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  1. Direct observations of surgical wound infections at a comprehensive cancer center.

    Article - En anglais

    Objectives 

    To identify the rate of surgical site infection and risk factors for surgical site infection in patients with cancer and to evaluate antibiotic use patterns on surgical oncology services.

    Design 

    Criterion standard.

    Setting 

    Memorial Sloan-Kettering Cancer Center, a comprehensive cancer center at a university hospital.

    Patients 

    Over a 15-month period, 1226 patients undergoing 1283 surgical procedures performed by the Breast, Colorectal, and Gastric-Mixed Tumor surgical services.

    Main Outcome Measure 

    Direct observation of surgical sites was performed by a single, surgeon-trained member of the hospital's Infection Control Section, adhering to an established protocol for grading of the surgical site.

    Results 

    Operative procedures accounted for the following traditional wound class distributions :

    • class I (clean), 630 cases ;

    • class II (clean-contaminated), 577 cases ;

    • class III (contaminated), 29 cases ;

    • and class IV (dirty-infected), 47 cases.

    Surgical site infection rates were 3.8% in class 1 ; 8.8% in class II ; 20.7% in class III ; and 46.9% in class IV procedures.

    Conclusions 

    Risk factors for surgical site infection in patients with cancer are similar to those found in the National Nosocomial Infections Surveillance System.

    However, as an individual risk factor among our patient population, obesity contributed as strongly as the surgical procedure category to a patient's likelihood of acquiring a surgic.

    Mots-clés Pascal : Cancérologie, Service hospitalier, Complication, Postopératoire, Infection, Facteur risque, Protocole thérapeutique, Antibiotique, Epidémiologie, Homme

    Mots-clés Pascal anglais : Cancerology, Hospital ward, Complication, Postoperative, Infection, Risk factor, Therapeutic protocol, Antibiotic, Epidemiology, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0576325

    Code Inist : 002B30A01A2. Création : 01/03/1996.