Postdischarge clean wound infections: Incidence underestimated and risk factors overemphasized

Reid, Richard; Simcock, Jeremy; Chisholm, Linda; Dobbs, B. R.; Frizelle, Frank

doi:10.1046/j.1445-2197.2002.02403.x

Cited by 34 publications

(33 citation statements)

References 31 publications

(29 reference statements)

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“…14 It consideration of the existing international literature and the 2-13% rate of post-operative infection specified in the report from the 'National Strategy to Address Health Care Associated Infections', it appears that post-operative infection rates in podiatric surgery are relatively low. 9,16 …”

Section: Introductionmentioning

confidence: 99%

Postoperative infection rates in foot and ankle surgery: a clinical audit of Australian podiatric surgeons, January to December 2007

Butterworth

Gilheany²,

Tinley

2010

Aust. Health Review

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Background. Surgical site infections are one of the most common post-operative complications encountered by foot and ankle surgeons. The incidence reported in the literature varies between 0.5 and 6.5%. The results of a 12-month Australia-wide clinical audit analysing the rates of postoperative infections in association with podiatric surgery are presented.Methods. De-identified patient data was collected from nine podiatric surgeons Australia-wide. Infections were identified according to Australian Council on Health Care Standards (ACHS) definitions and data was entered no earlier than thirty days post procedure.Results. A total of 1339 patient admissions and 2387 surgical procedures were reported using the International Classification of Diseases (ICD-10) and Medicare Benefit Schedule (MBS) coding systems. The overall infection rate was 3.1% and the rate of infection resulting in hospital re-admission was 0.25%.Conclusions. The benchmark results presented in this paper suggest that infection rates associated with podiatric surgery are well within accepted industry standards as stated in recent literature.

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Section: Introductionmentioning

confidence: 99%

Postoperative infection rates in foot and ankle surgery: a clinical audit of Australian podiatric surgeons, January to December 2007

Butterworth

Gilheany²,

Tinley

2010

Aust. Health Review

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“…It is known that since the beginning of the surgical treatment of myocardial ischemia for almost four decades, such procedure has become, alone, one of the most performed and studied procedures in the contemporary history of surgery [2,3]. Even with the use of arterial grafts, the saphenous vein is still the most used conduit, and complications that occur in the operated limb have been underestimated and has not been properly studied and developed [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Intercorrências clínicas no membro submetido à exérese de veia safena magna para revascularização do miocárdio

Belczak

Tyszka²,

Godoy³

et al. 2009

Rev Bras Cir Cardiovasc

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Intercorrências clínicas no membro submetido à exérese de veia safena magna para revascularização do miocárdioClinical complications of limb undergone harvesting of great saphenous vein for coronary artery bypass grafting using bridge technique Abstract Objective: The aim of this study was to assess clinical complications of limbs undergone harvesting of the great saphenous vein for venous coronary artery bypass graft surgery using bridge technique.Methods: Fourty-four patients who had undergone CABG using the great saphenous vein harvested by the bridge technique over more than 3 months ago were randomly selected. The exclusion criteria were the harvesting of both saphenous veins, prior saphenectomy of the contralateral limb, edema caused by a systemic etiology, such as heart, renal, thyroid or hepatic diseases and venous insufficiency of the lower limbs as characterized by swollen varicose veins both with and without trophic changes. The age, gender, diabetes, time of surgery and occurrence of complications, such as edema, paresthesia, infection, lymphorrhea, erysipelas and deep venous thrombosis, were assessed. The assessment was clinic and diagnosis of the diabetes was performed by the preoperative exams. The chisquare, Fisher and Student's t tests were used for statistical analysis with an alpha error of 5%.Results: The time between surgery and assessment ranged between 3 and 187 months with a mean of 47.3±42.5 months. Infections of the saphenous harvest site were detected in 25% of the cases, edema in 52.3%, paresthesia in 29.5%, erysipelas in 9.1%, lymphorrhea in 4.5% and deep venous thrombosis in 2.3%. There was no association between diabetes and complications.Conclusion: The saphenous vein harvesting using bridge technique for coronary artery bypass grafting does not eliminate clinical complications, such as paresthesia, infection and edema of the saphenous vein harvesting site. Descriptors:Saphenous vein. Myocardial revascularization. Postoperative complications/etiology. Coronary artery bypass/methods. ResumoObjetivo: Avaliar as intercorrências clínicas nos membros submetidos a retirada da veia safena magna por técnica de incisões escalonadas para sua utilização como enxerto venoso na revascularização do miocárdio.Métodos: Selecionou-se aleatoriamente 44 pacientes submetidos a revascularização do miocárdio utilizando a veia safena magna retirada por incisões escalonadas há mais de 3 meses. Critérios de exclusão: retirada da veia safena de ambos os lados; safenectomia prévia do membro contralateral; etiologias de edema de causas sistêmicas, tais como cardíacas, This study was carried out at the Clinics of Cardiac Surgery of Maringá, PR.

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“…JY Bhatia, et al [15] demonstrated high rate of incidence rate of WI in patients underwent CABG as (18.86%). Kay AE [13] and Omran AS, et al [14] found that incidence of WI was 24.4%. This dissimilarity was due to differences in the sample size of the present study.…”

Section: Discussionmentioning

confidence: 97%

Incidence and Predictor of Post-Operative Wound Infection in Patients Underwent Coronary Artery Bypass Grafting

Gull¹,

Hussain²,

Farogh³

et al. 2018

JCTCD

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Objective: To determine the incidence and predictor of postoperative wound infection in patients underwent coronary artery bypass grafting (CPB). Methods:This was a prospective comparative study of 577 patients who underwent cardiac surgery with (CPB) was conducted at cardiac surgery department of Punjab Institute of cardiology, Lahore from 1st March 2012 to 31st March 2017. Consecutive patients undergoing elective and isolated CABG, both genders age ≥20 years, with normal ejection fraction were included in the study Results: Out of 577 patients of which 166(87.83%) were male while 23(12.16%) were female. The mean age of the patient was 53.23 ± 8.43. Incidence of post-operative wound infection in patients underwent coronary artery bypass grafting (CPB) was 73(12.65%). Common co morbid conditions were hypertension 50%, diabetes mellitus (43.5%), smoking (31.1%), hyperlipidemia (20.3%), prior of stoke (12.2%), Prior Surgery (6.8%) and prior renal failure (4.1%), mean CPB time (61.69 ± 32.27), ICU stay 976.03 ± 31.93), mean Cross clamp time(25.27 ± 19.17mg/dl) and Hospital stay (10.16 ± 5.6 day) were more in WI group. Themortality was found to be high in WI group (23.3%). Logistic regression showed that significantly predicted of the post-operative WI were elder age,diabetes mellitus, smoking, family history of IHD, hyperlipidemia, cardiopulmonary bypass time, ICU stay, hospital stay. Conclusion:We can conclude that wound infected patients are at significantly greater risk of incidence, morbidity and mortality after cardiac surgery.

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Postdischarge clean wound infections: Incidence underestimated and risk factors overemphasized

Cited by 34 publications

References 31 publications

Postoperative infection rates in foot and ankle surgery: a clinical audit of Australian podiatric surgeons, January to December 2007

Postoperative infection rates in foot and ankle surgery: a clinical audit of Australian podiatric surgeons, January to December 2007

Intercorrências clínicas no membro submetido à exérese de veia safena magna para revascularização do miocárdio

Incidence and Predictor of Post-Operative Wound Infection in Patients Underwent Coronary Artery Bypass Grafting

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