Incidence of surgical site infection in dogs undergoing soft tissue surgery: risk factors and economic impact.
Vet Rec Open
; 6(1): e000233, 2019.
Article
in En
| MEDLINE
| ID: mdl-31673370
ABSTRACT
OBJECTIVES:
To determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DESIGN:
Prospective cohort study.SETTING:
Veterinary teaching hospital.PARTICIPANTS:
184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014). PRIMARY OUTCOMEMEASURE:
Surgical site infection.RESULTS:
Out of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.CONCLUSIONS:
The incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.
Full text:
1
Database:
MEDLINE
Type of study:
Etiology_studies
/
Health_economic_evaluation
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Language:
En
Year:
2019
Type:
Article