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-R10article-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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