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Infection after abdominal surgery: five year prospective study.

Z H Krukowski, M P Stewart, H M Alsayer

    British Medical Journal (Clinical Research Ed.)
    |January 28, 1984
    PubMed
    Summary
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    Identification of risk factors by systematic review and development of risk-adjusted models for surgical site infection.

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    This surgical audit found low infection rates in abdominal operations. Accurate audits provide superior results compared to small clinical trials, questioning practice modifications.

    Area of Science:

    • Surgical outcomes and infection control.
    • Clinical audit and evidence-based practice.

    Background:

    • Postoperative infection rates are a significant concern in abdominal surgery.
    • Existing surgical practices are often debated, with modifications proposed based on clinical trials.

    Purpose of the Study:

    • To prospectively audit infection rates following abdominal operations.
    • To compare audit findings with results from controlled clinical trials.
    • To evaluate the justification for modifying surgical practices based on trial data.

    Main Methods:

    • Prospective study of 1504 consecutive abdominal operations over five years.
    • Data collection focused on wound and intraperitoneal infection incidence.
    • Comparison of observed infection rates with published data from clinical trials.

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    Main Results:

    • Low incidence of wound infections (2.8%) and intraperitoneal infections (0.8%) was observed.
    • These rates were lower than those reported in contemporary studies.
    • Audit data revealed outcomes superior to those from experimental studies.

    Conclusions:

    • Routine surgical audits can provide reliable data on infection rates.
    • High-quality audit data may offer superior evidence compared to small clinical trials.
    • Modifying established surgical practices requires strong justification beyond limited trial results.