3/22/2015 www.medscape.com/viewarticle/824547_print http://www.medscape.com/viewarticle/824547_print 1/1 www.medscape.com May 13, 2014 Surgical Site Infections Following Ambulatory Surgery Procedures Owens PL, Barrett ML, Raetzman S, MaggardGibbons M, Steiner CA JAMA. 2014;311:709716 Summary The aim of this report was to analyze surgicalsite infections after ambulatory surgery, based on more than 284,000 patients treated in 8 states. Surgical infection rates were measured at 2 weeks and at 1 month. For all surgicalsite infections, the 2week rate was 3.1 per 1000 operations, and the 1month rate was 4.8 per 1000 procedures. Only laparoscopic hernia repairs had lower infection rates than open surgical procedures. Viewpoint The observed rates of infection are low only about 0.3% after 2 weeks and 0.5% after a month, but because ambulatory surgery is performed so frequently, increasing our efforts to avoid these infections will be important. Many of these infections occur before the first scheduled postoperative visit, and when an infection does occur, most of those patients require hospitalization. It seems logical that scheduling the first postoperative visit sooner would allow for earlier diagnosis and treatment, thus avoiding the need for hospitalization. Abstract Medscape General Surgery © 2014 WebMD, LLC Cite this article: Albert B. Lowenfels. Incidence of SurgicalSite Infections After LowRisk Ambulatory Surgery. Medscape. May 13, 2014. Incidence of SurgicalSite Infections After LowRisk Ambulatory Surgery Albert B. Lowenfels, MD

surgical site infection

Download PDF Report

Upload
rojelle-lezama
View
2
Download
0

Embed Size (px)

DESCRIPTION

incidence in low risk ambulatory cases

Citation preview

3/22/2015 www.medscape.com/viewarticle/824547_print

http://www.medscape.com/viewarticle/824547_print 1/1

www.medscape.com

May13,2014

SurgicalSiteInfectionsFollowingAmbulatorySurgeryProcedures

OwensPL,BarrettML,RaetzmanS,MaggardGibbonsM,SteinerCA

JAMA.2014311:709716

Summary

Theaimofthisreportwastoanalyzesurgicalsiteinfectionsafterambulatorysurgery,basedonmorethan284,000

patientstreatedin8states.Surgicalinfectionratesweremeasuredat2weeksandat1month.Forallsurgicalsite

infections,the2weekratewas3.1per1000operations,andthe1monthratewas4.8per1000procedures.Only

laparoscopicherniarepairshadlowerinfectionratesthanopensurgicalprocedures.

Viewpoint

Theobservedratesofinfectionarelowonlyabout0.3%after2weeksand0.5%afteramonth,butbecause

ambulatorysurgeryisperformedsofrequently,increasingoureffortstoavoidtheseinfectionswillbeimportant.Manyof

theseinfectionsoccurbeforethefirstscheduledpostoperativevisit,andwhenaninfectiondoesoccur,mostofthose

patientsrequirehospitalization.Itseemslogicalthatschedulingthefirstpostoperativevisitsoonerwouldallowforearlier

diagnosisandtreatment,thusavoidingtheneedforhospitalization.

Abstract

MedscapeGeneralSurgery2014WebMD,LLC

Citethisarticle:AlbertB.Lowenfels.IncidenceofSurgicalSiteInfectionsAfterLowRiskAmbulatory

Surgery.Medscape.May13,2014.

IncidenceofSurgicalSiteInfectionsAfterLowRiskAmbulatorySurgeryAlbertB.Lowenfels,MD