Surgical site infection incidence and risk factors in thoracic surgical procedures: A 12-year prospective cohort study

  • Vlado S Cvijanovic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Aleksandar S Ristanović Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Nebojsa T Maric Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Natasa V Vesovic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Vanja V Kostovski Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Ljubinko V Djenic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Dejan V Stojkovic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Aleksandar S Nikolic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Dragan M Djordevic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
  • Vesna D Suljagic Clinic for cardiothoracic surgery, Military Medical Academy, Belgrade, Serbia
Keywords: surgical site infection, thoracic surgical procedures, risk factor

Abstract

Introduction: Surgical site infections (SSI) continue to be a major problem for thoracic surgery patients. We aimed to determine incidence rate (IR) and risk factors for SSI in patients with thoracic surgical procedures.

Methodology: During 12 years of hospital surveillance of patients with thoracic surgical procedures, we prospectively identified SSI. Patients with SSI were compared with patients without SSI.

Results: We operated 3,370 patients and 205 (6.1%) developed SSI postoperatively. We detected 190 SSI among open thoracic surgical procedures (IR 7.1%) and 15 SSI after video-assisted thoracic surgery (IR 2.1%). Five independent risk factors for SSI were identified: wound contamination (p = 0.013; relative risk (RR) 2.496; 95%, confidence interval (CI): 1.208-5.156), American Society of Anesthesiologist (ASA) score (p = 0.012; RR: 1.795; 95% CI: 1.136-2.834), duration of drainage (p < 0.001; RR: 1.117; 95% CI: 1.085-1.150), age (p = 0.036; RR: 1.018; 95% CI: 1.001-1.035) and duration of operation (p < 0.001; RR:1.005; 95% CI:1.002-1.008).

Conclusion: The results are valuable in documenting risk factors for SSI in patients undergoing thoracic surgery. The knowledge and prevention of controllable risk factors is necessary in order to reduce the incidence of SSI.

Published
2019-03-31
How to Cite
1.
Cvijanovic V, Ristanović A, Maric N, Vesovic N, Kostovski V, Djenic L, Stojkovic D, Nikolic A, Djordevic D, Suljagic V (2019) Surgical site infection incidence and risk factors in thoracic surgical procedures: A 12-year prospective cohort study. J Infect Dev Ctries 13:212-218. doi: https://doi.org/10.3855/jidc.11240
Section
Original Articles