Document Detail


A prospective study of postoperative surgical site infections in dogs and cats.
MedLine Citation:
PMID:  15362994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess postoperative surgical site infection (SSI) rate and to identify associated predictive factors.
STUDY DESIGN: Prospective clinical study.
ANIMALS: Dogs and cats that had surgery (1010 interventions) during 58 weeks from April 1999 to June 2000.
METHODS: Data sheets were completed by clinicians. Patients were controlled for clinical evidence of SSI at suture removal. Two definitions of SSI ("infection" and "infection/inflammation") were developed specifically for this study and used for statistical analysis. Logistic regression models were built in order to identify significant predictive factors for SSI.
RESULTS: Wounds with "infection/inflammation" occurred in 5.8% and "infected" wounds in 3% of patients. The outcome "infection" was associated with 3 major risk factors (duration of surgery, increasing number of persons in the operating room, dirty surgical site) and 1 protective factor (antimicrobial prophylaxis). The outcome "infection/inflammation" was associated with 6 significant factors (duration of anesthesia, duration of postoperative intensive care unit stay, wound drainage, increasing patient weight, dirty surgical site, and antimicrobial prophylaxis).
CONCLUSIONS: SSI frequency in companion animals is comparable with the frequency observed in human surgical patients. Several significant predictive factors for SSI in small animals surgery were identified.
CLINICAL RELEVANCE: Baseline information for SSI surveillance in our hospital and for comparison with other studies was defined. The factors identified may help to predict infections in surgical patients and to take adequate preventive measures for patients at risk.
Authors:
Simone Eugster; Peter Schawalder; Frédéric Gaschen; Patrick Boerlin
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  33     ISSN:  0161-3499     ISO Abbreviation:  Vet Surg     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-09-14     Completed Date:  2004-12-23     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  542-50     Citation Subset:  IM    
Affiliation:
Division of Surgery, Companion Animal Hospital, Department for Clinical Veterinary Medicine, Bern, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cat Diseases / surgery
Cats
Cross Infection / epidemiology,  prevention & control,  veterinary*
Dog Diseases / surgery
Dogs
Female
Linear Models
Male
Prospective Studies
Risk Factors
Surgical Wound Infection / epidemiology,  prevention & control*,  veterinary*
Switzerland / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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