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- Title
Risk factors associated with surgical site infections following vascular surgery at a German university hospital.
- Authors
OTT, E.; BANGE, F.-Ch.; SOHR, D.; TEEBKEN, O.; MATTNER, F.
- Abstract
Surgical site infection (SSI) after vascular surgery is a serious complication increasing morbidity, mortality, and costs for healthcare systems. A 4-year retrospective cohort study was performed in a university hospital with patients who had undergone arterial vascular surgery below the aortic arch. Investigated variables included demographics and clinical data. Forty-four of 756 patients experienced SSI, 29 of which were superficial, five were deep, and 10 had organ/space infections. Coagulase-negative staphylococci (22%), enterococci (20%), and Staphylococcus aureus (18%) were the most common pathogens. Independent risk factors for SSIs were femoral grafting [odds ratio (OR) 6·7], peripheral atherosclerotic disease, Fontaine stages III–IV (OR 4·1), postoperative drainage >5 days (OR 3·6), immunosuppression (OR 2·8), duration of operation >214 min (OR 2·8), and body mass index >29 (OR 2·6). The application of perioperative antibiotic prophylaxis was an independent protective factor (OR 0·2). Patients with certain risk factors for SSIs warrant special attention for infection prevention.
- Subjects
GERMANY; SURGICAL site; VASCULAR surgery complications; MORTALITY; DISEASE risk factors; IMMUNOSUPPRESSION; STAPHYLOCOCCUS aureus
- Publication
Epidemiology & Infection, 2013, Vol 141, Issue 6, p1207
- ISSN
0950-2688
- Publication type
Article
- DOI
10.1017/S095026881200180X