BACKGROUND AND AIMS: this multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections. METHODS: the study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated. RESULTS: Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation. Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92-17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44-15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13-5.48, p = 0.02). The average cost attributable to SWI was 3320 Ä. CONCLUSION: the incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment.
BACKGROUND AND AIMS: this multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections. METHODS: the study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated. RESULTS: Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation. Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92-17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44-15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13-5.48, p = 0.02). The average cost attributable to SWI was 3320 Ä. CONCLUSION: the incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment.
Authors: Johanna Turtiainen; Eija I T Saimanen; Kimmo T Mäkinen; Antti I Nykänen; Maarit A Venermo; Ilkka T Uurto; Tapio Hakala Journal: World J Surg Date: 2012-10 Impact factor: 3.352
Authors: Gaurav Sharma; Rohan Kulkarni; Samir K Shah; William W King; Alban Longchamp; Ming Tao; Kui Ding; C Keith Ozaki Journal: Surgery Date: 2016-04-14 Impact factor: 3.982
Authors: Johanna Turtiainen; Eija I T Saimanen; Teemu J Partio; Kimmo T Mäkinen; Matti T Reinikainen; Jyrki J Virkkunen; Kari S Vuorio; Tapio Hakala Journal: World J Surg Date: 2011-06 Impact factor: 3.352
Authors: Jennifer B Keogh; Anthony Brancatisano; Sue F Taylor; Fiona McDonald; Roy Brancatisano; Jeffrey M Hamdorf; Jacob Chisholm; Lillian Kow; Sara Wahlroos; Brendan Ryan; Jim Toouli Journal: Can J Surg Date: 2013-02 Impact factor: 2.089
Authors: László Hidi; Erzsébet Komorowicz; Gergely Imre Kovács; Zoltán Szeberin; Dávid Garbaisz; Natalia Nikolova; Kiril Tenekedjiev; László Szabó; Krasimir Kolev; Péter Sótonyi Journal: PLoS One Date: 2021-07-22 Impact factor: 3.240