BACKGROUND/AIM: Surgical site infections (SSI) are associated with increased morbidity and mortality, and they occur more frequently during unplanned emergency surgical (ES) procedures rather than elective. Our aim was to determine the incidence of SSI within our ES cohort and to identify risk factors for SSI. PATIENTS AND METHODS: Data from consecutive patients undergoing ES in a single institution during a 5-year period were prospectively collected and analyzed. RESULTS: A total of 838 consecutive patients were included. The median age was 52 (IQR=25-71) years and some 368 (44%) were female. 157 (18.7%) of those patients developed SSI. The most commonly isolated pathogen was E. Coli (55.4%) followed by Staphylococcus Aureus (40.1%). The 30-day mortality rate of patients who presented SSIs was 14.6% compared to 6.8% of patients without SSI (p=0.002). Multivariable analysis showed that the type of wound, American Society of Anesthesiology score, severity and duration of surgery >90 min were independent risk factors for the occurrence of SSI. CONCLUSION: Identification of modifiable causative factors for SSI within an ES unit is paramount as they can critically impact postoperative outcomes.
BACKGROUND/AIM: Surgical site infections (SSI) are associated with increased morbidity and mortality, and they occur more frequently during unplanned emergency surgical (ES) procedures rather than elective. Our aim was to determine the incidence of SSI within our ES cohort and to identify risk factors for SSI. PATIENTS AND METHODS: Data from consecutive patients undergoing ES in a single institution during a 5-year period were prospectively collected and analyzed. RESULTS: A total of 838 consecutive patients were included. The median age was 52 (IQR=25-71) years and some 368 (44%) were female. 157 (18.7%) of those patients developed SSI. The most commonly isolated pathogen was E. Coli (55.4%) followed by Staphylococcus Aureus (40.1%). The 30-day mortality rate of patients who presented SSIs was 14.6% compared to 6.8% of patients without SSI (p=0.002). Multivariable analysis showed that the type of wound, American Society of Anesthesiology score, severity and duration of surgery >90 min were independent risk factors for the occurrence of SSI. CONCLUSION: Identification of modifiable causative factors for SSI within an ES unit is paramount as they can critically impact postoperative outcomes.
Authors: Gezzer Ortega; Daniel S Rhee; Dominic J Papandria; Jessica Yang; Andrew M Ibrahim; Andrew D Shore; Martin A Makary; Fizan Abdullah Journal: J Surg Res Date: 2011-06-24 Impact factor: 2.192
Authors: Thomas D Pinkney; Melanie Calvert; David C Bartlett; Adrian Gheorghe; Val Redman; George Dowswell; William Hawkins; Tony Mak; Haney Youssef; Caroline Richardson; Steven Hornby; Laura Magill; Richard Haslop; Sue Wilson; Dion Morton Journal: BMJ Date: 2013-07-31
Authors: Belinda De Simone; Massimo Sartelli; Federico Coccolini; Chad G Ball; Pietro Brambillasca; Massimo Chiarugi; Fabio Cesare Campanile; Gabriela Nita; Davide Corbella; Ari Leppaniemi; Elena Boschini; Ernest E Moore; Walter Biffl; Andrew Peitzmann; Yoram Kluger; Michael Sugrue; Gustavo Fraga; Salomone Di Saverio; Dieter Weber; Boris Sakakushev; Osvaldo Chiara; Fikri M Abu-Zidan; Richard Ten Broek; Andrew W Kirkpatrick; Imtiaz Wani; Raul Coimbra; Gian Luca Baiocchi; Micheal D Kelly; Luca Ansaloni; Fausto Catena Journal: World J Emerg Surg Date: 2020-02-10 Impact factor: 5.469