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Surgery Today
Published in: Surgery Today 10/2017

01-10-2017 | Original Article

Epidemiology and risk factors associated with surgical site infection after different types of hepatobiliary and pancreatic surgery

Author: Keita Morikane

Published in: Surgery Today | Issue 10/2017

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Abstract

Purpose

Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs); however, SSI after hepatobiliary and pancreatic surgery (HBPS) has not been well investigated in a large cohort of patients. This study analyzed the factors associated with SSI following HBPS in Japan, using a Japanese national database.

Methods

Data on HBPS performed between 2012 and 2014 were extracted from a national monitoring system for HAI: The Japan Nosocomial Infections Surveillance. Using multivariate logistic regression, I assessed the factors associated with SSI.

Results

The cumulative incidence of SSI following HBPS was 15.6% (2873/18,398). The incidence of SSI after pancreatoduodenectomy was 28.0%, which was significantly higher than that after liver resection and other types of HBPS (8.8 and 15.5%, respectively). Among the four traditional risk factors, the American Society of Anesthesiologists score was ineffective for predicting SSI in the final model of all three types of surgery. Additional risk factors were identified, including age and male gender.

Conclusions

The incidence of and factors associated with SSI after the three types of HBPS analyzed differed significantly. To accurately compare hospital performance in relation to SSI following HBPS, the operative procedure category in the surveillance system must be divided into three types.
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Metadata
Title
Epidemiology and risk factors associated with surgical site infection after different types of hepatobiliary and pancreatic surgery
Author
Keita Morikane
Publication date
01-10-2017
Publisher
Springer Japan
Published in
Surgery Today / Issue 10/2017
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-017-1503-0

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