2023
Surgical site infection - elekronická přednáška
VEVERKOVÁ, Lenka, Petr DOLEŽAL, Michal REŠKA, Jan ŽÁK, Petr VLČEK et. al.Základní údaje
Originální název
Surgical site infection - elekronická přednáška
Název česky
Infekce v místě chirurgického výkonu
Autoři
VEVERKOVÁ, Lenka, Petr DOLEŽAL, Michal REŠKA, Jan ŽÁK, Petr VLČEK, Jakub HABR, Zdeněk CHOVANEC a Igor PENKA
Vydání
Kongres SSPLR 2023 - Hotel Grand Jasná, 2023
Další údaje
Jazyk
čeština
Typ výsledku
Prezentace na konferencích
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Slovensko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Organizační jednotka
Lékařská fakulta
Klíčová slova česky
infekce, operace
Klíčová slova anglicky
SSI,
Změněno: 11. 11. 2023 16:50, doc. MUDr. Lenka Veverková, Ph.D.
Anotace
V originále
Aim: Every year, many patients around the world develop surgical site infections (SSIs). The incidence of SSIs has significant social, health and financial implications. With the increasing average age of the population and multimorbidity, the number and especially the complexity of surgical procedures performed is also increasing. The main aim of this study was to define groups of patients at high risk of surgical wound site infection and to establish clinical guidelines for the prevention of SSIs in patients undergoing different types of surgery. Method: In a 10-year retrospective analysis of 33,748 operated patients, the incidence of SSIs was found in 768 of them. All the findings of the analysis were statistically evaluated using PASW Statistics software. Results / Discussion: The results of patients without and with SSIs were statistically significant in all variables. The group without SSI: The median LOS was 5 days, the mean operation time was 66 min, the age was 60 years, and the number of operations was one. In the SSI group, the median LOS was 21 days. The number of operations per patient doubled and the operation time increased to 85 min. The critical combination for the development of SSI was an operative time of 107 min in a patient with an ASA of 3 or higher. These variables predict that a patient will acquire infection more than 47% of the time. The financial burden of patients with SSI is 2.5 times higher than in the non-SSI group. Conclusion: Based on our results, we know the groups of risk factors and implement a scoring system before each surgery to use local perioperative preventive agents.