Reducing infections in cutaneous oncology defects reconstructed using skin grafts

Reducing infections in cutaneous oncology defects reconstructed using skin grafts Wound infection can complicate all kinds of cutaneous surgery. We report the results of two prospective, non-randomised, single-centre audits on wound infection rates following cutaneous skin cancer surgery performed as day cases. The intention of the first audit was to determine the wound infection rates and compare these with the published literature. The second audit was completed after changes were introduced to some of the extrinsic factors that may influence the risk of developing wound infection. The results of the two audits were compared to complete the audit loop. A total of 54 patients (30 male, 24 female, range 39–95 years) were included in this study, with 27 patients for each of the two audits. Wounds were termed ‘infected’ if there was purulent discharge, or erythema with seros-anguinous discharge (with a positive bacteriological culture) or spreading cellulitis. The wound infection rate from the first audit was 33.3%. This prompted a change in practice, which resulted in reducing the wound infection rate to 3.7%. Although the risk of developing postoperative wound infection is multifactorial, this study shows that concentrating on extrinsic risk factors for wound infection alone can affect the overall wound infection rate. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Reducing infections in cutaneous oncology defects reconstructed using skin grafts

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Publisher
Springer-Verlag
Copyright
Copyright © 2005 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-004-0706-y
Publisher site
See Article on Publisher Site

Abstract

Wound infection can complicate all kinds of cutaneous surgery. We report the results of two prospective, non-randomised, single-centre audits on wound infection rates following cutaneous skin cancer surgery performed as day cases. The intention of the first audit was to determine the wound infection rates and compare these with the published literature. The second audit was completed after changes were introduced to some of the extrinsic factors that may influence the risk of developing wound infection. The results of the two audits were compared to complete the audit loop. A total of 54 patients (30 male, 24 female, range 39–95 years) were included in this study, with 27 patients for each of the two audits. Wounds were termed ‘infected’ if there was purulent discharge, or erythema with seros-anguinous discharge (with a positive bacteriological culture) or spreading cellulitis. The wound infection rate from the first audit was 33.3%. This prompted a change in practice, which resulted in reducing the wound infection rate to 3.7%. Although the risk of developing postoperative wound infection is multifactorial, this study shows that concentrating on extrinsic risk factors for wound infection alone can affect the overall wound infection rate.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 1, 2005

References

  • Postoperative wound infection rates in dermatologic surgery
    Futoryan, T; Grande, D

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