Predictors of surgical site infection after open lower extremity revascularization

Abstract

SSI is a common complication after open revascularization and is associated with a more than twofold increased risk of early graft loss and reoperation. Several patient and operation-related risk factors that predict postoperative SSI were identified, suggesting that targeted improvements in perioperative care may decrease complications and improve outcomes in this patient population.

Risk Factors for 30-Day Hospital Re-Admission with an Infectious Complication after Lower-Extremity Vascular Procedures

“…Although the association between diabetes and re-admission is not surprising, it may well represent an association between poor glucose control and an overall higher risk of infection. Supporting this hypothesis is the finding by Greenblatt et al that there is no statistically significant increase in the risk of surgical site infection after open extremity revascularization among patients with diabetes [23]. Our analysis has demonstrated that a high glucose concentration and diabetes during the index hospitalization were associated with infections at re-admission, suggesting that this co-morbidity is not well managed during the admission and procedure stay and may be an area appropriate for targeted improvement.…”

A prospective randomized study comparing fibrin sealant to manual compression for the treatment of anastomotic suture-hole bleeding in expanded polytetrafluoroethylene grafts

“…23,34,35 The occurrence of graft occlusions and SSIs was similar between treatment groups and consistent with published literature, confirming that wound infections are a common cause of morbidity in open surgery for vascular disease. 36 No evidence to support concerns relating to hypersensitivity/allergic reactions and suspected viral transmission as a result of FS use was found in this study or other published reports on fibrin sealants as hemostatic agents. 1,[37][38][39] Overall, there was no apparent frequency of certain types of AEs and no differences in the risk of experiencing AEs between treatment groups.…”

Rate and Risk Factors for Surgical Site Infection in Gynecologic Oncology Surgeries at a Tertiary Care Facility in a Developing Country

“…Higher ASA class was a risk factor for SSI among our laparotomy patients, confirming prior reports. [19][20][21][22][23][24] Potential explanations for the link between SSI and obesity include increased thickness of poorly vascularized subcutaneous adipose tissue layer, local tissue trauma resulting from excessive retraction, and higher bacterial density at abdominal or groin creases. Therefore, careful attention to closure technique and proper choice and dosing of prophylactic antibiotics might be helpful in lowering the incidence of SSI in obese patients.…”