Decreasing the incidence of surgical wound infections. Validation of a surveillance-notification program.
Arch Surg
; 121(4): 458-61, 1986 Apr.
Article
em En
| MEDLINE
| ID: mdl-3954591
ABSTRACT
In an attempt to validate the observations of a previously published ten-year study of surgical wounds, we studied 8,474 wounds over an 18-month period using a protocol nearly identical to that of the previous study. Our study corroborated the following predictors of clean-wound infection increasing duration of surgery, age less than 1 or greater than 50 years, increasing duration of preoperative hospitalization, use of drains, and shaving and emergency surgery. We failed to corroborate use of wound irrigation as a protective measure or time of preoperative shaving as a significant variable. Most importantly, we found a 42% reduction in the clean-wound infection rate during the study period (1.9% to 1.1%), adding support to the concept that a wound surveillance program with surgeon notification is both efficacious and cost-effective.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
/
Vigilância da População
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
1986
Tipo de documento:
Article