Surgical site infection - elekronická přednáška

VEVERKOVÁ, Lenka, Petr DOLEŽAL, Michal REŠKA, Jan ŽÁK, Petr VLČEK, Jakub HABR, Zdeněk CHOVANEC and Igor PENKA. Surgical site infection - elekronická přednáška. In Kongres SSPLR 2023 - Hotel Grand Jasná. 2023.

Basic information

• Original name: Surgical site infection - elekronická přednáška
• Name in Czech: Infekce v místě chirurgického výkonu
• Authors: VEVERKOVÁ, Lenka, Petr DOLEŽAL, Michal REŠKA, Jan ŽÁK, Petr VLČEK, Jakub HABR, Zdeněk CHOVANEC and Igor PENKA.
• Edition: Kongres SSPLR 2023 - Hotel Grand Jasná, 2023.

Other information

• Original language: Czech
• Type of outcome: Presentations at conferences
• Field of Study: 30200 3.2 Clinical medicine
• Country of publisher: Slovakia
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Organization unit: Faculty of Medicine
• Keywords (in Czech): infekce, operace
• Keywords in English: SSI,

Abstract

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.