Risk Factors for Surgical Site Infections After Elective Gastrectomy

Objective The aim of this study was to identify the risk factors for surgical site infections (SSIs) after elective gastrectomy. Methods This study reviewed the medical records of 842 patients who underwent elective gastrectomy. Multivariate analyses were performed to determine the risk factors for...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2012-06, Vol.16 (6), p.1107-1115
Main Authors: Migita, Kazuhiro, Takayama, Tomoyoshi, Matsumoto, Sohei, Wakatsuki, Kohei, Enomoto, Koji, Tanaka, Tetsuya, Ito, Masahiro, Nakajima, Yoshiyuki
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Antibiotics
Blood transfusions
Cancer
corticoids
Elective Surgical Procedures - adverse effects
Elective Surgical Procedures - methods
Female
Follow-Up Studies
Gastrectomy - adverse effects
Gastrectomy - methods
Gastroenterology
Gastrointestinal surgery
Gender
Hospital costs
Hospitals
Humans
Incidence
Infection
Japan - epidemiology
Lymphatic system
Male
Medical records
Medicine
Medicine & Public Health
Middle Aged
Mortality
Multivariate analysis
Organs
Original Article
Patients
Retrospective Studies
Reviews
Risk Factors
Steroids
Stomach Diseases - surgery
Surgery
Surgical site infections
Surgical techniques
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Transfusion
Young Adult
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Summary:Objective The aim of this study was to identify the risk factors for surgical site infections (SSIs) after elective gastrectomy. Methods This study reviewed the medical records of 842 patients who underwent elective gastrectomy. Multivariate analyses were performed to determine the risk factors for SSIs. Results Superficial incisional, deep incisional, and organ/space SSIs were detected in 50 (5.9%) patients, 2 (0.2%) patients, and 90 (10.7%) patients, respectively. A multivariate analysis demonstrated that female gender ( p  = 0.0332) and allogenic blood transfusion ( p  = 0.0266) were independent predictors for superficial incisional SSIs, while a male gender ( p  = 0.0355), corticosteroid therapy ( p  = 0.037), total gastrectomy ( p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-012-1838-1