SavedAdd your journal

Journals / Clinical and Experimental Health Sciences / 2012 / Cilt: 2 - Sayı: 4

The risk factors effecting the development of surgical site infection in orthopedic and neuro surgery patients without systemic disease

Sistemik hastalığı olmayan ortopedi ve beyin cerrahisi hastalarında cerrahi alan enfeksiyon gelişimini etkileyen risk faktörleri

Meftun AKGÜN
Pages
181–189
Publication Date
2014-01-30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Other risk factors (duration of hospitalization, prosthesis implantation, duration of operation, body mass index) were not statistically related with surgical site infection.Conclusion: In order to prevent the development of surgical site infection it is important to determine the risk factors and not to apply invasive procedures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to determine the risk factors and the effect of prophylactic antibiotic use on surgical site infection after elective operations in neurosurgery and orthopedic departments.Methods: Prospectively 154 patient evaluated in neurosurgery and orthopedic departments at the Medical Faculty of Marmara University Hospital.
📊
Key Findings & Data:Multivariate Logistic Regression Analysis of surgical site infection risk factors showed that urinary catheter use increase infection risk 5.8 times (Odds ratio;5.80, P value=0.031, %95 Confidence intervals; 1.17-28.61).
💡
Conclusion & Impact:Other risk factors (duration of hospitalization, prosthesis implantation, duration of operation, body mass index) were not statistically related with surgical site infection.Conclusion: In order to prevent the development of surgical site infection it is important to determine the risk factors and not to apply invasive procedures.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Cerrahi alan infeksiyonu · antibiyotik profilaksisi · cerrahi profilaksi

Abstract

Objective: The aim of this study was to determine the risk factors and the effect of prophylactic antibiotic use on surgical site infection after elective operations in neurosurgery and orthopedic departments.Methods: Prospectively 154 patient evaluated in neurosurgery and orthopedic departments at the Medical Faculty of Marmara University Hospital. All data collected by the method of face to face interview according to “Patient Follow-up Form”. The patients observed fort the sing and symptoms of infection and prophylactic antibiotic use, from the beginning to the end of hospitalization. After discharge the patients were asked about the sing and symptoms of infection by telephone interview.Results: At the end of the study surgical site infection identified in thirteen patients: Pseudomonas aeruginosa and Enterococcus fecalis were responsible for surgical site infections in two patients. Multivariate Logistic Regression Analysis of surgical site infection risk factors showed that urinary catheter use increase infection risk 5.8 times (Odds ratio;5.80, P value=0.031, %95 Confidence intervals; 1.17-28.61). Other risk factors (duration of hospitalization, prosthesis implantation, duration of operation, body mass index) were not statistically related with surgical site infection.Conclusion: In order to prevent the development of surgical site infection it is important to determine the risk factors and not to apply invasive procedures.

Özet

Amaç: Bu çalışmanın amacı, ortopedi ve beyin cerrahisi ünitelerimize elektif cerrahi girişim uygulanan hastalara Profilaktik Antibiyotik (PA) uygulamasının Cerrahi Alan Enfeksiyonu (CAE)’na etkisi araştırmak ve CAE ile ilişkili risk faktörlerini belirlemektir. Yöntemler: Marmara Üniversitesi Tıp Fakültesi Hastanesi ortopedi ve beyin cerrahisi ünitelerinde, 154 hasta prospektif olarak incelendi. Veriler araştırmacı tarafından hazırlanan “Hasta İzlem Formu” aracılığı ile yüz yüze görüşme yöntemi kullanılarak toplandı. Hastalar cerrahi girişimden taburcu olana kadar her gün CAE’nu ve aldığı antibiyotik yönünden izlendi. Taburcu olduktan sonra birinci, ikinci, üçüncü ve altıncı aylarda telefon anketi uygulanarak CAE semptomları soruldu. Bulgular: Çalışmanın sonunda 13 hastada CAE geliştiği belirlendi. CAE’nu gelişen 13 hastadan birinde Pseudomonas aeruginosa, diğerinde Enterococcus fecalis ürediği tespit edildi. CAE Gelişimini Etkileyen Risk Faktörlerinin Çok değişkenli lojistik regresyon analizinde idrar sondasının enfeksiyon riskini 5.8 kat (Odds oranı; 5.80, P=0.031, %95 güven aralığı; 1.17-28.61) artırdığı bulundu. Diğer risk faktörlerinin (hastanede kalış süresi, protez takılması, operasyon süresi, vücut kütle indeksi) CAE ile istatistiksel ilişkisi gösterilemedi.Sonuç: Hastada CAE gelişimini etkileyen risk faktörlerinin belirlenmesi, çok gerekmedikçe invaziv girişimlerin uygulanmaması CAE gelişmesini önleyebilir.

🔖

Cite This Article

AKGÜN, M. (2014). The risk factors effecting the development of surgical site infection in orthopedic and neuro surgery patients without systemic disease. Clinical and Experimental Health Sciences, Cilt: 2 - Sayı: 4, 181–189. https://ajindex.com/articles/481867

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Kılıç YA, Abbasoğlu O. Cerrahi alan infeksiyonları: Giriş ve tanımlar. Hastane İnfeksiyonları Dergisi. 2001;5:63-68. Ok E. Cerrahi hastalarda nozokomiyal infeksiyonlar için risk faktörleri. ANKEM Derg. 2005;19(Ek 2):157-160.
  2. Sayek İ, Wittmann D. Cerrahi antibiyotik profilaksisi. Hastane İnfeksiyonları Dergisi. 2001;5(2):95-102. Urbarlı A. Antibiyotiklerin uygun kullanımı. Servis Aktüel Tıp Dergisi. 1998;3(7):191-193. Bakır M. Antibiyotik kullanımının temel ilkeleri. Klimik Dergisi. 2001;14(3):95-101. Çolak H. Hastanelerde antibiyotik kullanım politikasının saptanması. Kısıtlama mı? Eğitim mi? Flora. 1998;3(1):16-19.
  3. Woods R K, Dellinger EP. American Family Physician. Current Guidelines for Antibiotic Prophylaxis of Surgical Wounds. Am Fam Physician. 1998;57(11):2731-2740. Şardan YÇ. Cerrahi profilaksi. İnfeksiyon Hastalıkları Serisi. 2001;4(2):75-86.
  4. Dellinger EP, Anaya DA. Infectious and immunologic consequences of blood transfusion. Crit Care. 2004;8(Suppl 2):18-23. Dinççağ A. Cerrahide dirençli enfeksiyonlara karşı önlemler. ANKEM Derg. 2004;18(Ek 2):222-228.
  5. Talbot TR, Agata EMCD, Brinsko V, Lee B, Speroff T, Schaffner W. Perioperative blood transfusion is predictive of poststernotomy surgical site infection: Marker for morbidity or true immunosuppressant? Clin Infect Dis. 2004;38:1378-1382. Terzi C. Cerrahi alan enfeksiyonları. ANKEM Derg. 2006;20(3):187-193. Darouiche RO. Antimicrobial approaches for preventing infections associated with surgical implants. Clin Infect Dis. 2003;36(10):1284- 1289. Pessaux P, Atallah D, Lermite E, Msika S, Hay JM, Flamant Y, Arnaud JP. Risk factors for prediction of surgical site infections in “clean surgery”. AJIC. 2005;33(5):292-298. Widmer AF. New developments in diagnosis and treatment of infection in orthopedic implants. Clin Infect Dis. 2001;33(Suppl 2):94- 106. Gosden PE, MacGowan AP, Bannister GC. Importance of air quality and related factors in the prevention of infection in orthopaedic implant surgery. J Hosp Infect. 1998;39:173-180. Darouiche RO. Treatment of infections associated with surgical implants. The New N Engl J Med. 2004;350(17):1424-1429.
  6. Platt R, Yokoe DS, Sands KE. Automated methods for surveillance of surgical site infections. Emerg Infect Dis. 2001;7(2):212-216.
  7. Malone DL, Genuit T, Tracy K, Gannon C, Napolitano LM. Surgical site infections: Reanalysis of risk factors. Surg Res. 2002;103(1):89-95.
  8. Tran TS, Jamulitrat S, Chongsuvıvatwong V, Geater A. Risk factors for postcesarean surgical site