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Surgical wound infection in general surgery
Odionnys Ramos-Luces1, Nelson Molina-Guillén, Werner Pillkahn-Díaz
1Servicio de Cirugía General Blanda y Urológica, Hospital "Dr. César Rodríguez," Instituto Venezolano de los Seguros Sociales, Puerto la Cruz, Venezuela. odywan66@yahoo.es
Cirugia Y Cirujanos
|September 29, 2011
Summary
This study found a high surgical site infection (SSI) incidence of 21.1% in primary surgeries. Ambulatory monitoring identified key predictors of SSI, including emergency surgery and patient health factors.
Area of Science:
- Surgical infections
- Public health surveillance
Background:
- Hospitalization-based surgical site infection (SSI) registration may be biased.
- An ambulatory monitoring system can provide a more accurate incidence of SSI.
Purpose of the Study:
- To measure the incidence of surgical site infection (SSI) in primary surgical interventions.
- To identify predictors of SSI in patients managed with an ambulatory monitoring system.
Main Methods:
- A cross-sectional, descriptive study was conducted on patients undergoing primary surgery.
- Patients were assessed on the 2nd, 7th, and 21st days post-surgery using CDC criteria for wound infection.
- Logistic regression analysis identified SSI risk factors.
Main Results:
- The overall incidence of SSI was 21.1% after a minimum 1-month follow-up.
- Predictors of SSI included emergency surgery, American Society of Anesthesiologists (ASA) risk, surgery duration, BMI, and comorbidities (p <0.05).
- Escherichia coli was isolated in 25% of SSI cultures.
Conclusions:
- The incidence of SSI in primary surgeries is significant, reaching 21.1% in this cohort.
- Ambulatory monitoring offers a valuable method for tracking SSI incidence and identifying risk factors.
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