Journal article
Surgical site infections and cellulitis after abdominal hysterectomy
American Journal of Obstetrics and Gynecology, Vol.209(2), pp.108.e1-108.e10
08/2013
DOI: 10.1016/j.ajog.2013.05.043
PMID: 23711665
Abstract
To identify risk factors for and outcomes of surgical site infections and cellulitis after abdominal hysterectomies. We used logistic regression analysis to analyze data from a case-control study of 1104 patients undergoing abdominal hysterectomies at a university hospital between Jan. 1, 2007 and Dec. 30, 2010. Factors significantly associated with surgical site infections and with cellulitis were: pulmonary disease, operations done in Main Operating Room East, and seroma. Body mass index >35, no private insurance, and fluid and electrolyte disorders were risk factors for surgical site infections. The mean prophylactic dose of cefazolin was significantly higher for controls than for patients with surgical site infections. Preoperative showers with Hibiclens (Molnlycke Health Care US, LLC, Norcross, GA) and cefazolin prophylaxis were associated with a significantly decreased cellulitis risk. Surgical site infections and cellulitis were significantly associated with readmissions and return visits and surgical site infections were associated with reoperations. Preoperative showers, antimicrobial prophylaxis, surgical techniques preventing seromas, and the operating room environment may affect the risk of surgical site infections and cellulitis after abdominal hysterectomies.
Details
- Title: Subtitle
- Surgical site infections and cellulitis after abdominal hysterectomy
- Creators
- Mack W Savage - Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IAJean M Pottinger - Program of Hospital Epidemiology, University of Iowa Hospitals and Clinics, Iowa City, IAHsiu-Yin Chiang - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IAKatherine R Yohnke - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IANoelle C Bowdler - Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, Iowa City, IALoreen A Herwaldt - Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- American Journal of Obstetrics and Gynecology, Vol.209(2), pp.108.e1-108.e10
- DOI
- 10.1016/j.ajog.2013.05.043
- PMID
- 23711665
- NLM abbreviation
- Am J Obstet Gynecol
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Publisher
- Mosby, Inc
- Language
- English
- Date published
- 08/2013
- Academic Unit
- Infectious Diseases; Epidemiology; Obstetrics and Gynecology; Internal Medicine
- Record Identifier
- 9983930391502771
Metrics
26 Record Views