Surgical Site Infection after Multiple Groin Incisions in Peripheral Vascular Surgery

Slegt, Jasper van der; Kluijtmans, J.A.J.W.; Mulder, Paul; Veen, Eelco J.; Ho, Gwan H.; Laan, Lijckle van der

doi:10.1089/sur.2013.253

Cited by 12 publications

(13 citation statements)

References 18 publications

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“…The incidence of SSIs at the groin after vascular procedures ranges from 3 % to 44 % [ 30 ]. Factors contributing to the increased incidence of SSIs in this subset of patients include disruption of the lymphatic system, proximity of the surgical site to the perineum and external urinary organs, and prosthetic graft placement.…”

Section: Introductionmentioning

confidence: 99%

Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

et al. 2016

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BackgroundThe aim of this research was to study the epidemiology, microbiology, prophylaxis, and antibiotic therapy of surgical site infections (SSIs), especially those caused by methicillin-resistant Staphylococcus aureus (MRSA), and identify the risk factors for these infections. In Italy SSIs occur in about 5 % of all surgical procedures. They are predominantly caused by staphylococci, and 30 % of them are diagnosed after discharge. In every surgical specialty there are specific procedures more associated with SSIs.MethodsThe authors conducted a systematic review of the literature on SSIs, especially MRSA infections, and used the Delphi method to identify risk factors for these resistant infections.ResultsRisk factors associated with MRSA SSIs identified by the Delphi method were: patients from long-term care facilities, recent hospitalization (within the preceding 30 days), Charlson score > 5 points, chronic obstructive pulmonary disease and thoracic surgery, antibiotic therapy with beta-lactams (especially cephalosporins and carbapenem) and/or quinolones in the preceding 30 days, age 75 years or older, current duration of hospitalization >16 days, and surgery with prothesis implantation. Protective factors were adequate antibiotic prophylaxis, laparoscopic surgery and the presence of an active, in-hospital surveillance program for the control of infections. MRSA therapy, especially with agents that enable the patient’s rapid discharge from hospital is described.ConclusionThe prevention, identification and treatment of SSIs, especially those caused by MRSA, should be implemented in surgical units in order to improve clinical and economic outcomes.

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Section: Introductionmentioning

confidence: 99%

Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

et al. 2016

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“…Inguinales artificial vascular bypass vascular graft infection, are generally required to remove the artificial blood vessel. The treatment should follow the principle of treatment of vascular aortic graft infection, although the mortality rate is low, but the possibility of amputation is higher than 50% [ 14 - 17 ].…”

Section: Treatmentmentioning

confidence: 99%

Diagnosis and Treatment of Vascular Surgery Related Infection

Yong-gan¹,

Song²,

Miao³

et al. 2015

TOBEJ

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Surgical site infection (SSI) is an important component of infections acquired from hospital. The most significant feature of vascular surgery different from other surgeries is frequent application of artificial grafts. Once SSI occurs after vascular operations with grafts, it might results in a serious disaster. Staphylococcus aureus and coagulase-negative Staphylococcus are the most common pathogenic bacteria for SSI after vascular surgery. Although SSI in vascular surgery often lacks of typical clinical characters, some clinical symptoms, laboratory data and certain imaging procedures may help to diagnose. In most cases of SSI after vascular procedures, the artificial grafts must be removed and sensitive antibiotics should be administered. However, for different cases, personalized management plan should be made depending on the severity and location of SSI.

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“…Furthermore, patients frequently suffer comorbidities such as diabetes mellitus, renal impairment, and malnutrition, which are independent risk factors for SSI development. [6][7][8] Published groin SSI rates varies considerably, ranging from 6.4% to 38.5% [9][10][11][12] ; however, these studies are generally small, retrospective, or use heterogeneous definitions of SSI. 7,11 The National Institute for Health and Care Excellence (NICE) guidelines regarding the prevention and treatment of SSI recommend preoperative, intraoperative, and postoperative strategies.…”

Section: Introductionmentioning

confidence: 99%

Groin wound infection after vascular exposure (GIVE) multicentre cohort study

Hitchman¹,

Gwilym²,

Onida³

et al. 2020

International Wound Journal

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Surgical site infections (SSIs) of groin wounds are a common and potentially preventable cause of morbidity, mortality, and healthcare costs in vascular surgery. Our aim was to define the contemporaneous rate of groin SSIs, determine clinical sequelae, and identify risk factors for SSI. An international multicentre prospective observational cohort study of consecutive patients undergoing groin incision for femoral vessel access in vascular surgery was undertaken over 3 months, follow-up was 90 days. The primary outcome was the incidence of groin wound SSI. 1337 groin incisions (1039 patients) from 37 centres were included. 115 groin incisions (8.6%) developed SSI, of which 62 (4.6%) were superficial. Patients who developed an SSI had a significantly longer length of hospital stay (6 versus 5 days, P = .005), a significantly higher rate of post-operative acute kidney injury (19.6% versus 11.7%, P = .018), with no significant difference in 90-day mortality. Female sex, Body mass index≥30 kg/m 2 , ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft, or prosthetic), and increased operative time were independent predictors of SSI. Groin infections, which are clinically apparent to the treating vascular unit, are frequent and their development carries significant clinical sequelae. Risk factors include modifiable and non-modifiable variables.

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Surgical Site Infection after Multiple Groin Incisions in Peripheral Vascular Surgery

Cited by 12 publications

References 18 publications

Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

Diagnosis and Treatment of Vascular Surgery Related Infection

Groin wound infection after vascular exposure (GIVE) multicentre cohort study

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