2001, Number 4
<< Back Next >>
Cir Cir 2001; 69 (4)
Superficial surgical site infection epidemiologic surveillance. A three year comparative study
Vargas-Domínguez A, Ortega-León LH, Rodríguez-Báez A, López-López JM, Zaldívar-Ramírez FR, Montalvo-Javé E
Language: Spanish
References: 25
Page: 177-180
PDF size: 70.71 Kb.
ABSTRACT
Objective: Epidemiologic surveillance to compare the number of wound infection sites in 1,930 patients, separated into three groups.
Setting: General Hospital of Mexico, 305. Unit
Design: Prospective, longitudinal, comparative study of three operated patient groups: number one, from 1995, number two 1996, and three, from 1997.
Method: All cases were registered, none was excluded, and were classified by the traditional method based on clean, clean-contaminated, contaminated, and dirty wounds. Pearson chi square and contingency tables were done for statistic analysis.
Results: There was a reduction in wound infection site number, with statistic value on clean wounds; in group two vs. group one, the same on group three vs. two and one. This work showed gradual reduction in clean wound infections during successive years, because of fecal flora reduction. The results were better on the morning shift.
REFERENCES
Smyth ET, Emmerson AM. Surgical site infection surveillance. J Hosp Infect 2000; 45: 173-84.
Guzmán-Valdivia Gómez G. The incidence of infection in dirty surgical wounds. World J Surg 2000; 342: 1613.
Polk HC, Christmas AB. Prophylactic antibiotics in surgery and surgical wound infections. Am Surg 2000; 66: 105-11.
Robson MC. Wound infection. A failure of wound healing caused by imbalance of bacteria. Surg Clin North Am 1997; 77: 637-50.
Sawyer GR, Pruett TL, Wound infections. Surg Clin North Am 1994; 74: 519-36.
Krasner DL, Sibbald RG. Nursing management of chronic wounds: best practices across the continuum of care. Nurs Clin North Am 1999; 34: 933-53.
Cestari V, Boidi M, Cechelli S, Crimi P. Surgical wound infection. Review of the guidelines and results of the prevalence study by the Presidio Ospedalero de Voghera. Minerva Chir 1999; 54: 319-23.
Mier J, Robledo F, Avila A, Gallo R. Vigilancia de la evolución de 6,030 heridas quirúrgicas. Gac Med Mex 1994; 130: 49-62.
Wischnewki N, Kampf G, Gastmeier P, Schlinmann J, Schumacher M. Nosocomial wound infections: a prevalence study and analysis of risk factors. Int Surg 1998; 83: 93-7.
Olson MM, Lee JT. Continuous 10 year wound infection surveillance. Arch Surg 1990; 125; 794-803.
Nichols RL, Martone WJ. Deliberations on the risks and antibiotic management of surgical infections. Surgery 2000; 128: S1.
12 Nichols RL, Martone WJ. Risk factors and surveillance for surgical wounds infections Surgery 2000; 128: S2-S13.
Beal MW, Brown DC, Schofer FS. The effects of perioperative hypothermia and the duration of anaesthesia on postoperative wound infection rate in clean wounds: a retrospective study. Vet Surg 2000; 29: 123-27.
Easchempati SR, Hydo L, Barie PS. Gender based differences in outcome in patients with sepsis. Arch Surg 1999; 134: 1342-47.
Carr EJ, Scott P, Gradon JD. Fatal gastrointestinal mucormycosis that invaded the postoperative abdominal wall wound in an immunocompetent host. Clin Infect Dis 1999; 29: 956-57.
Gibbs J, Cull W, Henderson W, Daley J, Hur K, Khuri SF. Preoperative serum albumin level as a predictor of operative mortality and morbidity, results from the VA Surgical Risk Study. Arch Surg 1999; 134: 36-42.
Mitchell DH, Swift G, Gilbert GL. Surgical wound infection surveillance: the importance of infections that develop after hospital discharge. Aust N Z J Surg 1999; 69: 117-20.
Roberts FJ, Walsh A, Wing P, Dvorak M, Schweigel J. The influence of surveillance methods on surgical wound infection rates in a tertiary care spinal surgical service. Spine 1998; 23: 366-70.
Nichols RL, Martone WJ. Diagnosis and treatment of uncomplicated and complicated surgical infections. Surgery 2000; 128: S19-S30.
Kaye ET. Antibacterial therapy. Infect Dis Clin North Am 2000; 14: 201-10.
Cervantes-Sánchez CR, Gutiérrez-Vega R, Vázquez-Carpizo JA, Clark P, Athié-Gutiérrez C. Syringe pressure irrigation of subdermic tissue after appendectomy to decrease the incidence of postoperative wound infection. World J Surg 2000; 24: 38-41.
Nichols RL. Current trends in antibiotic prophylaxis in surgery. Surgery 2000; 128: S14-S18.
Crabbtree TD, Pelletier SJ, Gleason TG, Pruett TL, Sawyer RG. Analysis of aminoglycosides in the treatment of Gram negative infections on surgical patients. Arch Surg 1999; 134: 1293-98.
Gupta R, Sinnett D, Carpenter R, Preece PE, Royle GT. Antibiotic prophylaxis for postoperative wound infection in clean elective breast surgery. Eur J Surg Oncol 2000; 26: 363-66.
Kaye ET. Antibacterial therapy. Infect Dis Clin North Am 2000; 14: 201-10.