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  1. Economical saving due to prophylaxis in the prevention of surgical wound infection.

    Article - En anglais

    The objective was to know the principal risk factors that influence in the development of surgical would infection, and the economical saving achieved with the control of a single variable, that is, right prophylaxis.

    A prospective study was carried out at the Traumatology Department of La Paz Hospital.

    A total of 5260 patients operated during 1990-1993 are included.

    Active epidemiological surveillance was used to check patients ; logistic regression was used in the multivariant analysis.

    The principal risk factors found were : immunodeficiency (OR=8.67), incorrect healing (OR=14.42), reoperated patient (patients who needed more than one surgical procedure while they are admitted ; reoperations) (OR=3.57), type of surgery (OR=4.71) and wrong prophylaxis (OR=6.36).

    Making constant all the variables except for prophylaxis, we calculated the percentage of infections prevented by a right prophylaxis, and the cost was calculated starting from the number of extra days of infection.

    The number of infections prevented during the four years was 310, saving a total of 194 million pesetas (1.5 million dollars), due to right prophylaxis.

    Cost-benefice ratio=1/17.

    We consider of special importance to control this manipulable risk factor, in order to avoid the development of infections.

    Mots-clés Pascal : Infection nosocomiale, Postopératoire, Chirurgie, Complication, Chimiothérapie, Prévention, Homme, Economie santé, Analyse avantage coût, Epidémiologie, Espagne, Europe, Antibactérien, Hôpital, Hygiène, Chimioprophylaxie

    Mots-clés Pascal anglais : Nosocomial infection, Postoperative, Surgery, Complication, Chemotherapy, Prevention, Human, Health economy, Cost benefit analysis, Epidemiology, Spain, Europe, Antibacterial agent, Hospital, Hygiene, Chemoprophylaxis

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

    Cote : 96-0486558

    Code Inist : 002B02S02. Création : 10/04/1997.