{"title":"手术部位感染的细菌种类、抗生素敏感性及患者特点。","authors":"Inés Serrano, Jorge Vera","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Surgical site infections (SSI) are the most common healthcare-associated\ninfections. Approximately 2-5% of all surgeries develop SSI as a complication.\nThese infections are responsible for significant fatality, morbidity, and\nlength of hospital stay. The purpose of this study was to describe characteristics\nof SSI in a community hospital in Puerto Rico. This was cross-sectional\nstudy. Between July 2013 and August 2015, 5468 major operative\nprocedures were performed and 31 SSI were reported for an overall SSI\nincidence rate of 0.57%. A total of 31 cases of SSI were studied. The mean\nage of patients was 59.4 years, with a range of to 29 to 89 years. The median\nage was 64 years. The sex distribution showed 22 women (71%) and 9 men\n(29%). The prevalence rate of diabetes mellitus was 13/31 (42%). In this\nstudy 90% of patients with SSI had at least one underlying health condition\n(diabetes, hypertension, obesity, age > 65 years). Location of surgical\nsite infections were: abdominal 16 (52%), orthopedic 4 (13%), pelvic 7\n(22%), stump 3 (10%), and chest tube 1 (3%). A total of 12 different bacterial\npathogens were found. A single etiologic agent was identified in 18 patients\n(53%) and multiple agents were found in 13 patients (47%). Enterococcus\nfaecalis was the most common pathogen (45% of patients) followed\nby Escherichia coli (39% of patients). The majority of bacteria isolated from\ncultures were susceptible to B-lactams and aminoglycosides.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bacterial Species, Susceptibility to antibiotics and characteristics of patients with surgical\\nsite infections.\",\"authors\":\"Inés Serrano, Jorge Vera\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Surgical site infections (SSI) are the most common healthcare-associated\\ninfections. Approximately 2-5% of all surgeries develop SSI as a complication.\\nThese infections are responsible for significant fatality, morbidity, and\\nlength of hospital stay. The purpose of this study was to describe characteristics\\nof SSI in a community hospital in Puerto Rico. This was cross-sectional\\nstudy. Between July 2013 and August 2015, 5468 major operative\\nprocedures were performed and 31 SSI were reported for an overall SSI\\nincidence rate of 0.57%. A total of 31 cases of SSI were studied. The mean\\nage of patients was 59.4 years, with a range of to 29 to 89 years. The median\\nage was 64 years. The sex distribution showed 22 women (71%) and 9 men\\n(29%). The prevalence rate of diabetes mellitus was 13/31 (42%). In this\\nstudy 90% of patients with SSI had at least one underlying health condition\\n(diabetes, hypertension, obesity, age > 65 years). Location of surgical\\nsite infections were: abdominal 16 (52%), orthopedic 4 (13%), pelvic 7\\n(22%), stump 3 (10%), and chest tube 1 (3%). A total of 12 different bacterial\\npathogens were found. A single etiologic agent was identified in 18 patients\\n(53%) and multiple agents were found in 13 patients (47%). Enterococcus\\nfaecalis was the most common pathogen (45% of patients) followed\\nby Escherichia coli (39% of patients). The majority of bacteria isolated from\\ncultures were susceptible to B-lactams and aminoglycosides.</p>\",\"PeriodicalId\":75610,\"journal\":{\"name\":\"Boletin de la Asociacion Medica de Puerto Rico\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Boletin de la Asociacion Medica de Puerto Rico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Boletin de la Asociacion Medica de Puerto Rico","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Bacterial Species, Susceptibility to antibiotics and characteristics of patients with surgical
site infections.
Surgical site infections (SSI) are the most common healthcare-associated
infections. Approximately 2-5% of all surgeries develop SSI as a complication.
These infections are responsible for significant fatality, morbidity, and
length of hospital stay. The purpose of this study was to describe characteristics
of SSI in a community hospital in Puerto Rico. This was cross-sectional
study. Between July 2013 and August 2015, 5468 major operative
procedures were performed and 31 SSI were reported for an overall SSI
incidence rate of 0.57%. A total of 31 cases of SSI were studied. The mean
age of patients was 59.4 years, with a range of to 29 to 89 years. The median
age was 64 years. The sex distribution showed 22 women (71%) and 9 men
(29%). The prevalence rate of diabetes mellitus was 13/31 (42%). In this
study 90% of patients with SSI had at least one underlying health condition
(diabetes, hypertension, obesity, age > 65 years). Location of surgical
site infections were: abdominal 16 (52%), orthopedic 4 (13%), pelvic 7
(22%), stump 3 (10%), and chest tube 1 (3%). A total of 12 different bacterial
pathogens were found. A single etiologic agent was identified in 18 patients
(53%) and multiple agents were found in 13 patients (47%). Enterococcus
faecalis was the most common pathogen (45% of patients) followed
by Escherichia coli (39% of patients). The majority of bacteria isolated from
cultures were susceptible to B-lactams and aminoglycosides.