Perioperative risk factors for surgical site infection in tibial tuberosity advancement: 224 stifles

被引:30
作者
Yap, F. W. [1 ]
Calvo, I. [1 ]
Smith, K. D. [1 ]
Parkin, T. [1 ]
机构
[1] Univ Glasgow, Fac Vet Med, Small Anim Hosp, Glasgow G12 8QQ, Lanark, Scotland
关键词
Tibial tuberosity advancement; TTA; canine cruciate ligament; surgical site infection; prophylactic antimicrobial therapy; PLATEAU LEVELING OSTEOTOMY; CRUCIATE LIGAMENT RUPTURE; WOUND-INFECTION; ANTIMICROBIAL-PROPHYLAXIS; LOCAL INFECTION; ANTIBIOTIC-PROPHYLAXIS; DEFICIENT STIFLE; CLINICAL-TRIALS; DOGS; SURGERY;
D O I
10.3415/VCOT-14-09-0141
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Objective: To examine perioperative factors affecting surgical site infection (SSI) rate following tibial tuberosity advancement (TTA). Study design: Retrospective case series. Sample population: 224 stifles in 186 dogs. Methods: Medical records of dogs that underwent TTA in a single institution were reviewed. Information on signalment, anaesthetic and surgical parameters, as well as occurrence of SSI was recorded. Dogs were followed for a minimum of three months post-operatively. The association between perioperative factors and SSI was assessed using Chi-squared tests and binary logistic regression. Results: The prevalence of SSI was 5.3% (12/224 TTA). Surgical time (p = 0.02) and anaesthesia time (p = 0.03) were significantly associated with SSI. For every minute increase in surgical time and anaesthesia time, the likelihood of developing SSI increased by seven percent and four percent respectively. The use of postoperative antimicrobial therapy was not significantly associated with lower SSI (p = 0.719). Implants were removed in 1.3% of cases (3/224 TTA). Conclusions: The findings of this study suggest that increased surgical and anaesthesia times are significant risk factors for SSI in TTA, and that there is no evidence that postoperative prophylactic antimicrobial therapy is associated with SSI rate.
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收藏
页码:199 / 206
页数:8
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