Predictors of Surgical Site Infection in Women Undergoing Hysterectomy for Benign Gynecologic Disease: A Multicenter Analysis Using the National Surgical Quality Improvement Program Data

Mahdi, Haider; Goodrich, Sarah; Lockhart, David; Debernardo, Robert; Moslemi-Kebria, Mehdi

doi:10.1016/j.jmig.2014.04.003

Cited by 92 publications

(60 citation statements)

References 29 publications

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“…Duration of surgery longer than one hour has been shown to be associated with increased risk for SSI. A longer operative time is probably a proxy for complicated surgery [7]. Other explanations for association between longer surgical time and risk for SSI include: inadequate dosing of prophylactic antibiotic, tissue trauma due to instrumentation and manipulation, increased risk for hypoglycemia and hypothermia, increased blood loss, exposure to environmental pathogens, and risk for breech of sterile technique [7, 29, 30].…”

Section: Discussionmentioning

confidence: 99%

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Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Pathak

Mahadik

Swami

et al. 2017

Antimicrob Resist Infect Control

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BackgroundSurgical site infections (SSI) are one of the most common healthcare associated infections in the low-middle income countries. Data on incidence and risk factors for SSI following surgeries in general and Obstetric and Gynecological surgeries in particular are scare. This study set out to identify risk factors for SSI in patients undergoing Obstetric and Gynecological surgeries in an Indian rural hospital.MethodsPatients who underwent a surgical procedure between September 2010 to February 2013 in the 60-bedded ward of Obstetric and Gynecology department were included. Surveillance for SSI was based on the Centre for Disease Control (CDC) definition and methodology. Incidence and risk factors for SSI, including those for specific procedure, were calculated from data collected on daily ward rounds.ResultsA total of 1173 patients underwent a surgical procedure during the study period. The incidence of SSI in the cohort was 7.84% (95% CI 6.30–9.38). Majority of SSI were superficial. Obstetric surgeries had a lower SSI incidence compared to gynecological surgeries (1.2% versus 10.3% respectively). The risk factors for SSI identified in the multivariate logistic regression model were age (OR 1.03), vaginal examination (OR 1.31); presence of vaginal discharge (OR 4.04); medical disease (OR 5.76); American Society of Anesthesia score greater than 3 (OR 12.8); concurrent surgical procedure (OR 3.26); each increase in hour of surgery, after the first hour, doubled the risk of SSI; inappropriate antibiotic prophylaxis increased the risk of SSI by nearly 5 times. Each day increase in stay in the hospital after the surgery increased the risk of contacting an SSI by 5%.ConclusionsIncidence and risk factors from prospective SSI surveillance can be reported simultaneously for the Obstetric and Gynecological surgeries and can be part of routine practice in resource-constrained settings. The incidence of SSI was lower for Obstetric surgeries compared to Gynecological surgeries. Multiple risk factors identified in the present study can be helpful for SSI risk stratification in low-middle income countries.

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Section: Discussionmentioning

confidence: 99%

“…Risk factors including medical diseases identified for SSI from two large studies are: obesity, diabetes, smoking, respiratory infection, poor nutrition, ASA score greater than 2, and low socio-economic status [4, 7]. An ASA score of more than three was reported to increase the risk of SSI by 1.52 times [28].…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Pathak

Mahadik

Swami

et al. 2017

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…Previous studies have identified these variables as factors that are associated with increased rates of infection after surgery. [10][11][12][13][14][15][16][17] other studies have cited the type of colectomy as being a significant predictor of ssi. 7,18-22 however, when we controlled for all of these variables, iBD still remained significantly associated with the development of ssi.…”

Section: Discussionmentioning

confidence: 99%

Increased Incidence of Surgical Site Infection in IBD Patients

Bhakta

Tafen

Glotzer

et al. 2016

Diseases of the Colon &Amp; Rectum

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“…Of these, 1,185 studies were excluded after the first screening based on abstracts or titles, leaving 81 articles for full-text review. After assessing the full-text of the 81 potentially relevant articles, 67 articles were excluded for the reasons listed in Figure 1, leaving 14 studies [22][23][24][25][26][27][28][29][30][31][32][33][34][35] included for the final analyses.…”

Section: Literature Searchmentioning

confidence: 99%

Diabetes mellitus is associated with increased risk of surgical site infections: A meta-analysis of prospective cohort studies

Zhang

Zheng

Wang

et al. 2015

American Journal of Infection Control

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Predictors of Surgical Site Infection in Women Undergoing Hysterectomy for Benign Gynecologic Disease: A Multicenter Analysis Using the National Surgical Quality Improvement Program Data

Cited by 92 publications

References 29 publications

Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Incidence and risk factors for surgical site infections in obstetric and gynecological surgeries from a teaching hospital in rural India

Increased Incidence of Surgical Site Infection in IBD Patients

Diabetes mellitus is associated with increased risk of surgical site infections: A meta-analysis of prospective cohort studies

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