Infección del sitio operatorio en cirugía abdominal no traumática.

Martín Rocha-Almazán; Martín Sánchez-Aguilar; Jaime Belmares-Taboada; David Esmer-Sánchez; Jorge Humberto Tapia-Pérez; Antonio Gordillo-Moscoso

2008, Number 2

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Cir Cir 2008; 76 (2)

Infección del sitio operatorio en cirugía abdominal no traumática.

Rocha-Almazán M, Sánchez-Aguilar M, Belmares-Taboada J, Esmer-Sánchez D, Tapia-Pérez JH, Gordillo-Moscoso A

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Language: Spanish
References: 18
Page: 127-131
PDF size: 55.12 Kb.

ABSTRACT

Background: Risk factors of surgical site infection (SSI) have been widely studied, such as abdominal surgery, surgical time › 2 h, contaminated or dirty surgery, three or more diagnoses at discharge, and ASA classification › II.
Methods: A prospective risk factor study was carried out for SSI in patients who underwent nontraumatic abdominal surgery, comparing an institutional (Secretary of Health) and a private third-level hospital during the period from October 2001 to May 2002.
Results: We studied 527 patients with 21 cases (3.98 %) of SSI and four deaths due to this cause, 0.75% of the total population and 19 % of patients with SSI. The mean age was 47.5 ± 19.1 years, and there were 195 (37 %) males and 332 (63 %) females. The incidence of SSI in the private hospital was 2.1% and in the institutional hospital 5 %, without statistical significance (p › 0.09). Within the infected group we found 14 superficial infections, 5 deep infections, and 2 infections in the organ or surgical field. Variables included in the models of logistic regression were smoke, blood transfusion, trichotomy, and wound type.
Conclusions: Observed infection incidence was within the expected range. In our study there were no differences between facilities, and SSI incidence is similar to what has previously been reported.

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