Surgical site infections in Italian Hospitals: a prospective multicenter study

Petrosillo, Nicola; Drapeau, Cecilia M J; Nicastri, Emanuele; Martini, Lorena; Ippolito, Giuseppe; Moro, Maria Luisa; Anipio,

doi:10.1186/1471-2334-8-34

Cited by 97 publications

(93 citation statements)

References 32 publications

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“…Also as this surgical technique was not commonly used in this hospital; the improper tissue handling during the procedure may be a contributory factor in increasing the risk of infection. In contrast to our finding Petrosillo et al 22 observed no significant difference in SSI rate between patients operated on for removal of the gallbladder by both techniques. 24 found by multivariable analysis both the above mentioned factors were independently associated with a higher risk of surgical site infection.…”

Section: Discussioncontrasting

confidence: 56%

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Elbur¹,

Yousif²,

Elsayed³

et al. 2012

Int. j. infect. control

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Surgical site infections are the second most common cause of hospital acquired infections. The objectives of this study were to quantify the rate of wound infection and to identify risk factors associated for its prevalence among patients admitted for elective surgery in Khartoum Teaching Hospital in Sudan. A prospective study was conducted. All patients, aged >18 years admitted during March 1st 2010 to 31th october 2010 were recruited. baseline data was collected before the patient was operated. Patients were followed up to one month for detection of wound infection using bedside and post-discharge surveillance. A total of 1387 patients were included with a mean age of 35±14 years and 1138(82%) were females. More than three quarters were healthy (79.3%) and 1367 (98.6%) patients were operated on conventionally. The total number of the performed surgical procedures was 1426. The rate of wound infection was found to be 9%. The majority of the infected wounds 120 (96%) were superficial and only 5 (4%) were deep incisional. Univariate analysis revealed that five variables were significantly associated with the prevalence of wound infection; namely patient's body mass index (P=0.041), comorbidity (P=0.006), presence of diabetes (P=0.010), ASA score (P<0.0001) and laparoscopic surgical technique (P=0.007). Multivariate logistic analysis showed that ASA score 2 and ASA score > 3, [adjusted OR 1.9 (1.2-3.0), P =0.006 and adjusted OR 3.6 (2.0-6.7); P<0.001 respectively], laparoscopic surgical technique [adjusted OR 5.5 (2-14.8); P=0.001] were mostly significantly associated with the prevalence of wound infection. The rate of wound infection was high with patient's physical status being strong predictor of infection.

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Section: Discussioncontrasting

confidence: 56%

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Elbur¹,

Yousif²,

Elsayed³

et al. 2012

Int. j. infect. control

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“…The overall infection rate in the present study compares favorably with a report from other researchers (12) whose overall infection rate was 22.7% and another report from the University of Nigeria Teaching Hospital, Enugu (13), with an infection rate of 27.98%. However, other researchers (14)(15)(16)(17)(18) reported lower overall infection rates at their various centers overseas. A lower infection rate was also reported in Nigeria (19).…”

Section: Discussionmentioning

confidence: 97%

Seasonal variation and risk factors associated with surgical site infection rate in Kano, Nigeria

Nwankwo¹,

Edino²

2014

Turk J Med Sci

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“…The higher infection rate in emergency operation is attributed to inadequate preoperative preparation and the severity of the underlying condition that necessitated emergency procedure. 11,14,21 The number of people in the operating room theatre during surgery affected the infection rate. This increased with increase in the number of people.…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

Nwankwo

Ibeh

Enabulele

2012

Int. j. infect. control

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Surgical site infection (SSI) is the most common complication following surgical procedures. The aim of this study was to determine the incidence and associated risk factors of surgical site infection in a tertiary health institution in Kano, Nigeria.The study was carried out between January 2008 and December 2010. Data was collected in a predesigned questionnaire forms which focused on demographic details, socioeconomic background and lifestyle while the diagnosis, surgical procedure, duration of surgery, prophylactic antibiotics, postoperative antibiotics and co-morbidity were obtained from the patients hospital records. all the patients who underwent surgery in the male and female surgical wards, gynaecology and maternity wards including paediatric wards were enrolled in the study after informed consent of patients or parents in the case of children. all patients were followed up for 30 days for development of surgical site infection. Infected cases were identified using CDC, USA definition for surgical site infections. Out of 2880 patients, 585 (20.3%) were confirmed to be clinically infected (SSI). There were 1,016 (35.3%) males with a mean age of 38.3±16.3 and 1864 females (64.9%), mean age 30.6 ± 12.3yrs. There were 65% Superficial Incisional SSI, 30% deep Incisional SSI and 5% Organ Space SSI. Incidence related to clean, clean contaminated, contaminated and dirty were 5.8%, 30.5%, 40.6%, and 64.8% wounds respectively. Age, anaemia, obesity, number of persons in operating room and duration of surgery were all significantly associated with SSI. Effective infection control measures and good regular surveillance will improve the SSI rate to an acceptable level.

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Surgical site infections in Italian Hospitals: a prospective multicenter study

Cited by 97 publications

References 32 publications

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Prevalence and predictors of wound infection in elective clean and clean/contaminated surgery in Khartoum Teaching Hospital, Sudan

Seasonal variation and risk factors associated with surgical site infection rate in Kano, Nigeria

Incidence and risk factors of surgical site infection in a tertiary health institution in Kano, Northwestern Nigeria

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