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Surgical Site Infections in Elective Abdominal Operations: Predisposing Factors. A Prospective Randomized Clinical Trial

Surgical Site Infections in Elective Abdominal Operations: Predisposing Factors. A Prospective... Background: Surgical site infection (SSI) is the third most common hospital-acquired infection (HAI). Specific patient characteristics and comorbidities appear to be independent prognostic factors for SSIs. In addition, opera- tion and hospitalization characteristics affect the incidence of SSIs. Methods: This prospective clinical study was conducted in the 1st Department of Surgery of the Sismanoglion General Hospital of Athens over a period of 7 years. Patients undergoing elective abdominal surgery received an- timicrobial treatment as chemoprophylaxis. Monitoring of the patients was carried by multiple daily visits during their hospitalization and continued after they were discharged via phone until postoperative day 30. Results: During the study period, 31 of the 715 patients undergoing elective abdominal surgery were diagnosed with SSI, giving an infection rate of 4.3%. The age of the patients with SSIs was significantly higher. Patients with certain comorbidities, including diabetes mellitus (DM), respiratory deficiency and heart failure (HF), a severity score on the American Society of Anesthesiologists (ASA) physical status classification system of ASA>3, and those with concomitant infections had a significantly increased risk of SSIs. SSIs were more common following open surgery than laparoscopic surgery, and surgery of the lower than the upper gastrointestinal (GI) tract, and postoperative http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Hellenic Journal of Surgery Springer Journals

Surgical Site Infections in Elective Abdominal Operations: Predisposing Factors. A Prospective Randomized Clinical Trial

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature
Subject
Medicine & Public Health; Surgery
ISSN
0018-0092
eISSN
1868-8845
DOI
10.1007/s13126-018-0443-5
Publisher site
See Article on Publisher Site

Abstract

Background: Surgical site infection (SSI) is the third most common hospital-acquired infection (HAI). Specific patient characteristics and comorbidities appear to be independent prognostic factors for SSIs. In addition, opera- tion and hospitalization characteristics affect the incidence of SSIs. Methods: This prospective clinical study was conducted in the 1st Department of Surgery of the Sismanoglion General Hospital of Athens over a period of 7 years. Patients undergoing elective abdominal surgery received an- timicrobial treatment as chemoprophylaxis. Monitoring of the patients was carried by multiple daily visits during their hospitalization and continued after they were discharged via phone until postoperative day 30. Results: During the study period, 31 of the 715 patients undergoing elective abdominal surgery were diagnosed with SSI, giving an infection rate of 4.3%. The age of the patients with SSIs was significantly higher. Patients with certain comorbidities, including diabetes mellitus (DM), respiratory deficiency and heart failure (HF), a severity score on the American Society of Anesthesiologists (ASA) physical status classification system of ASA>3, and those with concomitant infections had a significantly increased risk of SSIs. SSIs were more common following open surgery than laparoscopic surgery, and surgery of the lower than the upper gastrointestinal (GI) tract, and postoperative

Journal

Hellenic Journal of Surgery – Springer Journals

Published: Jun 4, 2018

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