Risk factors for wound infection after minor surgery in general practice
Risk factors for wound infection after minor surgery in general practice
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DOI：
10.5694/j.1326-5377.2006.tb00555.x
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发表时间：
2006-09-04
影响因子：
11.4
通讯作者：
Browning, Sheldon
中科院分区：
文献类型：
--
作者：
Heal, Clare;Buettner, Petra;Browning, Sheldon
Objective: To determine the incidence of and risk factors for surgical site infections in general practice.Design: Prospective, observational study of patients presenting for minor excisions.Setting: Primary care in a regional centre, Queensland, October 2004 to May 2005.Participants: 857 patients were assessed for infection.Results: The overall incidence of infection was 8.6% (95% Cl, 3.5%-13.8%). Excisions from lower legs and feet (P = 0.009) or thighs (P = 0.005), excisions of basal cell carcinoma (P = 0.006) or squamous cell carcinoma (P = 0.002), and diabetes (P < 0.001) were independent risk factors for wound infection.Conclusion: Our results indicate the high-risk groups for surgery in a general practice setting, such as people with diabetes and those undergoing excision of a non-melanocytic skin cancer or excision from a lower limb. Recognition of these groups could encourage more judicial use of prophylactic antibiotics and use of other interventions aimed at reducing infection rates.
