1. Risk factors for surgical site infection after gastric surgery: A multicentre case-control study.
- Author
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Jeong, Su Jin, Kim, Chang Oh, Han, Sang Hoon, Choi, Jun Yong, Kim, Min Ja, Choi, Young Hwa, Lim, Seung-Kwan, Yeom, Joon-Sup, Park, Yoon Soo, Song, Young Goo, Choi, Hee Jung, Peck, Kyong Ran, Kang, Cheol-In, Kim, Hyo-Youl, Kim, Young-Keun, Lee, Seung Soon, Park, Dae-Won, Kim, Yeon-A, Choi, Suk-Hoon, and Kim, June Myung
- Subjects
GASTROINTESTINAL surgery ,SURGICAL site infections ,OBESITY complications ,AGE distribution ,ANTACIDS ,CHI-squared test ,CONFIDENCE intervals ,DIABETES ,EPIDEMIOLOGY ,FISHER exact test ,LENGTH of stay in hospitals ,MEDICAL cooperation ,MULTIVARIATE analysis ,RESEARCH ,RESEARCH funding ,SEX distribution ,SMOKING ,STATISTICS ,STOMACH tumors ,T-test (Statistics) ,COMORBIDITY ,LOGISTIC regression analysis ,DATA analysis ,BODY mass index ,RETROSPECTIVE studies ,RECEIVER operating characteristic curves ,TREATMENT duration ,METHICILLIN-resistant staphylococcus aureus ,DATA analysis software ,DESCRIPTIVE statistics ,ANTIBIOTIC prophylaxis ,DISEASE risk factors - Abstract
Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. We conducted a multicentre case-control study to determine the risk factors for SSI in patients undergoing gastric surgery and to establish strategies to reduce the risk of SSI. Methods: Between January 2007 and December 2008, 121 patients who developed an SSI after gastric surgery were matched with controls who had undergone surgery on the dates closest to those of the cases, at 13 centres in Korea. Results: The results of multivariate analyses showed that the independent risk factors for SSI after gastric surgery were older age ( p = 0.016), higher body mass index (BMI) ( p = 0.033), male gender ( p = 0.047), and longer duration of prophylactic antibiotic use ( p < 0.001). Conclusion: Older age, higher BMI, male gender, and longer duration of prophylactic antibiotic use were independently associated with significant increases in the risk of SSI. Additional prospective randomized studies are required to confirm these results. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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