The purposes of this study were to determine the rate of infection associated with elective outpatient operations on an extremity, performed in a double-occupancy operating room (one operating room designed to accommodate two separate operating teams), and to determine which factors influenced this rate.
We evaluated the records of 2458 consecutive patients who had had such a procedure, performed by one of nine surgeons during a two and one-half-year period, and in whom the operative wound had been classified as clean (without a drain) or clean-contaminated (with a drain).
The information regarding the factors associated with the operation and the operating-room environment was recorded for each patient at the time of the operation.
Each wound was inspected periodically in the attending surgeon's office for at least thirty days postoperatively.
Using definitions established by the Centers for Disease Control, the attending surgeon determined the presence of infection primarily by judging whether there was purulent drainage or whether erythema or swelling at the operative site was beyond that expected from the procedure.
Of the 2458 patients, thirty-seven (1.5 per cent ; 95 per cent confidence interval, 1.1 to 2.1 per cent) had infection of the operative wound.
Only eight patients (0.3 per cent) had deep infection, with seven of the infections necessitating a reoperation.
Infection developed in thirty of the 2311 clean wounds, a rate of 1. (...)
Mots-clés Pascal : Chirurgie, Service hospitalier, Simultanéité, Intervention, Bloc opératoire, Facteur risque, Complication, Postopératoire, Infection, Epidémiologie, Homme, Système ostéoarticulaire pathologie, Bactériose
Mots-clés Pascal anglais : Surgery, Hospital ward, Simultaneity, Operation, Operating room, Risk factor, Complication, Postoperative, Infection, Epidemiology, Human, Diseases of the osteoarticular system, Bacteriosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0264869
Code Inist : 002B25N. Création : 11/06/1997.