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01-06-2012 | Original Article

Risk Factors for Surgical Site Infections After Elective Gastrectomy

Authors: Kazuhiro Migita, Tomoyoshi Takayama, Sohei Matsumoto, Kohei Wakatsuki, Koji Enomoto, Tetsuya Tanaka, Masahiro Ito, Yoshiyuki Nakajima

Published in: Journal of Gastrointestinal Surgery | Issue 6/2012

Abstract

Objective

The aim of this study was to identify the risk factors for surgical site infections (SSIs) after elective gastrectomy.

Methods

This study reviewed the medical records of 842 patients who underwent elective gastrectomy. Multivariate analyses were performed to determine the risk factors for SSIs.

Results

Superficial incisional, deep incisional, and organ/space SSIs were detected in 50 (5.9%) patients, 2 (0.2%) patients, and 90 (10.7%) patients, respectively. A multivariate analysis demonstrated that female gender (p = 0.0332) and allogenic blood transfusion (p = 0.0266) were independent predictors for superficial incisional SSIs, while a male gender (p = 0.0355), corticosteroid therapy (p = 0.037), total gastrectomy (p < 0.0001), and a duration of operation ≥300 min (p = 0.0062) were independent predictors for organ/space SSIs. The median length of postoperative hospital stay was significantly longer in patients with organ/space SSIs in comparison to those without SSIs (p < 0.0001) and with superficial incisional SSIs (p < 0.0001). The patients with organ/space SSIs had a significantly higher re-operation rate in comparison to those without SSIs (p < 0.0001).

Conclusions

The risk factors both for incisional SSIs and for organ/space SSIs are strongly associated with surgical results. Meticulous surgical techniques are therefore required to prevent SSIs.

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Title: Risk Factors for Surgical Site Infections After Elective Gastrectomy
Authors: Kazuhiro Migita
Tomoyoshi Takayama
Sohei Matsumoto
Kohei Wakatsuki
Koji Enomoto
Tetsuya Tanaka
Masahiro Ito
Yoshiyuki Nakajima
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 6/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-1838-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk Factors for Surgical Site Infections After Elective Gastrectomy

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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