Surgical site infection after renal transplantation.

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Anthony D HarrisKerri A Thom

Abstract

To identify factors associated with the development of surgical site infection (SSI) among adult patients undergoing renal transplantation A retrospective cohort study. An urban tertiary care center in Baltimore, Maryland, with a well-established renal transplantation program that performs ~200-250 renal transplant procedures annually. At total of 441 adult patients underwent renal transplantation between January 1, 2010, and December 31, 2011. Of these 441 patients, 66 (15%) developed an SSI; of these 66, 31 (47%) were superficial incisional infections and 35 (53%) were deep-incisional or organ-space infections. The average body mass index (BMI) among this patient cohort was 29.7; 84 (42%) were obese (BMI >30). Patients who developed an SSI had a greater mean BMI (31.7 vs 29.4; P=.004) and were more likely to have a history of peripheral vascular disease, rheumatologic disease, and narcotic abuse. History of cerebral vascular disease was protective. Multivariate analysis showed BMI (odds ratio [OR] 1.06; 95% confidence interval [CI], 1.02-1.11) and past history of narcotic use/abuse (OR, 4.86; 95% CI, 1.24-19.12) to be significantly associated with development of SSI after controlling for National Healthcare Surveillance Netwo...Continue Reading

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Citations

Feb 3, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Anthony D HarrisJ Kristie Johnson
Jul 16, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sarah S JacksonAnthony D Harris
Jan 7, 2017·World Journal of Transplantation·Badri Man Shrestha
Feb 6, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Anthony D HarrisKerri A Thom
Jul 10, 2019·Transplant Infectious Disease : an Official Journal of the Transplantation Society·Margaret R JorgensonRobert R Redfield
Aug 23, 2019·Journal of General Internal Medicine·N BlancoA D Harris
Jan 7, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·N Le BerreC Pulcini
Oct 31, 2019·Case Reports in Transplantation·Susanna LamDeborah Jean Verran
Dec 18, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Stephanie M CabralAnthony D Harris
Mar 9, 2021·Proceedings·Richard RuizKari Wicklund
Jun 6, 2020·Transplantation Proceedings·Marie FellmannFrançois Kleinclauss
Jun 4, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Seung Duk LeeJosé Oberholzer
Oct 12, 2021·Clinical Transplantation·Rossella GiocoMassimiliano Veroux

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