• 作者：Gil Rodrí ; guez-Caravaca^a ; ^b ; ^{grodriguez@fhalcorcon.es} ; Gonzalo de las Casas-Cá ; mara^a ; Marí ; a José ; Pita-Ló ; pez^c ; Ana Robustillo-Rodela^c ; Cristina Dí ; az-Agero^c ; Vicente Monge-Jodrá ; ^c ; José ; Fereres^d ; Grupo de Trabajo INCLIMECC de la Comunidad de Madrid^&loz ;
• 关键词：Cirugí ; a de mama ; Incidencia ; Infecci&oacute ; n de herida quirú ; rgica ; Profilaxis antibi&oacute ; tica ; Preparaci&oacute ; n prequirú ; rgica
• 刊名：Enfermedades Infecciosas y Microbiolog铆a Cl铆nica
• 出版年：2011
• 期刊代码：pca153_0213005X
• 类别：med
• 出版时间：June-July 2011
• 卷：29
• 期：6
• 页码：415-420
• 文件大小：238 K

Introduction

The impact of surgical wound infection on public health justifies its surveillance and prevention. Our objectives were to estimate the incidence of surgical wound infection in breast procedures and assess its protocol of antibiotic prophylaxis and preoperative preparation.

Methods

Observational multicentre prospective cohort study of incidence of surgical wound infection. Incidence was evaluated, stratified by National Nosocomial Infection Surveillance (NNIS) risk index and we calculated the standardized incidence ratio (SIR). The SIR was compared with Spanish rates and U.S. rates. The compliance and performance of the antibiotic prophylaxis and preoperative preparation protocol were assessed and their influence in the incidence of infection with the relative risk.

Results

Ten hospitals from the Comunidad de Madrid were included, providing 592 procedures. The cumulative incidence of surgical wound infection was 3.89%(95%CI: 2.3-5.5). The SIR was 1.82 on the Spanish rate and 2.16 on the American. Antibiotic prophylaxis was applied in 97.81%of cases, when indicated. The overall performance of antibiotic prophylaxis was 75%, and 53%for preoperative preparation. No association was found between infection and performance of prophylaxis or preoperative preparation (P > .05).

Conclusion

Our incidence is within those seen in the literature although it is somewhat higher than the national surveillance programs. The performance of prophylaxis antibiotic must be improved, as well as the recording of preoperative preparation data.