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Title of Journal: Surg Today

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Abbravation: Surgery Today

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Springer Japan

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DOI

10.1016/0024-4937(76)90032-3

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1436-2813

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Surgical site infections in a tertiary health care

Authors: Vesna Suljagić Miodrag Jevtic Boban Djordjevic Aleksandra Jovelic
Publish Date: 2010/07/30
Volume: 40, Issue: 8, Pages: 763-771
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Abstract

A prospective cohort study was conducted at a tertiary health care center Infection control personnel collected general and health care related data about patients The NNIS risk index was calculated on the basis of data relating to the operation wound contamination class duration of surgery and the American Society of Anesthesiologists ASA scoreA total of 5109 surgical procedures were included in the study The overall cumulative incidence rate was 63 The incidence of SSIs was 23 635 of operative procedures 83 297 346 62 and 433 06 in patients with 0 1 2 and 3 risk index respectively The length of hospital stay OR 10 95 CI 1053–1075 preoperative length of stay odds ratio OR 19 95 confidence interval CI 1953–1981 antibiotic prophylaxis OR 25 95 CI 1421–4628 drainage OR 17 95 CI 1360–2353 ASA score OR 15 95 CI 1235–1946 class of wound contamination OR 20 95 CI 1745–2003 and NNIS risk index OR 13 95 CI 1063–17 were independently associated with an increased risk for SSIs Staphylococcus aureus was the most frequently isolated microorganism 64 of them being methicillinresistantThe aim of this study was to investigate the most important risk factors associated with the development of surgical site infections SSIs Therefore greater attention has been given to adherence to recommendations for the prevention and control of SSIs as well as to antibiotic prophylaxis protocols

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