Details

Autor(en) / Beteiligte

• Blumetti, Jennifer, MD
• Luu, Myda, BS
• Sarosi, George, MD
• Hartless, Kathleen, RN
• McFarlin, Jackie, RN
• Parker, Betty, RN
• Dineen, Sean, MD
• Huerta, Sergio, MD
• Asolati, Massimo, MD
• Varela, Esteban, MD
• Anthony, Thomas, MD

Titel

Surgical site infections after colorectal surgery: Do risk factors vary depending on the type of infection considered?

Ist Teil von

• Surgery, 2007-11, Vol.142 (5), p.704-711

Ort / Verlag

New York, NY: Mosby, Inc

Erscheinungsjahr

2007

Quelle

MEDLINE

Beschreibungen/Notizen

• Background The purpose of this study was to compare risk factors for the development of incisional versus organ/space infections in patients undergoing colorectal surgery. Methods An institutional review board–approved retrospective review was performed examining a 4-year period (January 2002 to December 2005). Patients were included if they had undergone abdominal operations (open or laparoscopic) in which the colon/rectum was surgically manipulated. Patients were excluded if the surgical wound was not closed primarily. A standardized definition of incisional and organ/space infection was employed. Results A total of 428 operations were performed. Overall, 105 infections were identified (25%); 73 involved the incision and 32 were classified as organ/space. Multivariate analysis suggested that incisional infection was independently associated with body mass index (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.02-1.11) and creation/revision/reversal of an ostomy (OR, 2.2; 95% CI, 1.3-3.9). Organ/space infection was independently associated with perioperative transfusion (OR, 2.3; 95% CI, 1.1-5.5) and with previous abdominal surgery (OR, 2.5; 95% CI, 1.2-5.3). Conclusions Factors associated with infection differed based on the type of surgical site infection being considered. The lack of overlap between factors associated with incisional infection and organ/space infection suggests that separate risk models and treatment strategies should be developed.