Infection control practices and infectious complications in dermatological surgery.
The aim of this study was to assess infection control practices and their impact upon infectious complications in skin surgery conducted by private dermatologists. A prospective study was carried out by 73 volunteers belonging to the Surgical Group of the Société Française de Dermatologie over a per...
| Publicado en: | Journal of Hospital Infection Vol. 65; no. 3; pp. 258 - 264 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
Mar2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106104506&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106104506 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01956701 4C3 jtl: Journal of Hospital Infection issn: 01956701 maglogo: N pubinfo: dt: Mar2007 vid: 65 iid: 3 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 106104506 106104506 2009552443 10.1016/j.jhin.2006.09.030 NLM17244515 106104506 ppf: 258 ppct: 6 formats: tig: atl: Infection control practices and infectious complications in dermatological surgery. aug: au: Rogues AM Lasheras A Amici JM Guillot P Beylot C Taïeb A Gachie JP affil: Unité INSERM 657, Université Victor Segalen Bordeaux 2, Bordeaux, France. anne-marie.rogues@chu-bordeaux.fr sug: subj: Dermatology Infection Control Skin Surgery Surgical Wound Infection Epidemiology Adolescence Adult Aged Aged, 80 and Over Chi Square Test Confidence Intervals Data Analysis Software Female Fisher's Exact Test France Gloves Utilization Hospitals Immunosuppressive Agents Adverse Effects Incidence Logistic Regression Male Middle Age Multivariate Analysis Odds Ratio Practitioner's Office Prospective Studies Yates' Continuity Correction Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: The aim of this study was to assess infection control practices and their impact upon infectious complications in skin surgery conducted by private dermatologists. A prospective study was carried out by 73 volunteers belonging to the Surgical Group of the Société Française de Dermatologie over a period of three months. Data were collected for surgical procedures performed during this period, including the excision of all benign or malignant tumours, but excluding sebaceous cysts and pyodermas. A total of 3491 dermatological surgical procedures were included in the survey. Post-operative infections occurred in 67 patients (1.9%), with superficial suppuration accounting for 92.5% of surgical site infections. The incidence was higher in the excision group with a reconstructive procedure (4.3%) than in excisions alone (1.6%). Infection control precautions varied according to the site of procedure; multivariate analysis showed that haemorrhagic complications were an independent factor for infection in both types of surgical procedure. The male gender, immunosuppressive therapy and not wearing sterile gloves were independent factors for infections occurring following excisions with reconstruction. Not all of the procedures needed the use of a hospital theatre. It is clear that for excisions with a reconstructive procedure or for certain anatomical sites, such as the nose, there should be more emphasis upon infection control precautions. Further studies are needed to establish optimal guidelines for this kind of surgery. Copyright © 2007 The Hospital Infection Society pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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