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2014, Number 1

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Cir Cir 2014; 82 (1)

Risk factors related to surgical site infection in elective surgery

Ángeles-Garay U, Morales-Márquez LI, Sandoval-Balanzarios MA, Velázquez-García JA, Maldonado-Torres L, Méndez-Cano AF

Language: Spanish
References: 33
Page: 48-62
PDF size: 421.79 Kb.


ABSTRACT

Background: The risk factors for surgical site infections in surgery should be measured and monitored from admission to 30 days after the surgical procedure, because 30% of Surgical Site Infection is detected when the patient was discharged.
Aim: Calculate the Relative Risk of associated factors to surgical site infections in adult with elective surgery.
Methods: Patients were classified according to the surgery contamination degree; patient with surgery clean was defined as no exposed and patient with clean-contaminated or contaminated surgery was defined exposed. Risk factors for infection were classified as: inherent to the patient, pre-operative, intra-operative and post-operative. Statistical analysis; we realized Student t or Mann-Whitney U, chi square for Relative Risk (RR) and multivariate analysis by Cox proportional hazards.
Results: Were monitored up to 30 days after surgery 403 patients (59.8% women), 35 (8.7%) developed surgical site infections. The factors associated in multivariate analysis were: smoking, RR of 3.21, underweight 3.4 hand washing unsuitable techniques 4.61, transfusion during the procedure 3.22, contaminated surgery 60, and intensive care stay 8 to 14 days 11.64, permanence of 1 to 3 days 2.4 and use of catheter 1 to 3 days 2.27.
Conclusion: To avoid all risk factors is almost impossible; therefore close monitoring of elective surgery patients can prevent infectious complications.


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