Article

Risk factors for wound infection after minor surgery in general practice.

James Cook University, Mackay, QLD, Australia.
The Medical journal of Australia (Impact Factor: 3.79). 09/2006; 185(5):255-8.
Source: PubMed

ABSTRACT To determine the incidence of and risk factors for surgical site infections in general practice.
Prospective, observational study of patients presenting for minor excisions.
Primary care in a regional centre, Queensland, October 2004 to May 2005.
857 patients were assessed for infection.
The overall incidence of infection was 8.6% (95% CI, 3.5%-13.8%). Excisions from lower legs and feet (P = 0.009) or thighs (P = 0.005), excisions of basal cell carcinoma (P = 0.006) or squamous cell carcinoma (P = 0.002), and diabetes (P < 0.001) were independent risk factors for wound infection.
Our results indicate the high-risk groups for surgery in a general practice setting, such as people with diabetes and those undergoing excision of a non-melanocytic skin cancer or excision from a lower limb. Recognition of these groups could encourage more judicial use of prophylactic antibiotics and use of other interventions aimed at reducing infection rates.

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    • "The risk of developing new nonmelanoma skin cancer is reported to be 35% at 3 years and 50% at 5 years after an initial skin cancer diagnosis [12]. A study among adults in the United States reports a strong association between excessive alcohol drinking and higher incidence of sunburn, suggesting a linkage between alcohol consumption and skin cancer [13] "
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    • "A recent study carried out on 857 skin surgery procedures found a postoperative infection rate of 8.6%, with a higher infection rate in patients with diabetes, with diagnosis of skin cancer, and in lesions located in thighs, legs, or feet. The study found that the highest percentage of infections was in legs and feet, reaching some 15% of the total [10]. However, most guides of clinical practice in dermatology advise against antibiotic prophylaxis in the absence of infection (clean surgery or clean contaminated skin), regardless of cardiac history. "
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