteria

Background: According to the CDC NHSN, surgical site infections (SSI) are wound infections that develop within 30 days postoperatively for nonimplanted surgeries such as cesarean sections. SSIs is shown to manifest in a continuum of a purulent discharge from surgical site to severe sepsis. It contributes to rising morbidity, mortality and prolonged length of stay. Objective: To describe risk factors to the development of SSI in cesarean section in descriptive studies. Methods: The Preferred Reporting Items for Systematic Reviews (PRISMA) reporting guidelines is used as method for this systematic review. A PubMed literature search was conducted, limited to published articles in English from 1998 to 2016 using the broad key terms “cesarean section,” “surgical site infection,” and “risk factor.” The following inclusion criteria were applied to all reviews: (1) peer-reviewed journal, (2) computed risk factor for SSI development, and (3) calculated SSI rate. Reviews of references of the include studies were conducted, and 7 studies were appraised, with only 1 accepted. Results: After extracting data from 52 article reviews, 23 were finally accepted based on the inclusion criteria. Most studies were multivariate studies (n = 8) followed by cohort studies (n = 6). Unique numerators and denominators for SSI reviews were mentioned in all 23 studies, of which 22 studies followed the CDC NHSN definitions for SSI. Within the 23 studies, most studies showed that obesity (11.46%) is a common maternal risk factor for the development of postoperative cesarean section SSI. Conclusions: Identifying that obesity is a major contributor of surgical site infection in postoperative cesarean section women is a topic that warrants exploration. The relationship of cesarean section SSI to obesity should be investigated, specifically highlighting the level of obesity based on the WHO international body mass index (BMI) classification and the development of SSI. A correlation between increasing wound infection rates and increasing body mass index should be studied further. Published recommendations for preventing SSIs in this population should be reviewed.Funding: NoneDisclosures: None

The effect of body mass index on the risk of surgical site infection

2019 ◽  
Vol 40 (9) ◽  
pp. 991-996 ◽  
Author(s):  
Anouk P. Meijs ◽  
Mayke B.G. Koek ◽  
Margreet C. Vos ◽  
Suzanne E. Geerlings ◽  
H. Charles Vogely ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Surgical Procedures ◽  
Hip Prosthesis ◽  
Normal Weight ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Site Infection ◽  
Total Hip Prosthesis

AbstractObjective:Obesity is considered a risk factor for surgical site infection (SSI). We quantified impact of body mass index (BMI) on the risk of SSI for a variety of surgical procedures.Methods:We included 2012–2017 data from the Dutch national surveillance network PREZIES on a selection of frequently performed surgical procedures across different specialties. Patients were stratified into 5 categories: underweight (BMI, <18.5 kg/m2), normal weight (BMI, 18.5–25), overweight (BMI, 25–30), obese (BMI, 30–40) and morbidly obese (BMI, ≥40). Multilevel log binomial regression analyses were performed to assess the effect of BMI category on the risk of superficial, deep (including organ-space) and total SSI.Results:Of the 387,919 included patients (ranging from 2,616 for laparoscopic appendectomy to 119,834 for total hip prosthesis), 3,676 (1%) were underweight, 116,778 (30%) had normal weight, 154,339 (40%) were overweight, 104,288 (27%) had obesity, and 8,838 (2%) were morbidly obese. A trend of increasing risk of SSI when BMI increased from normal to morbidly obese was observed for almost all surgery types. The increase was most profound in surgeries with clean wounds, with relative risks for morbidly obese patients ranging up to 7.8 (95% CI, 6.0–10.2) for deep SSI in total hip prosthesis. In chest and abdominal surgeries, the impact was larger for superficial SSI than for deep SSI.Conclusions:The results of our research provide evidence for the need of preventive programs targeting SSI in overweight and obese patients, as well as for the prevention of obesity in the general population.

Body Mass Index and Modified Glasgow Prognostic Score Are Useful Predictors of Surgical Site Infection After Spinal Instrumentation Surgery

Spine ◽  
2020 ◽  
Vol 45 (3) ◽  
pp. E148-E154 ◽  
Author(s):  
Yutaka Kobayashi ◽  
Hiroyuki Inose ◽  
Shuta Ushio ◽  
Masato Yuasa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Prognostic Score ◽  
Spinal Instrumentation ◽  
Glasgow Prognostic Score ◽  
Site Infection ◽  
Modified Glasgow Prognostic Score

scholarly journals Body mass index and risk of surgical site infection following spine surgery: a meta-analysis

2013 ◽  
Vol 22 (12) ◽  
pp. 2800-2809 ◽  
Author(s):  
Dima Y. Abdallah ◽  
Mutaz M. Jadaan ◽  
John P. McCabe
Keyword(s):  
Body Mass Index ◽  
Surgical Site Infection ◽  
Body Mass ◽  
Spine Surgery ◽  
Meta Analysis ◽  
Site Infection
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