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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