Abdominal Surgical Site Infection Incidence and Risk Factors in a Mexican Population.

Adv Skin Wound Care

In Tabasco, Mexico, Crystell Guzmán-García, MD, is a Doctor, Surveillance Unit for Healthcare-Associated Infections, Dr Juan Graham Casasus Hospital; Oscar I. Flores-Barrientos, MD, is a Doctor, Surveillance Unit for Healthcare-Associated Infections, Dr Juan Graham Casasus Hospital; Isela E. Juárez-Rojop, PhD, is a Researcher, Division of Health Sciences, Juárez University; Julio C. Robledo-Pascual, MD, is a Doctor, Pulmonary Service, Dr Juan Graham Casasus Hospital; Manuel A. Baños-González, MD, is Director of Teaching and Research, Dr Juan Graham Casasus Hospital; Carlos A. Tovilla-Zárate, PhD, is a Researcher, Multidisciplinary Division at Comalcalco, Juárez Autonomous University; Yazmín Hernández-Díaz, MD, is a Researcher, Multidisciplinary Division at Jalpa de Méndez, Juárez Autonomous University; and Thelma B. González-Castro, PhD, is a Research Professor, Division of Multidisciplinary Studies at Jalpa de Méndez, Juárez Autonomous University. Acknowledgments: The authors appreciate the technical support provided by the members of the Surveillance Unit for Healthcare-Associated Infections at the Dr Juan Graham Casasus Hospital. Further, they thank Mónica González Ortiz, Elizabeth Avalos Torres, and Anabel Del Valle Acosta for their excellent technical assistance. This work was supported by the Dr Juan Graham Casasus Hospital (JGC 2012-22A). The authors have disclosed no other financial relationships related to this article. Submitted May 8, 2018; accepted in revised form August 16, 2018.

Published: June 2019

Objective: To investigate possible predictors and prevalence of surgical site infections (SSIs) in a group of Mexican patients who underwent open abdominal surgery.

Methods: This retrospective study included all patients (N = 755) who underwent elective or emergency open abdominal surgeries from October 2011 to March 2012.

Main Outcome Measure: Sociodemographic and clinical characteristics were collected through preoperative and postoperative examinations by the infection surveillance team. The relationship among variables (age, gender, body mass index, comorbidities, smoking habit, antimicrobial prophylaxis, hair removal, American Society of Anesthesiologists classification, type of operation, duration of operation, and SSI classification) was analyzed by odds ratio and χ tests.

Main Results: Of the 755 patients, 91 (12%) suffered from SSI. Several variables were associated with SSI: American Society of Anesthesiologists classification (P = .001) and receiving preoperative prophylactic antimicrobials (P < .0001), among other factors. Isolated pathogens were mostly enterobacteria (60%).

Conclusions: Surveillance plays an important role in the control and prevention of SSI. Providers must implement appropriate procedures to reduce SSI after abdominal surgery.

Download full-text PDF

Source
http://dx.doi.org/10.1097/01.ASW.0000557833.80431.00DOI Listing

Publication Analysis

Top Keywords

surgical site
8
open abdominal
8
american society
8
society anesthesiologists
8
anesthesiologists classification
8
ssi
5
abdominal
4
abdominal surgical
4
site infection
4
infection incidence
4

Similar Publications

Purpose: Locally advanced colorectal tumors frequently invade adjacent organs, particularly the urinary bladder in the sigmoid colon and upper rectum, complicating multivisceral resections. This study compared postoperative outcomes of partial cystectomy (PC) and total cystectomy (TC) in patients with locally advanced colorectal cancer.

Methods: A systematic review was conducted in PubMed, Scopus, Central Register of Clinical Trials, and Web of Science for studies published up to November 2024.

View Article and Find Full Text PDF

Safety of accessing brachial veins for large-bore upper extremity venous thrombectomy using ClotTriever Thrombectomy System.

CVIR Endovasc

January 2025

Department of Radiology, Section of Vascular and Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA.

Purpose: To evaluate access site adverse events following ClotTriever-mediated large-bore mechanical thrombectomy via small upper extremity deep veins (< 6-mm).

Materials And Methods: Twenty patients, including 24 upper extremity venous access sites, underwent ClotTriever-mediated large-bore thrombectomy of the upper extremity and thoracic central veins for symptomatic deep vein obstruction unresponsive to anticoagulation. Patients without follow-up venous duplex examinations (n = 3) were excluded.

View Article and Find Full Text PDF

The PERFORMANCE II Trial: A Prospective Multicenter Investigation of a Novel Carotid Stent System.

JACC Cardiovasc Interv

December 2024

Department for Angiology, Brandenburg Medical School Theodor Fontane, Campus Clinic Brandenburg, Center for Internal Medicine I, Berlin, Germany; Department of Angiology, Sankt-Gertrauden-Krankenhaus, Berlin, Germany.

Background: Several randomized clinical trials have shown that the composite endpoint of death, stroke, and myocardial infarction (MI) is equivalent between carotid artery stenting and carotid endarterectomy. However, the risk of minor stroke has been consistently higher with carotid artery stenting.

Objectives: The authors sought to evaluate the safety and effectiveness of a novel carotid stent system comprised of a stent, an adjustable integrated embolic filter and a postdilation balloon, in patients at elevated risk for adverse events from carotid endarterectomy.

View Article and Find Full Text PDF

Surgical site infection (SSI) is a leading common condition after ileostomy reversal (IR). However, evidence is unclear that subcutaneous negative-suction drainage (SND) reduces the incidence of SSI. This study aimed to investigate whether SND effectively reduced the incidence of SSI.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!