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[Wound infection in pediatric surgery].

I Eizaguirre, A Albert, E P Trallero

    Chirurgie Pediatrique
    |January 1, 1983
    PubMed
    Summary

    Pediatric surgical wound infection rates between 1977-1982 were 3.37%. Infections in clean wounds stemmed from external Staphylococci, while others originated from patient enteric flora, guiding antibiotic strategies.

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    Area of Science:

    • Infectious Disease
    • Surgical Site Infections
    • Pediatric Surgery

    Context:

    • Analysis of pediatric surgical wound infections over a five-year period (1977-1982).
    • Comparison of infection rates across different wound classifications (clean, clean-contaminated, contaminated, dirty).
    • Benchmarking against adult surgical site infection rates.

    Purpose:

    • To determine the incidence and sources of pediatric surgical wound infections.
    • To identify bacterial pathogens responsible for different wound types.
    • To inform and guide empirical antibiotic policies in pediatric surgical care.

    Summary:

    • Overall pediatric surgical wound infection rate was 3.37% (97/2898).
    • Infection rates varied significantly by wound class: clean (1.07%), clean-contaminated (3.8%), contaminated (15.4%), and dirty (21.8%).
    • Bacteriological analysis indicated exogenous Staphylococci for clean wounds and endogenous enteric flora (E. coli, B. fragilis) for others.

    Impact:

    • Findings support targeted antibiotic prophylaxis based on wound classification and likely microbial sources.
    • Highlights the importance of infection prevention to reduce patient discomfort and healthcare costs.
    • Lower infection rates in pediatric patients compared to adults suggest potential differences in host factors or surgical practices.

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