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Pediatric wound infections: a prospective multicenter study

J R Horwitz¹, W J Chwals, J J Doski

¹University of Texas-Houston Medical School and Hermann Children's Hospital, USA.

Annals of Surgery

|May 1, 1998

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Pediatric surgical wound infections occur in 4.4% of cases. Factors like contamination and operation duration, not patient health status, significantly increase infection risk in children.

Area of Science:

Pediatric Surgery
Infectious Disease Epidemiology

Background:

Surgical wound infections (SWI) are a major cause of postoperative morbidity in children.
Limited North American data exists on pediatric SWI incidence and risk factors.

Purpose of the Study:

To prospectively determine the incidence of SWI in children across multiple institutions.
To identify risk factors associated with SWI development in pediatric surgical patients.

Main Methods:

Prospective follow-up of infants and children for 30 days post-operation.
Data collected from pediatric surgical services at three institutions over 17 months.

Main Results:

Overall SWI incidence was 4.4% in 846 patients.
Significant risk factors for SWI included intraoperative contamination (p=0.006) and operation duration (p=0.03).

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No significant differences in SWI rates were found based on patient age, sex, ASA score, or preoperative status.

Conclusions:

Pediatric SWI are primarily linked to intraoperative factors rather than patient's overall physiological condition.
Performing procedures in the intensive care unit does not increase SWI incidence.