Migita et al identified risk factors for surgical site infection (SSI) following an elective gastrectomy. This can help to identify a patient who may benefit from meticulous surgical technique. The authors are from Nara Medical University in Japan.
Patient selection: elective gastroectomy (96% for gastric cancer)
Outcome: surgical site infection
All patients received intravenous prophylactic antibiotics prior to surgery.
Risk factors for superficial (incisional) SSI:
(1) female gender
(2) allogenic blood transfusion (number of units not specified; autologous blood not described)
The number of deep incisional SSI was too small to analyze.
Risk factors for organ space SSI:
(1) male gender
(2) corticosteroid therapy
(3) total gastrectomy
(4) duration of operation >= 300 minutes
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