Risk factors for surgical site infection after kidney and pancreas transplantation

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Yoichiro NatoriColeman Rotstein

Abstract

To evaluate the incidence of surgical site infection (SSI) in a cohort of pancreas transplant recipients and assess predisposing risk factors for SSI DESIGN: Retrospective cohort study SETTING: Single transplant center in CanadaPatientsPatients who underwent any simultaneous pancreas and kidney (SPK) or pancreas after kidney (PAK) transplant procedures between January 2000 and December 2015 METHODS: In this retrospective cohort evaluation of SPK or PAK recipients, we assessed the incidence of SSI and risk factors associated with superficial, deep, and organ/space SSI. Multivariate logistic regression was used to identify independent risk factors for SSI in SPK and PAK recipients. In total, 445 adult transplant recipients were enrolled. The median age of these patients was 51 years (range, 19-71 years), and 64.9% were men. SSIs were documented in 108 patients (24.3%). Organ/space SSIs predominated (59 patients, 54.6%), followed by superficial SSIs (47 patients, 43.5%) and deep SSIs (3 patients, 2.8%). Factors predictive of SSIs in the multivariate analysis were cold pancreas ischemic time (odds ratio [OR], 1.002; P=.019) and SPK transplant (compared to PAK transplant recipients; OR, 2.38; P=.038). Patients with SSIs developed gr...Continue Reading

References

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Citations

Jun 4, 2019·Clinical Transplantation·Saima AslamUNKNOWN AST Infectious Disease Community of Practice
May 12, 2019·Clinical Transplantation·Lilian M AbboUNKNOWN AST ID Community of Practice
Jul 7, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mohammed AlabdullaColeman Rotstein
Dec 22, 2020·BioMed Research International·Guangxiang LiuHongqian Guo
Jun 12, 2021·World Journal of Emergency Surgery : WJES·Federico CoccoliniMassimo Chiarugi

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