Predictors of Surgical Site Infections
Campbell DA Jr, Henderson WG, Englesbe MJ, et al
J Am Coll Surg. 2008; 207:810-820
This report evaluated wound infection data gathered from 117 private-sector hospitals enrolled in the American College of Surgeons quality improvement project.
The 20 hospitals with the lowest wound infection rates were compared with the 13 hospitals with the highest infection rates. Factors associated with higher infection rates were identified, including increased number of trainees (P ≤ .0001), increased operative time (P = .03), anemia at time of surgery (P = .01), and amount of operating room foot traffic (P ≤ .05).
Differences in the basic techniques of standard wound asepsis did not seem to be associated with differences in infection rates, most likely because these control measures are implemented effectively in all hospitals. Operating time and anemia proved to be important predictors of surgical site infections. The best performing hospitals had fewer trainees, lower staff turnover rates, and were smaller than hospitals with higher wound infection rates. Important factors that were not included in this report are preoperative antibiotic administration, temperature control, and control of blood sugar levels.
Abstract
Surgical Site Infection Prevention: The Importance of Operative Duration and Blood Transfusion -- Results of the First American College of Surgeons-National Surgical Quality Improvement Program Best Practices Initiative
Campbell DA Jr, Henderson WG, Englesbe MJ, et al
J Am Coll Surg. 2008; 207:810-820
Summary
This report evaluated wound infection data gathered from 117 private-sector hospitals enrolled in the American College of Surgeons quality improvement project.
The 20 hospitals with the lowest wound infection rates were compared with the 13 hospitals with the highest infection rates. Factors associated with higher infection rates were identified, including increased number of trainees (P ≤ .0001), increased operative time (P = .03), anemia at time of surgery (P = .01), and amount of operating room foot traffic (P ≤ .05).
Viewpoint
Differences in the basic techniques of standard wound asepsis did not seem to be associated with differences in infection rates, most likely because these control measures are implemented effectively in all hospitals. Operating time and anemia proved to be important predictors of surgical site infections. The best performing hospitals had fewer trainees, lower staff turnover rates, and were smaller than hospitals with higher wound infection rates. Important factors that were not included in this report are preoperative antibiotic administration, temperature control, and control of blood sugar levels.
Abstract
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