Surgical site infections during the COVID-19 era: A retrospective, multicenter analysis.

Autor: Smith BB; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ. Electronic address: smith.bradford@mayo.edu., Bosch W; Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL., O'Horo JC; Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, MN; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN., Girardo ME; Department of Quantitative Health Sciences, Mayo Clinic, Phoenix, AZ., Bolton PB; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ., Murray AW; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ., Hirte IL; Mayo Clinic Alix School of Medicine, Scottsdale, AZ., Singbartl K; Division of Critical Care Medicine, Mayo Clinic, Phoenix, AZ., Martin DP; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2023 Jun; Vol. 51 (6), pp. 607-611. Date of Electronic Publication: 2022 Sep 23.
DOI: 10.1016/j.ajic.2022.09.022
Abstrakt: Background: Surgical site infections (SSIs) are an undesired perioperative outcome. Recent studies have shown increases in hospital acquired infections during the coronavirus disease 2019 (COVID-19) pandemic. The objective of this study was to evaluate postoperative SSIs in the COVID-19-era compared to a historical cohort at a large, multicenter, academic institution.
Methods: A retrospective review of all patients who underwent National Health and Safety Network (NHSN) inpatient surgical procedures between January 1, 2018 and December 31, 2020. Patients from the COVID-19-era (March-December 2020) were compared and matched 1:1 with historical controls (2018/2019) utilizing the standardized infection ratio (SIR) to detect difference.
Results/discussion: During the study period, 29,904 patients underwent NHSN procedures at our institution. When patients from the matched cohort (2018/2019) were compared to the COVID-19-era cohort (2020), a decreased risk of SSI was observed following colorectal surgery (RR = 0.94, 95% CI [0.65, 1.37], P = .76), hysterectomy (RR = 0.88, 95% CI [0.39, 1.99], P = .75), and knee prothesis surgery (RR = 0.95, 95% CI [0.52, 1.74], P = .88), though not statistically significant. An increased risk of SSI was observed following hip prosthesis surgery (RR 1.09, 95% CI [0.68, 1.75], P = .72), though not statistically significant.
Conclusions: The risk of SSI in patients who underwent NHSN inpatient surgical procedures in 2020 with perioperative COVID-19 precautions was not significantly different when compared to matched controls at our large, multicenter, academic institution.
(Copyright © 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: