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Surgery Today

Erschienen in:

01.04.2014 | Original Article

Incidence and risk factors of surgical site infection in general surgery in a developing country

verfasst von: Emine Alp, Ferhan Elmali, Safiye Ersoy, Can Kucuk, Mehmet Doganay

Erschienen in: Surgery Today | Ausgabe 4/2014

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Abstract

Purpose

To investigate the incidence of surgical site infections (SSIs) according to risk factors, etiological agents, antimicrobial resistance rates of pathogens, and antimicrobial prophylaxis (AMP) in a developing country.

Methods

Prospective surveillance of SSIs was carried out in general surgery (GS) units between May 2005 and April 2009.

Results

SSI was diagnosed in 415 (10.8 %) patients. Cefazolin was used as AMP in 780 (49 %) operations, whereas broad-spectrum antibiotics were used in the remaining operations. AMP was administered for >24 h in 69 and 64 % of the GS patients. The most significant risk factors for SSI after GS were total parenteral nutrition, transfusion, and a drainage catheter. The most common pathogen was Escherichia coli, but all the isolated pathogens were multiresistant.

Conclusion

AMP is effective for reducing the risk of SSI; however, the prolonged use of AMP and broad-spectrum antibiotics may be associated with the emergence of resistant bacterial strains.

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Titel: Incidence and risk factors of surgical site infection in general surgery in a developing country
verfasst von: Emine Alp
Ferhan Elmali
Safiye Ersoy
Can Kucuk
Mehmet Doganay
Publikationsdatum: 01.04.2014
Verlag: Springer Japan
Erschienen in: Surgery Today / Ausgabe 4/2014
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0705-3

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Incidence and risk factors of surgical site infection in general surgery in a developing country

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