Autor según el artículo: Gomila, A.; Carratala, J.; Biondo, S.; Badia, J. M.; Fraccalvieri, D.; Shaw, E.; Diaz-Brito, V.; Pagespetit, L.; Freixas, N.; Brugues, M.; Mora, L.; Perez, R.; Sanz, C.; Arroyo, N.; Iftimie, S.; Limon, E.; Gudiol, F.; Pujol, M.;VINCat Colon Surg Grp
Departamento: Medicina i Cirurgia
Autor/es de la URV: Iftimie Iftimie, Simona Mihaela
Palabras clave: Ventilator-associated pneumonia Surgical site infection Stoma Risk-factors Rectal-cancer Program Outcomes Nsqip Low anterior resection Impact Healthcare-associated infection Colorectal surgery Colorectal cancer Bowel preparation
Resumen: Background: Surgical site infections (SSIs) are the leading cause of healthcare-associated infections in acute care hospitals in Europe. However, the risk factors for the development of early-onset (EO) and late-onset (LO) SSI have not been elucidated.Aim: This study investigated the predictive factors for EO-SSI and LO-SSI in a large cohort of patients undergoing colorectal surgery.Methods: We prospectively followed-up adult patients undergoing elective colorectal surgery in 10 hospitals (2011-2014). Patients were divided into three groups: EO-SSI, LO-SSI, or no infection (no-SSI). The cut-off defining EO-SSI and LO-SSI was seven days (median time to SSI development). Different predictive factors for EO-SSI and LO-SSI were analysed, comparing each group with the no-SSI patients.Findings: Of 3701 patients, 320 (8.6%) and 349 (9.4%) developed EO-SSI and LO-SSI, respectively. The rest had no-SSI. Patients with EO-SSI were mostly males, had colon surgery and developed organ-space SSI whereas LO-SSI patients frequently received chemotherapy or radiotherapy and had incisional SSI. Male sex (odds ratio (OR): 1.92; P < 0.001), American Society of Anesthesiologists' physical status > 2 (OR: 1.51; P = 0.01), administration of mechanical bowel preparation (OR: 0.7; P = 0.03) and stoma creation (OR: 1.95; P < 0.001) predicted EO-SSI whereas rectal surgery (OR: 1.43; P = 0.03), prolonged surgery (OR: 1.4; P = 0.03) and previous chemotherapy (OR: 1.8; P = 0.03) predicted LO-SSI.Conclusion: We found distinctive predictive factors for the development of SSI before and after seven days following elective colorectal surgery. These factors could help establish specific preventive measures in each group. (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Áreas temáticas: Saúde coletiva Química Public, environmental & occupational health Odontología Microbiology (medical) Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Infectious diseases General medicine Farmacia Engenharias iv Enfermagem Educação física Ciências biológicas iii Ciências biológicas i Ciências agrárias i Biotecnología Biodiversidade
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: simonamihaela.iftime@urv.cat
Identificador del autor: 0000-0003-0714-8414
Fecha de alta del registro: 2024-07-27
Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Journal Of Hospital Infection. 99 (1): 24-30
Referencia de l'ítem segons les normes APA: Gomila, A.; Carratala, J.; Biondo, S.; Badia, J. M.; Fraccalvieri, D.; Shaw, E.; Diaz-Brito, V.; Pagespetit, L.; Freixas, N.; Brugues, M.; Mora, L.; P (2018). Predictive factors for early- and late-onset surgical site infections in patients undergoing elective colorectal surgery. A multicentre, prospective, cohort study. Journal Of Hospital Infection, 99(1), 24-30. DOI: 10.1016/j.jhin.2017.12.017
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2018
Tipo de publicación: Journal Publications
Repositori URV