k 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

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.