An examination of the occurrence of surgical wound infection following equine orthopaedic surgery (1981-1990)
Autor: | Paul S. Morley, S M Barber, D. G. Macdonald, P B Fretz, J V Bailey |
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Rok vydání: | 1994 |
Předmět: |
Male
medicine.medical_specialty Post operative infection Risk Factors Preoperative antibiotics medicine Animals Surgical Wound Infection Horses Surgery Veterinary business.industry Incidence Medical record Surgical wound General Medicine Odds ratio Staphylococcal Infections Surgical procedures Surgery Orthopedics Male patient Orthopedic surgery Linear Models Regression Analysis Female Horse Diseases business |
Zdroj: | Equine Veterinary Journal. 26:323-326 |
ISSN: | 2042-3306 0425-1644 |
DOI: | 10.1111/j.2042-3306.1994.tb04394.x |
Popis: | Summary Post operative surgical wound infection rates were determined for 452 cases of equine orthopaedic surgery performed at the Western College of Veterinary Medicine, Saskatoon, Saskatchewan, between January 1, 1981 and December 31, 1990. Only surgical procedures classified as clean or clean-contaminated by the National Research Council were included in this study. The overall post operative infection rate was 10.0% (45 of 452). Clean surgeries (n=433) had an 8.1% infection rate while clean-contaminated surgeries (n=19) had a 52.6% infection rate. Information collected from the medical records was used in univariate and multivariate logistic regression models to evaluate significant determinates of post operative infection. Significant determinates of post operative infection were: surgical classification, orthopaedic involvement, duration of surgery, administration of preoperative antibiotics and gender. Clean-contaminated surgeries had an increased risk of infection compared to clean surgeries (odds ratio (OR)=24.3), procedures involving long bones had an increased risk of infection compared to procedures involving articular surfaces (OR =5.1), surgeries lasting 90 minutes or longer had an increased risk of infection compared to those less than 90 minutes (OR =3.6), administration of preoperative antibiotics was associated with an increased risk of infection (OR =4.6) and female patients were 2.6 times more likely to develop post operative infection than male patients. |
Databáze: | OpenAIRE |
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