Determinants of wound infection in gastrointestinal operations: The Israeli study of surgical infections
| Autor: | Yardena Siegman-Igra, R R Rozin, Elisheva Simchen |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Epidemiology Perforation (oil well) Logistic regression Risk Factors medicine Humans Surgical Wound Infection Prospective Studies Israel Risk factor Prospective cohort study Digestive System Surgical Procedures business.industry Stomach Age Factors Length of Stay Wound infection Surgery Logistic Models medicine.anatomical_structure Intestinal Perforation Multivariate Analysis Female Emergencies Complication business Intestinal Obstruction |
| Zdroj: | Journal of Clinical Epidemiology. 46:133-140 |
| ISSN: | 0895-4356 |
| DOI: | 10.1016/0895-4356(93)90051-2 |
| Popis: | Risk factors for wound infection in operations involving the opening of the gastrointestinal (GI) tract, were explored in a prospective study. There were 813 consecutive operations performed during a period of 9-14 months in 11 Israeli hospitals. The total crude infection rate was 21.6%, and the respective rates for operations on the stomach, small bowel and colon were 14.8, 21.4 and 25.4%. Of 17 putative risk factors, the strongest predictor was the performance of 2 or more operations during the same admission. Other significant risk factors were: a diagnosis of intestinal obstruction or perforation, introduction of an open drain, emergency admission, age over 40, hospital stay prior to surgery 7 or more days, urinary catheter and infection on admission. Adjustment for these factors in a logistic regression model reduced the effect of the anatomical site of the operation (i.e. large bowel vs stomach) to a non-significant level. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|