Risk factors for surgical site infection in colon surgery in our population

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Background: Surgical site infection (SSI) is the most common nosocomial infection in surgical patients with an incidence that varies between 5-30%. Objective: Identify the risk factors for SSI in colonic surgery in our population. The secondary aims are to determine the incidence and type of SSI, as...

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Autores principales: Olguín Joseau, Santiago, Bollati, Natalia Paola, Reimondez, Santiago, Signorini, Franco, Rossini, Alejandro Mario, Maldonado, Pablo Sergio, Moser, Federico, Obeide, Lucio Ricardo, Alcaraz, Alvaro, Caeiro, Juan Pablo
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
infección de la herida quirúrgica
factores de riesgo
colectomía
surgical wound infection
risk factors
colectomy
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/19647
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-19647
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Inglés
format Artículo revista
topic infección de la herida quirúrgica
factores de riesgo
colectomía
surgical wound infection
risk factors
colectomy
spellingShingle infección de la herida quirúrgica
factores de riesgo
colectomía
surgical wound infection
risk factors
colectomy
Olguín Joseau, Santiago
Bollati, Natalia Paola
Reimondez, Santiago
Signorini, Franco
Rossini, Alejandro Mario
Maldonado, Pablo Sergio
Moser, Federico
Obeide, Lucio Ricardo
Alcaraz, Alvaro
Caeiro, Juan Pablo
Risk factors for surgical site infection in colon surgery in our population
topic_facet infección de la herida quirúrgica
factores de riesgo
colectomía
surgical wound infection
risk factors
colectomy
author Olguín Joseau, Santiago
Bollati, Natalia Paola
Reimondez, Santiago
Signorini, Franco
Rossini, Alejandro Mario
Maldonado, Pablo Sergio
Moser, Federico
Obeide, Lucio Ricardo
Alcaraz, Alvaro
Caeiro, Juan Pablo
author_facet Olguín Joseau, Santiago
Bollati, Natalia Paola
Reimondez, Santiago
Signorini, Franco
Rossini, Alejandro Mario
Maldonado, Pablo Sergio
Moser, Federico
Obeide, Lucio Ricardo
Alcaraz, Alvaro
Caeiro, Juan Pablo
author_sort Olguín Joseau, Santiago
title Risk factors for surgical site infection in colon surgery in our population
title_short Risk factors for surgical site infection in colon surgery in our population
title_full Risk factors for surgical site infection in colon surgery in our population
title_fullStr Risk factors for surgical site infection in colon surgery in our population
title_full_unstemmed Risk factors for surgical site infection in colon surgery in our population
title_sort risk factors for surgical site infection in colon surgery in our population
description Background: Surgical site infection (SSI) is the most common nosocomial infection in surgical patients with an incidence that varies between 5-30%. Objective: Identify the risk factors for SSI in colonic surgery in our population. The secondary aims are to determine the incidence and type of SSI, as well as the incidence of an anastomotic leakage (AL). Methods: Case-control study of patients undergoing colectomy between 2010-2014 at the Hospital Privado Univeristario de Córdoba and Hospital Raúl Ferreyra. Conventional and laparoscopic interventions, with a 30-day postoperative follow up, between 20-85 years and an ASA I-III were included. Patients undergoing emergency surgery and recto-anal resections were excluded. SSI was defined as an infection that occurred within 30 days after surgery. Results: We included 238 patients. SSI was diagnosed in 27.7% (n=66) of the patients of which 12.2% were superficial, 4.6% deep incisional and 10.9% organ/space. Multivariate analysis showed that SSI was independently associated with male sex (odds ratio [OR] 3.15; IC95%:1.43-6.92; p=0.004), having undergone previous chemotherapy (OR 6.72; IC95%:1.48-30.93; p=0.01), need for conversion (OR 3.32; IC95%:1.13-9.77; p=0.02), reintervention within the 30 postoperative days (OR 12.34; IC95%:2.65-57.37, p=0.001) and AL (OR 12.83; IC95%:2.97- 55.5; p=0.001). AL had an incidence of 9.6%, of which 91% presented SSI and all were organ/space. Conclusion: We found that male sex, having undergone previous chemotherapy, conversion, reintervention within 30 postoperative days and AL are risk factors for SSI in our population. These results should be considered in implementing preventive measures for SSI.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/19647
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spelling I10-R10-article-196472019-05-20T10:39:12Z Risk factors for surgical site infection in colon surgery in our population Factores de riesgo para infección de sitio quirúrgico en cirugía colónica en nuestra población Olguín Joseau, Santiago Bollati, Natalia Paola Reimondez, Santiago Signorini, Franco Rossini, Alejandro Mario Maldonado, Pablo Sergio Moser, Federico Obeide, Lucio Ricardo Alcaraz, Alvaro Caeiro, Juan Pablo infección de la herida quirúrgica factores de riesgo colectomía surgical wound infection risk factors colectomy Background: Surgical site infection (SSI) is the most common nosocomial infection in surgical patients with an incidence that varies between 5-30%. Objective: Identify the risk factors for SSI in colonic surgery in our population. The secondary aims are to determine the incidence and type of SSI, as well as the incidence of an anastomotic leakage (AL). Methods: Case-control study of patients undergoing colectomy between 2010-2014 at the Hospital Privado Univeristario de Córdoba and Hospital Raúl Ferreyra. Conventional and laparoscopic interventions, with a 30-day postoperative follow up, between 20-85 years and an ASA I-III were included. Patients undergoing emergency surgery and recto-anal resections were excluded. SSI was defined as an infection that occurred within 30 days after surgery. Results: We included 238 patients. SSI was diagnosed in 27.7% (n=66) of the patients of which 12.2% were superficial, 4.6% deep incisional and 10.9% organ/space. Multivariate analysis showed that SSI was independently associated with male sex (odds ratio [OR] 3.15; IC95%:1.43-6.92; p=0.004), having undergone previous chemotherapy (OR 6.72; IC95%:1.48-30.93; p=0.01), need for conversion (OR 3.32; IC95%:1.13-9.77; p=0.02), reintervention within the 30 postoperative days (OR 12.34; IC95%:2.65-57.37, p=0.001) and AL (OR 12.83; IC95%:2.97- 55.5; p=0.001). AL had an incidence of 9.6%, of which 91% presented SSI and all were organ/space. Conclusion: We found that male sex, having undergone previous chemotherapy, conversion, reintervention within 30 postoperative days and AL are risk factors for SSI in our population. These results should be considered in implementing preventive measures for SSI. Introducción: La infección de sitio quirúrgico (ISQ) es la infección intrahospitalaria más frecuente en los pacientes quirúrgicos con una incidencia entre 5-30%. Objetivos: Identificar los factores de riesgo para ISQ en cirugía colónica en nuestra población. Los objetivos secundarios son determinar la incidencia y tipo de ISQ, así como la incidencia de dehiscencia de anastomosis (DA). Materiales y métodos: Estudio de casos-controles de pacientes intervenidos de colectomía entre 2010-2014 en el Hospital Privado Universitario de Córdoba y Hospital Raúl Ferreyra. Se incluyeron las intervenciones convencionales y laparoscópicas, con seguimiento de 30 días, pacientes entre 20 y 85 años y con ASA I-III. Se excluyeron las cirugías de urgencia y las resecciones recto-anales. Se definió ISQ a aquella que ocurre dentro de 30 días. Resultados: Se incluyeron 238 pacientes. Se diagnosticó ISQ en 27,7% (n=66) de los pacientes de los cuales 12,2% fue superficial, 4,6% profunda y 10,9% de órgano/espacio. El análisis multivariado demostró que la ISQ se asocia con sexo masculino (odds ratio [OR] 3,15; IC95%:1,43-6,92; p=0,004), quimioterapia neoadyuvante (OR 6,72; IC95%:1,48-30,93; p=0,01), conversión (OR 3,32; IC95%:1,13-9,77; p=0,02), reintervención dentro de 30 días postquirúrgicos (OR 12,34; IC95%:2,65-57,37, p=0,001) y DA (OR 12,83; IC95%:2,97- 55,5; p=0,001). La DA presenta una incidencia del 9,6%, de los cuales el 91% presentó ISQ y todas fueron de órgano/espacio. Conclusión: Sexo masculino, quimioterapia neoadyuvante, conversión, reintervención dentro de 30 días postquirúrgicos y DA son factores de riesgo para ISQ en nuestra población. Estos resultados deben ser considerados para implementar medidas preventivas para ISQ. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf application/vnd.openxmlformats-officedocument.spreadsheetml.sheet application/vnd.openxmlformats-officedocument.spreadsheetml.sheet application/vnd.openxmlformats-officedocument.spreadsheetml.sheet https://revistas.unc.edu.ar/index.php/med/article/view/19647 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 4 (2018); 229-233 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 4 (2018); 229-233 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 4 (2018); 229-233 1853-0605 0014-6722 10.31053/1853.0605.v75.n4 eng https://revistas.unc.edu.ar/index.php/med/article/view/19647/21922 https://revistas.unc.edu.ar/index.php/med/article/view/19647/21923 https://revistas.unc.edu.ar/index.php/med/article/view/19647/26842 https://revistas.unc.edu.ar/index.php/med/article/view/19647/26843 https://revistas.unc.edu.ar/index.php/med/article/view/19647/26844 Derechos de autor 2018 Universidad Nacional de Córdoba

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