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Risk Factors of Hou et al for Surgical Site Infection (SSI) After Colorectal Surgery

Description

Hou et al reported risk factors for surgical site infection for patients undergoing colorectal surgery. These can help to identify a patient who may benefit from more aggressive management. The authors are from Guangdong Provincial People's Hospital and Piking University First Hospital in China.


Patient selection: colorectal surgery

 

Risk factors for surgical site infection from the multivariate analysis:

(1) preoperative hospital stay>= 48 hours (OR 2.3)

(2) contaminated or dirty wound (CDC wound class III or IV; OR 3.4)

 

Other factors from the univariate analysis:

(1) emergency surgery

(2) ASA status 3 to 5

(3) duration of surgery > 200 minutes

(4) junior surgeon (vs senior)

 

There was an increased frequency of infection with multidrug-resistant Enterobacteriaceae, which makes prevention of infection more important.


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