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Surgical site infection in skin surgery—An observational study

BACKGROUND: Surgical site infection (SSI) has a significant impact on patients’ morbidity and aesthetic results. OBJECTIVE: To identify risk factors for SSI in dermatologic surgery. PATIENTS AND METHODS: This prospective, single‐centre, observational study was performed between August 2020 and May 2...

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Autores principales: Schlager, Justin Gabriel, Patzer, Kathrin, Wallmichrath, Jens, French, Lars E., Kunrad, Elena, Schlingmann, Sophia, Stiefel, Daniel, Kendziora, Benjamin, Hartmann, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588314/
https://www.ncbi.nlm.nih.gov/pubmed/37156639
http://dx.doi.org/10.1111/iwj.14224
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author Schlager, Justin Gabriel
Patzer, Kathrin
Wallmichrath, Jens
French, Lars E.
Kunrad, Elena
Schlingmann, Sophia
Stiefel, Daniel
Kendziora, Benjamin
Hartmann, Daniela
author_facet Schlager, Justin Gabriel
Patzer, Kathrin
Wallmichrath, Jens
French, Lars E.
Kunrad, Elena
Schlingmann, Sophia
Stiefel, Daniel
Kendziora, Benjamin
Hartmann, Daniela
author_sort Schlager, Justin Gabriel
collection PubMed
description BACKGROUND: Surgical site infection (SSI) has a significant impact on patients’ morbidity and aesthetic results. OBJECTIVE: To identify risk factors for SSI in dermatologic surgery. PATIENTS AND METHODS: This prospective, single‐centre, observational study was performed between August 2020 and May 2021. Patients that presented for dermatologic surgery were included and monitored for the occurrence of SSI. For statistical analysis, we used a mixed effects logistic regression model. RESULTS: Overall, 767 patients with 1272 surgical wounds were included in the analysis. The incidence of SSI was 6.1%. Significant risk factors for wound infection were defect size over 10cm(2) (OR 3.64, 95% confidence interval [CI] 1.80–7.35), surgery of cutaneous malignancy (OR 2.96, CI 1.41–6.24), postoperative bleeding (OR 4.63, CI 1.58–13.53), delayed defect closure by local skin flap (OR 2.67, CI 1.13–6.34) and localisation of surgery to the ear (OR 7.75, CI 2.07–28.99). Wound localisation in the lower extremities showed a trend towards significance (OR 3.16, CI 0.90–11.09). Patient‐related factors, such as gender, age, diabetes, or immunosuppression, did not show a statistically significant association with postoperative infection. CONCLUSION: Large defects, surgery of cutaneous malignancy, postoperative bleeding, and delayed flap closure increase the risk for SSI. High‐risk locations are the ears and lower extremities.
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spelling pubmed-105883142023-10-21 Surgical site infection in skin surgery—An observational study Schlager, Justin Gabriel Patzer, Kathrin Wallmichrath, Jens French, Lars E. Kunrad, Elena Schlingmann, Sophia Stiefel, Daniel Kendziora, Benjamin Hartmann, Daniela Int Wound J Original Articles BACKGROUND: Surgical site infection (SSI) has a significant impact on patients’ morbidity and aesthetic results. OBJECTIVE: To identify risk factors for SSI in dermatologic surgery. PATIENTS AND METHODS: This prospective, single‐centre, observational study was performed between August 2020 and May 2021. Patients that presented for dermatologic surgery were included and monitored for the occurrence of SSI. For statistical analysis, we used a mixed effects logistic regression model. RESULTS: Overall, 767 patients with 1272 surgical wounds were included in the analysis. The incidence of SSI was 6.1%. Significant risk factors for wound infection were defect size over 10cm(2) (OR 3.64, 95% confidence interval [CI] 1.80–7.35), surgery of cutaneous malignancy (OR 2.96, CI 1.41–6.24), postoperative bleeding (OR 4.63, CI 1.58–13.53), delayed defect closure by local skin flap (OR 2.67, CI 1.13–6.34) and localisation of surgery to the ear (OR 7.75, CI 2.07–28.99). Wound localisation in the lower extremities showed a trend towards significance (OR 3.16, CI 0.90–11.09). Patient‐related factors, such as gender, age, diabetes, or immunosuppression, did not show a statistically significant association with postoperative infection. CONCLUSION: Large defects, surgery of cutaneous malignancy, postoperative bleeding, and delayed flap closure increase the risk for SSI. High‐risk locations are the ears and lower extremities. Blackwell Publishing Ltd 2023-05-08 /pmc/articles/PMC10588314/ /pubmed/37156639 http://dx.doi.org/10.1111/iwj.14224 Text en © 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Schlager, Justin Gabriel
Patzer, Kathrin
Wallmichrath, Jens
French, Lars E.
Kunrad, Elena
Schlingmann, Sophia
Stiefel, Daniel
Kendziora, Benjamin
Hartmann, Daniela
Surgical site infection in skin surgery—An observational study
title Surgical site infection in skin surgery—An observational study
title_full Surgical site infection in skin surgery—An observational study
title_fullStr Surgical site infection in skin surgery—An observational study
title_full_unstemmed Surgical site infection in skin surgery—An observational study
title_short Surgical site infection in skin surgery—An observational study
title_sort surgical site infection in skin surgery—an observational study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588314/
https://www.ncbi.nlm.nih.gov/pubmed/37156639
http://dx.doi.org/10.1111/iwj.14224
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