接受软组织手术的狗手术部位感染的发生率:危险因素和经济影响

IF 1.3 Q2 VETERINARY SCIENCES Veterinary Record Open Pub Date : 2019-10-01 DOI:10.1136/vetreco-2017-000233
Jorge Espinel-Rupérez, M. D. Martín-Ríos, V. Salazar, María-Rosario Baquero-Artigao, G. Ortiz-Díez
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引用次数: 19

摘要

目的确定(1)在兽医教学医院接受软组织手术的患者中手术部位感染(SSI)的发生率,研究(2)并描述与SSI相关的主要风险因素,以及(3)评估SSI的经济影响。设计前瞻性队列研究。设置兽医教学医院。参与者184只狗在12个月内(2013年10月至2014年9月)接受软组织手术。主要结果测量手术部位感染。结果在所分析的184例患者中,16例(8.7%)患者被诊断为SSI,13例(81.3%)被归类为浅切口感染,2例(12.5%)被分类为深切口感染,1例(6.3%)被诊断为器官/间隙感染。甾体抗炎药的给药(P=0.028)、术前高血糖(P=0.015)、手术时间超过60 分钟(P=0.013)、导尿管(P=0.037)和错误使用伊丽莎白项圈(P=0.025)被确定为危险因素。总费用增加了74.4%,术后费用增加了142.2%。结论SSI的发生率高于其他已发表研究中报告的发生率,尽管在实施监测系统时,这些发生率在预期范围内。这种发生率与成本的增加有关。此外,还发现了影响其发展的新的重要风险因素。
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Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact
Objectives To determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI. Design Prospective cohort study. Setting Veterinary teaching hospital. Participants 184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014). Primary outcome measure Surgical site infection. Results Out of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent. Conclusions The incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.
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来源期刊
Veterinary Record Open
Veterinary Record Open VETERINARY SCIENCES-
CiteScore
3.00
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: Veterinary Record Open is a journal dedicated to publishing specialist veterinary research across a range of topic areas including those of a more niche and specialist nature to that considered in the weekly Vet Record. Research from all disciplines of veterinary interest will be considered. It is an Open Access journal of the British Veterinary Association.
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