{"title":"普外科和胃肠外科手术后切口手术部位感染发生率的季节性对比:对一家医疗机构 8436 名患者的分析。","authors":"","doi":"10.1016/j.jhin.2024.06.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>While seasonality of hospital-acquired infections, including incisional SSI after orthopaedic surgery, is recognized, the seasonality of incisional SSI after general and gastroenterological surgeries remains unclear.</p></div><div><h3>Aim</h3><p>To analyse the seasonality and risk factors of incisional SSI after general and gastroenterological surgeries.</p></div><div><h3>Methods</h3><p>This was a retrospective, single-institute, observational study using univariate and multivariate analyses. The evaluated variables included age, sex, surgical approach, surgical urgency, operation time, wound classification, and the American Society of Anesthesiologists physical status (ASA-PS).</p></div><div><h3>Findings</h3><p>A total of 8436 patients were enrolled. General surgeries (<em>N</em> = 2241) showed a pronounced SSI incidence in summer (3.9%; odds ratio (OR): 1.87; 95% confidence interval (CI): 1.05–3.27; <em>P</em> = 0.025) compared to other seasons (2.1%). Conversely, gastroenterological surgeries (<em>N</em> = 6195) showed a higher incidence in winter (8.3%; OR: 1.38; 95% CI: 1.10–1.73; <em>P</em> = 0.005) than in other seasons (6.1%). Summer for general surgery (OR: 1.90; 95% CI: 1.12–3.24; <em>P</em> = 0.018) and winter for gastroenterological surgery (1.46; 1.17–1.82; <em>P</em> = 0.001) emerged as independent risk factors for incisional SSI. Open surgery (OR: 2.72; 95% CI: 1.73–4.29; <em>P</em> < 0.001) and an ASA-PS score ≥3 (1.64; 1.08–2.50; <em>P</em> = 0.021) were independent risk factors for incisional SSI in patients undergoing gastroenterological surgery during winter.</p></div><div><h3>Conclusion</h3><p>Seasonality exists in the incisional SSI incidence following general and gastroenterological surgeries. Recognizing these trends may help enhance preventive strategies, highlighting the elevated risk in summer for general surgery and in winter for gastroenterological surgery.</p></div>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":null,"pages":null},"PeriodicalIF":3.9000,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Contrasting seasonality of the incidence of incisional surgical site infection after general and gastroenterological surgery: an analysis of 8436 patients in a single institute\",\"authors\":\"\",\"doi\":\"10.1016/j.jhin.2024.06.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>While seasonality of hospital-acquired infections, including incisional SSI after orthopaedic surgery, is recognized, the seasonality of incisional SSI after general and gastroenterological surgeries remains unclear.</p></div><div><h3>Aim</h3><p>To analyse the seasonality and risk factors of incisional SSI after general and gastroenterological surgeries.</p></div><div><h3>Methods</h3><p>This was a retrospective, single-institute, observational study using univariate and multivariate analyses. The evaluated variables included age, sex, surgical approach, surgical urgency, operation time, wound classification, and the American Society of Anesthesiologists physical status (ASA-PS).</p></div><div><h3>Findings</h3><p>A total of 8436 patients were enrolled. General surgeries (<em>N</em> = 2241) showed a pronounced SSI incidence in summer (3.9%; odds ratio (OR): 1.87; 95% confidence interval (CI): 1.05–3.27; <em>P</em> = 0.025) compared to other seasons (2.1%). Conversely, gastroenterological surgeries (<em>N</em> = 6195) showed a higher incidence in winter (8.3%; OR: 1.38; 95% CI: 1.10–1.73; <em>P</em> = 0.005) than in other seasons (6.1%). Summer for general surgery (OR: 1.90; 95% CI: 1.12–3.24; <em>P</em> = 0.018) and winter for gastroenterological surgery (1.46; 1.17–1.82; <em>P</em> = 0.001) emerged as independent risk factors for incisional SSI. Open surgery (OR: 2.72; 95% CI: 1.73–4.29; <em>P</em> < 0.001) and an ASA-PS score ≥3 (1.64; 1.08–2.50; <em>P</em> = 0.021) were independent risk factors for incisional SSI in patients undergoing gastroenterological surgery during winter.</p></div><div><h3>Conclusion</h3><p>Seasonality exists in the incisional SSI incidence following general and gastroenterological surgeries. Recognizing these trends may help enhance preventive strategies, highlighting the elevated risk in summer for general surgery and in winter for gastroenterological surgery.</p></div>\",\"PeriodicalId\":54806,\"journal\":{\"name\":\"Journal of Hospital Infection\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2024-06-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hospital Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0195670124002214\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0195670124002214","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
摘要
背景:尽管医院获得性感染(包括骨科手术后切口SSI)的季节性已得到公认,但普外科和胃肠外科手术后切口SSI的季节性仍不清楚:这项回顾性单机构观察研究采用单变量和多变量分析方法分析了普外科和胃肠外科手术后切口SSI的季节性和风险因素。评估变量包括年龄、性别、手术方式、手术紧迫性、手术时间、伤口分类和美国麻醉医师协会身体状况(ASA-PS):结果:共登记了 8436 名患者。与其他季节(2.1%)相比,夏季普通外科手术(2241 例)的 SSI 发生率明显更高(3.9%;几率比 [OR] 1.87;95% 置信区间 [CI] 1.05-3.27;P=0.025)。相反,胃肠外科手术(n=6 195)在冬季的发病率(8.3%;OR 1.38;95% CI 1.10-1.73;p=0.005)高于其他季节(6.1%)。普外科手术的夏季(OR 1.90;95% CI 1.12-3.24;p=0.018)和胃肠外科手术的冬季(OR 1.46;95% CI 1.17-1.82;p=0.001)成为切口 SSI 的独立风险因素。开腹手术(OR,2.72;95% CI 1.73-4.29,p结论:普外科和胃肠外科手术的切口 SSI 发生率存在季节性。认识到这些趋势有助于加强预防策略,突出显示了夏季普外科手术和冬季胃肠外科手术的高风险。
Contrasting seasonality of the incidence of incisional surgical site infection after general and gastroenterological surgery: an analysis of 8436 patients in a single institute
Background
While seasonality of hospital-acquired infections, including incisional SSI after orthopaedic surgery, is recognized, the seasonality of incisional SSI after general and gastroenterological surgeries remains unclear.
Aim
To analyse the seasonality and risk factors of incisional SSI after general and gastroenterological surgeries.
Methods
This was a retrospective, single-institute, observational study using univariate and multivariate analyses. The evaluated variables included age, sex, surgical approach, surgical urgency, operation time, wound classification, and the American Society of Anesthesiologists physical status (ASA-PS).
Findings
A total of 8436 patients were enrolled. General surgeries (N = 2241) showed a pronounced SSI incidence in summer (3.9%; odds ratio (OR): 1.87; 95% confidence interval (CI): 1.05–3.27; P = 0.025) compared to other seasons (2.1%). Conversely, gastroenterological surgeries (N = 6195) showed a higher incidence in winter (8.3%; OR: 1.38; 95% CI: 1.10–1.73; P = 0.005) than in other seasons (6.1%). Summer for general surgery (OR: 1.90; 95% CI: 1.12–3.24; P = 0.018) and winter for gastroenterological surgery (1.46; 1.17–1.82; P = 0.001) emerged as independent risk factors for incisional SSI. Open surgery (OR: 2.72; 95% CI: 1.73–4.29; P < 0.001) and an ASA-PS score ≥3 (1.64; 1.08–2.50; P = 0.021) were independent risk factors for incisional SSI in patients undergoing gastroenterological surgery during winter.
Conclusion
Seasonality exists in the incisional SSI incidence following general and gastroenterological surgeries. Recognizing these trends may help enhance preventive strategies, highlighting the elevated risk in summer for general surgery and in winter for gastroenterological surgery.
期刊介绍:
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.