The Medical journal of Australia · 2006
Risk factors for wound infection after minor surgery in general practice.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Heal Clare, Buettner Petra, Browning Sheldon
Аннотация
OBJECTIVE: To determine the incidence of and risk factors for surgical site infections in general practice.
DESIGN: Prospective, observational study of patients presenting for minor excisions.
SETTING: Primary care in a regional centre, Queensland, October 2004 to May 2005.
PARTICIPANTS: 857 patients were assessed for infection.
RESULTS: The overall incidence of infection was 8.6% (95% CI, 3.5%-13.8%). Excisions from lower legs and feet (P = 0.009) or thighs (P = 0.005), excisions of basal cell carcinoma (P = 0.006) or squamous cell carcinoma (P = 0.002), and diabetes (P < 0.001) were independent risk factors for wound infection.
CONCLUSION: Our results indicate the high-risk groups for surgery in a general practice setting, such as people with diabetes and those undergoing excision of a non-melanocytic skin cancer or excision from a lower limb. Recognition of these groups could encourage more judicial use of prophylactic antibiotics and use of other interventions aimed at reducing infection rates.
DESIGN: Prospective, observational study of patients presenting for minor excisions.
SETTING: Primary care in a regional centre, Queensland, October 2004 to May 2005.
PARTICIPANTS: 857 patients were assessed for infection.
RESULTS: The overall incidence of infection was 8.6% (95% CI, 3.5%-13.8%). Excisions from lower legs and feet (P = 0.009) or thighs (P = 0.005), excisions of basal cell carcinoma (P = 0.006) or squamous cell carcinoma (P = 0.002), and diabetes (P < 0.001) were independent risk factors for wound infection.
CONCLUSION: Our results indicate the high-risk groups for surgery in a general practice setting, such as people with diabetes and those undergoing excision of a non-melanocytic skin cancer or excision from a lower limb. Recognition of these groups could encourage more judicial use of prophylactic antibiotics and use of other interventions aimed at reducing infection rates.