Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

Ruperéz, Jorge Espinel; Martín-Ríos, María Dolores; Salazar, Verónica; Baquero-Artigao, María-Rosario; Ortiz-Díez, Gustavo

doi:10.1136/vetreco-2017-000233

Cited by 28 publications

(50 citation statements)

References 45 publications

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“…Surgical site infections of 2.5 to 18.5 % are reported in small animal surgery, with variations associated with the type of surgery [65][66][67][68][69]. Undernutrition, emergency surgery and prolonged surgical times have been described as risks factors for surgical site infections in both human and veterinary medicine [67,68,[70][71][72][73]. In contrast, surgical time did not affect the development of surgical site complications in this study.…”

Section: Discussionmentioning

confidence: 53%

“…Surgical site complications were present in 5 of 82 dogs (6%) and were significantly correlated with low BCS. Surgical site infections of 2.5 to 18.5 % are reported in small animal surgery, with variations associated with the type of surgery [65][66][67][68][69]. Undernutrition, emergency surgery and prolonged surgical times have been described as risks factors for surgical site infections in both human and veterinary medicine [67,68,[70][71][72][73].…”

Section: Discussionmentioning

confidence: 99%

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Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

Fages¹,

Soler²,

Fernandez‐Salesa³

et al. 2021

Preprint

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Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterizing the outcome of these surgeries as a single group in dogs. The aim of the study was to characterize the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was gastrointestinal foreign body. Overall 15-day mortality rate was 20.7% (17/82). Median (range) length of hospitalization was 3 (0.5 - 15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) minor complications. Perioperative factors significantly associated with death included tachycardia (P &lt; 0.001), hypothermia (P &lt; 0.001), lactate acidosis (P &lt; 0.001), shock index &gt; 1 (P &lt; 0.001), leukopenia (P &lt; 0.001), thrombocytopenia (P &lt; 0.001) at admission; intraoperative hypotension (P &lt; 0.001) and perioperative use of blood products (P &lt; 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

show abstract

Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

Fages¹,

Soler²,

Fernandez‐Salesa³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Surgical site infections of 2.5% to 18.5% are reported in small animal surgery, with variations associated with the type of surgery [56][57][58][59][60]. Undernutrition, emergency surgery and prolonged surgical times have been described as risks factors for surgical site infections in veterinary medicine [58,59,61]. In contrast, surgical time did not affect the development of surgical site complications in this study.…”

Section: Discussionmentioning

confidence: 53%

“…Surgical site complications were present in 5 of 82 dogs (6%) and were significantly correlated with low BCS. Surgical site infections of 2.5% to 18.5% are reported in small animal surgery, with variations associated with the type of surgery [56][57][58][59][60]. Undernutrition, emergency surgery and prolonged surgical times have been described as risks factors for surgical site infections in veterinary medicine [58,59,61].…”

Section: Discussionmentioning

confidence: 99%

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018–2020)

Fages

Soler

Fernandez‐Salesa

et al. 2021

Veterinary Sciences

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Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterising the outcome of these surgeries as a single group in dogs. The aim of the study was to characterise the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was a gastrointestinal foreign body. Overall, the 15-day mortality rate was 20.7% (17/82). The median (range) length of hospitalisation was 3 (0.5–15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) developed minor complications. Perioperative factors significantly associated with death included tachycardia (p < 0.001), hypothermia (p < 0.001), lactate acidosis (p < 0.001), shock index > 1 (p < 0.001), leukopenia (p < 0.001) and thrombocytopenia (p < 0.001) at admission, as well as intraoperative hypotension (p < 0.001) and perioperative use of blood products (p < 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

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“…While the degree of contamination is considered significant risk for surgical site infection, other variables have also been identified as risk factors. Risk factors previously identified include patient signalment, time under anesthesia, surgical time, specific patient comorbidities and American Society of Anesthesiologist (ASA) status, and complications under anesthesia (2,(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors for Surgical Site Infections Following Oromaxillofacial Oncologic Surgery in Dogs

et al. 2021

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Antibiotic stewardship in veterinary medicine is essential to help prevent resistant bacterial infections. Critical evaluation into the benefits of prophylactic use of antibiotics during veterinary surgical procedures is under reported and additional investigation is warranted. The objectives of this paper were to determine the incidence of surgical site infection in dogs that underwent oromaxillofacial oncologic surgery and to identify risk factors for the development of surgical site infection. In this retrospective cohort study including 226 dogs surgically treated for oromaxillofacial tumors between January 1, 1997 and December 31, 2018, the incidence of surgical site infection was determined to be 7.5%. Univariable logistical regression models were used to evaluate potential risk factors for development of surgical site infections including signalment, tumor type, antibiotic protocol, time under anesthesia, location of surgical procedure (dental suite vs. sterile operating room), specific comorbidities, and surgical margins obtained. Anesthetic events lasting greater than 6 h were significantly associated with development of infection. Signalment, comorbidities, administration of anti-inflammatory and immunosuppressive medications, tumor type, histological margin evaluation, surgical procedure location, and antibiotic protocols were not significant contributors to development of infection. Use of antibiotic therapy in this cohort was not protective against development of infection and may not be routinely indicated for all oromaxillofacial oncologic surgeries despite common promotion of its use and the contaminated nature of the oral cavity. Anesthetic time significantly contributed towards the development of infection and use of perioperative antibiotics for surgical procedures lasting >6 h may be routinely warranted.

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Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact

Cited by 28 publications

References 45 publications

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018–2020)

Incidence and Risk Factors for Surgical Site Infections Following Oromaxillofacial Oncologic Surgery in Dogs

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