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A Study on the Incidence of Postoperative Infections and Surgical Sepsis in a University Hospital

Published online by Cambridge University Press:  02 January 2015

Luigi Ortona ,
Giovanni Federico ,
Massimo Fantoni ,
Federico Pallavicini ,
Francesco Ricci  and
Andrea Antinori
Luigi Ortona
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
Giovanni Federico*
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
Massimo Fantoni
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
Federico Pallavicini
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
Francesco Ricci
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
Andrea Antinori
Affiliation:
Istituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
*
Instituto di Clinica delle Malattie Infettive, Università Cattolica del Sacro Cuore-Facoltà di Medicina e Chirurgia, Rome, Italy
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Abstract

Reported are the results of a study on the incidence of nosocomial surgical infections in ten wards of the university hospital A. Gemelli, Rome. One thousand, five hundred five patients were studied and the overall incidence of surgical infections was 8.7%. Factors that influenced infection rates included age, immunosuppressive diseases, and immunosuppressive therapy. We assessed the inutility of antibiotic prophylaxis in clean operations and its usefulness in clean operations with insertion of prostheses or other devices. The importance of the duration of preoperative hospitalization and of the length of the operation were also noted. The most frequent etiological agents proved to be Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli. The average hospital stay for patients with surgical infection was more than double that of patients with no infection (25.7 days v 11.7 days).

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 8 , Issue 8 , August 1987 , pp. 320 - 324
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1987

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References

1. Nichols, RL, Postoperative wound infection. N Engl J Med 1982;307:1701–1702.CrossRefGoogle ScholarPubMed
2. Cruse, PJ, Foord, R, The epidemiology of wound infection. Surg Clin North Am 1980;60:27–40.CrossRefGoogle ScholarPubMed
3. Shapiro, M, Munoz, A, Tager, IB, et al: Risk factors for infection at the operative site after abdominal or vaginal hysterectomy. N Engl J Med 1982;307:1661–1667.CrossRefGoogle ScholarPubMed
4. Alexander, JW, Bacteriologie comparison of closed suction and penrose drainage, editorial. Am J Surg 1984;148:699.CrossRefGoogle Scholar
5. Locker, D, Norwood, SN, Thorma, MJ, et al: A prospective randomized study of drained and undrained cholecystectomies. Am Surg 1983;49:528–530.Google ScholarPubMed
6. Gilbert, DN, Current status of antibiotic prophylaxis in surgical patients. Bull NY Acad Med 1984;60:340–367.Google ScholarPubMed
7. Polk, HC Jr, Ausobsky, JR, The role of antibiotics in surgical infections, in McLean, LD (ed): Advances in Surgery. Chicago, Year Book Medical Publishers, 1983, p 225.Google Scholar
8. Krukowski, ZH, Stewart, MPM, Alsayer, NM, et al: Infection after abdominal surgery: Five years prospective study. Br Med J 1984;288:278–280.CrossRefGoogle Scholar
9. Paskin, DL, Lerner, HJ, A prospective study of wound infections. Am Surg 1969;35:627–629.Google ScholarPubMed
10. Hulton, NR, Kiff, ES, Brogan, TD, Surgical sepsis at a district general hospital. J Hosp Inject 1985;6:140–146.CrossRefGoogle Scholar
11. Ferraz, EM, Lima, JFC, Porfirio, L, et al: The control of postoperative infection in general surgery. Int Surg 1984;69:5–11.Google ScholarPubMed
12. Myburgh, JA, Sepsis at the Johannesburg General Hospital. S Afr Surg 1964;2:7–10.Google Scholar
13. Beatty, JD, Robinson, GV, Zaia, JA, et al: A prospective analysis of nosocomial wound infection after mastectomy. Arch Surg 1983;118:1421–1424.CrossRefGoogle ScholarPubMed
14. Ortona, L, Pizzigallo, E, Laghi, V, et al: Controllo delle infezioni nosocomiali in un policlinico universitario. Igiene Moderna 1980;74:855–873.Google Scholar
15. Ortona, L, Federico, G, Fantoni, M, et al: Studio clinicoepidemiologico delle infezioni nosocomiali in un policlinico universitario. Giornale di Malattie Infettive e Parassitarie (in press).Google Scholar
16. Federico, G, Fantoni, M, De Crescenzo, G, et al: Le infezioni nosocomiali nel Policlinico “A. Gemelli.” Analisi clinica di una sorveglianza microbiologica. Atti dell'Accademia Lancisiana di Roma 1985;28:169–185.Google Scholar
17. Green, JW, Wenzel, RP, Postoperative wound infection: A controlled study of the increased duration of hospital stay and direct cost of hospitalization. Ann Surg 1977;185:264–268.CrossRefGoogle ScholarPubMed