What really affects surgical site infection rates in general surgery in a developing country?

被引：12

作者：

Alp, Emine ^{[1
,2
]}

Altun, Dilek ^{[2
]}

Ulu-Kilic, Aysegul ^{[1
,2
]}

Elmali, Ferhan ^{[3
]}

机构：

[1] Erciyes Univ, Dept Infect Dis & Clin Microbiol, Fac Med, TR-38039 Kayseri, Turkey

[2] Erciyes Univ, Infect Control Comm, Fac Med, TR-38039 Kayseri, Turkey

[3] Erciyes Univ, Dept Biostat, Fac Med, TR-38039 Kayseri, Turkey

来源：

JOURNAL OF INFECTION AND PUBLIC HEALTH | 2014年 / 7卷 / 05期

关键词：

Surgical site infections; General surgery; Risk factors; Infection control measures; Bundle;

D O I：

10.1016/j.jiph.2013.11.006

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Aim: To assess the risk factors for surgical site infection and the effects of selected infection control measures on surgical site infection rates in a general surgery unit. Methods: Surgical site infection rates and adherence to infection control measures were observed in a general surgery unit. Results: In multivariate analysis, male gender, a high American Society of Anesthesiologists (ASA) score, malignancy, transfusion, open surgery, and contaminated and dirty operations were found to be statistically significant risk factors for surgical site infection. Among infection control measures, only the avoidance of preoperative hair removal and a longer AMP duration had protective effects on SSI. Conclusion: The most important risk factor influencing surgical site infection in general surgery was found to be the contamination level of the wound. (C) 2014 Published by Elsevier Limited on behalf of King Saud Bin Abdulaziz University for Health Sciences. All rights reserved.

引用

页码：445 / 449

页数：5

共 9 条

[1] Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis [J].

Allegranzi, Benedetta ;

Nejad, Sepideh Bagheri ;

Combescure, Christophe ;

Graafmans, Wilco ;

Attar, Homo ;

Donaldson, Liam ;

Pittet, Didier .

LANCET, 2011, 377 (9761) :228-241

[2] Incidence and risk factors of surgical site infection in general surgery in a developing country [J].

Alp, Emine ;

Elmali, Ferhan ;

Ersoy, Safiye ;

Kucuk, Can ;

Doganay, Mehmet .

SURGERY TODAY, 2014, 44 (04) :685-689

[3]

[Anonymous], INFECT CONT HOSP EP

[4] Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project [J].

Bratzler, DW ;

Houck, PM .

CLINICAL INFECTIOUS DISEASES, 2004, 38 (12) :1706-1715

[5] CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting [J].

Horan, Teresa C. ;

Andrus, Mary ;

Dudeck, Margaret A. .

AMERICAN JOURNAL OF INFECTION CONTROL, 2008, 36 (05) :309-332

[6]

Lutfiyya Waleed, 2012, Perm J, V16, P10

[7]

Pardhan A, 2013, J PAK MED ASSOC, V63, P760

[8] Surgical Site Infection in Elective Operations for Colorectal Cancer After the Application of Preventive Measures [J].

Serra-Aracil, Xavier ;

Isabel Garcia-Domingo, Maria ;

Pares, David ;

Espin-Basany, Eloi ;

Biondo, Sebastiano ;

Guirao, Xavier ;

Orrego, Carola ;

Sitges-Serra, Antonio .

ARCHIVES OF SURGERY, 2011, 146 (05) :606-612

[9]

Victor D, 2013, ETHIOP J HEALTH SCI, V23, P141

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