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Contaminated or dirty wound operations and methicillin-resistant Staphylococcus aureus (MRSA) colonization during hospitalization may be risk factors for surgical site infection in neonatal surgical patients
- Source :
- Pediatric Surgery International. 34:1209-1214
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Establishment of evidence-based best practices for preventing surgical site infection (SSI) in neonates is needed. SSI in neonates, especially those with a low birth weight, is potentially life-threatening. We aimed to identify risk factors associated with SSI in neonates. A retrospective review was performed using 2007–2016 admission data from our institution. Neonatal patients who were admitted to the neonatal intensive care unit and underwent surgery were evaluated for a relationship between development of SSI and perinatal or perioperative factors and methicillin-resistant Staphylococcus aureus (MRSA) colonization during hospitalization. One hundred and eighty-one patients were enrolled in this study. Overall SSI incidence was 8.8%. Univariate analysis showed that SSI was significantly more frequent in both patients with contaminated or dirty wound operations and patients with MRSA colonization during hospitalization. Both of these factors were identified as independent risk factors for SSI by multivariate analysis [hazard ratio (HR): 6.1, 95% confidence interval (CI) 2.0–19.9; HR: 3.3, 95% CI 1.1–10.4, respectively]. This study identified contaminated or dirty wound operations and MRSA colonization during hospitalization as risk factors for SSI in neonates. MRSA colonization may be a preventable factor, unlike previously reported risk factors.
- Subjects :
- Male
Methicillin-Resistant Staphylococcus aureus
medicine.medical_specialty
Neonatal intensive care unit
medicine.disease_cause
03 medical and health sciences
0302 clinical medicine
Risk Factors
Intensive Care Units, Neonatal
030225 pediatrics
Internal medicine
Pediatric surgery
medicine
Humans
Surgical Wound Infection
030212 general & internal medicine
Retrospective Studies
Univariate analysis
business.industry
Incidence (epidemiology)
Hazard ratio
Infant, Newborn
General Medicine
Perioperative
Staphylococcal Infections
Methicillin-resistant Staphylococcus aureus
Hospitalization
Low birth weight
Pediatrics, Perinatology and Child Health
Female
Surgery
medicine.symptom
business
Subjects
Details
- ISSN :
- 14379813 and 01790358
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Pediatric Surgery International
- Accession number :
- edsair.doi.dedup.....49c2bd587000805f057acd431076765e