Multivariate analysis of risk factors for postoperative wound infection following oral and oropharyngeal cancer surgery

2018 ◽  
Vol 46 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Margita Belusic-Gobic ◽  
Arijan Zubovic ◽  
Robert Cerovic ◽  
Andrea Dekanic ◽  
Diana Marzic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Wound Infection ◽  
Oropharyngeal Cancer ◽  
Cancer Surgery ◽  
Postoperative Wound Infection ◽  
Postoperative Wound ◽  
Oral And Oropharyngeal Cancer

Wound Infection After Cesarean Section

1986 ◽  
Vol 7 (9) ◽  
pp. 456-461 ◽  
Author(s):  
Hedvig Pelle ◽  
Ole B. Jepsen ◽  
Severin O. Larsen ◽  
Jens Bo ◽  
Flemming Christensen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Postoperative Wound Infection ◽  
Cesarean Sections ◽  
Infection Rates ◽  
Intrauterine Devices ◽  
Prospective Multicenter Study ◽  
Postoperative Wound ◽  
Factors Associated ◽  
Related Risk

AbstractA prospective multicenter study of 1,032 cesarean sections was performed to identify risk factors for postoperative wound infection. The overall rate of wound infection was 6.6% (3.8% in elective cases and 7.5% following nonelective operations), with considerable interhospital variation. Obesity was recognized as a patient-related risk factor, while risk factors inherent to the obstetric situation were duration of ruptured membranes prior to operation, fetal and labor monitoring by intrauterine devices, and omission of the use of plastic draping and redisinfection of the skin before closure. Logistic regression analysis was used to estimate the influence of these factors on the probability of wound infection. Certain risk factors associated with and overrepresented in nonelective operations would explain the increased infection rates in these, and the observed interhospital variations did not differ from the expected rates when the distribution of other risk factors was considered.

scholarly journals Results of using the infection avoidance Protocol for postoperative wounds in spinal surgery

2020 ◽  
Vol 22 (3) ◽  
pp. 51-56
Author(s):  
A. A. Grin ◽  
A. K. Kaykov ◽  
A. Yu. Kordonskiy ◽  
V. A. Karanadze ◽  
O. A. Levina ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Wound Infection ◽  
Spinal Surgery ◽  
Retrospective Cohort ◽  
Subcutaneous Fat ◽  
Control Group ◽  
Postoperative Wound Infection ◽  
Study Objective ◽  
Postoperative Wound

Background. We developed a Protocol based on the results of a previous study of risk factors for infection of a postoperative wound: do not use monopolar coagulation on the skin and subcutaneous fat; remove hemostatic material from the wound; relax the established wound expander every 65 minutes; refuse to suture the muscles in the area of laminectomy, refuse to use an intradermal suture.The study objective is a verification of the received Protocol.Materials and methods. A comprehensive retrospective cohort study evaluated the results of surgical treatment of 575 spinal patients who were under the authors’ supervision in 2014–2016. Patients were divided into groups: operated in the period from 2014 to 2016 (control group), operated in 2017, in the treatment of which the Protocol for reducing complications was applied (main group).Results. It was found that after the introduction of the Protocol, the percentage of patients with postoperative wound infection decreased from 6.0 to 1.3 %.Conclusion. The resulting Protocol is an effective tool for reducing wound infection and can be recommended for prevention of the postoperative wound infection in patients with spinal with diseases and injuries.

Management of Deep Spinal Wound Infections Following Instrumentation Surgery with Subfascial Negative Pressure Wound Therapy

2021 ◽  
Author(s):  
Marcus Rickert ◽  
Michael Rauschmann ◽  
Nizar Latif-Richter ◽  
Mohammad Arabmotlagh ◽  
Tamin Rahim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Healing ◽  
Wound Infection ◽  
Spinal Fusion ◽  
Negative Pressure Wound Therapy ◽  
Wound Infections ◽  
Wound Therapy ◽  
Postoperative Wound ◽  
Deep Wound ◽  
The Impact

Abstract Background and Study Aims The treatment of infections following a spine surgery continues to be a challenge. Negative pressure wound therapy (NPWT) has been an effective method in the context of infection therapy, and its use has gained popularity in recent decades. This study aims to analyze the impact of known risk factors for postoperative wound infection on the efficiency and length of NPWT therapy until healing. Patients and Methods We analyzed 50 cases of NPWT treatment for deep wound infection after posterior and posteroanterior spinal fusion from March 2010 to July 2014 retrospectively. We included 32 women and 18 men with a mean age of 69 years (range, 36–87 years). Individual risk factors for postoperative infection, such as age, gender, obesity, diabetes, immunosuppression, duration of surgery, intraoperative blood loss, and previous surgeries, as well as type and onset (early vs. late) of the infection were analyzed. We assessed the associations between these risk factors and the number of revisions until wound healing. Results In 42 patients (84%), bacterial pathogens were successfully detected by means of intraoperative swabs and tissue samples during first revision. A total of 19 different pathogens could be identified with a preponderance of Staphylococcus epidermidis (21.4%) and S. aureus (19.0%). Methicillin-resistant S. aureus (MRSA) was recorded in two patients (2.6%). An average of four NPWT revisions was required until the infection was cured. Patients with infections caused by mixed pathogens required a significantly higher number of revisions (5.3 vs. 3.3; p < 0.01) until definitive wound healing. For the risk factors, no significant differences in the number of revisions could be demonstrated when compared with the patients without the respective risk factor. Conclusion NPWT was an effective therapy for the treatment of wound infections after spinal fusion. All patients in the study had their infections successfully cured, and all spinal implants could be retained. The number of revisions was similar to those reported in the published literature. The present study provides insights regarding the effectiveness of NPWT for the treatment of deep wound infection after spinal fusion. Further investigations on the impact of potential risk factors for postoperative wound healing disorders are required. Better knowledge on the impact of specific risk factors will contribute to a higher effectiveness of prophylaxis for postoperative wound infections considering the patient-specific situation.

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