The association of surgical drains with surgical site infections – A prospective observational study
Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI). This prospective observational double center study was performed in Switzerland between February 2013 and August 2015. The odds of SSI in...
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| Veröffentlicht in: | The American journal of surgery 2019-01, Vol.217 (1), p.17-23 |
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| creator | Mujagic, Edin Zeindler, Jasmin Coslovsky, Michael Hoffmann, Henry Soysal, Savas D. Mechera, Robert von Strauss, Marco Delko, Tarik Saxer, Franziska Glaab, Richard Kraus, Rebecca Mueller, Alexandra Curti, Gaudenz Gurke, Lorenz Jakob, Marcel Marti, Walter R. Weber, Walter P. |
| description | Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI).
This prospective observational double center study was performed in Switzerland between February 2013 and August 2015.
The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32–4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15–1.35, p |
| doi_str_mv | 10.1016/j.amjsurg.2018.06.015 |
| format | Article |
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This prospective observational double center study was performed in Switzerland between February 2013 and August 2015.
The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32–4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15–1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09–2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI.
The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
•The odds of SSI are significantly increased with surgical drains in general surgery.•This association is weaker in vascular and absent in orthopedic trauma surgery.•The association of drains with SSI depended on duration of surgery and wound class.•Duration, number, type and location of drains were associated with SSI risk.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2018.06.015</identifier><identifier>PMID: 29935905</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Body mass index ; Bone surgery ; Drains ; Gastrointestinal surgery ; Hospitals ; Infections ; Infectious diseases ; Joint surgery ; Nosocomial infections ; Observational studies ; Prospective observational study ; Suctioning ; Surgery ; Surgical drains ; Surgical site infection ; Surgical site infections ; Thyroid gland ; Trauma ; Vascular surgery</subject><ispartof>The American journal of surgery, 2019-01, Vol.217 (1), p.17-23</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-3b550b847d640e7ed6e6a2bfb3c16614ad71c8b2fa9cc52e6c1f7a55983deb583</citedby><cites>FETCH-LOGICAL-c393t-3b550b847d640e7ed6e6a2bfb3c16614ad71c8b2fa9cc52e6c1f7a55983deb583</cites><orcidid>0000-0001-7678-7354 ; 0000-0002-4533-9265 ; 0000-0001-7518-6311 ; 0000-0003-0479-1682 ; 0000-0002-5400-7844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2151165399?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29935905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mujagic, Edin</creatorcontrib><creatorcontrib>Zeindler, Jasmin</creatorcontrib><creatorcontrib>Coslovsky, Michael</creatorcontrib><creatorcontrib>Hoffmann, Henry</creatorcontrib><creatorcontrib>Soysal, Savas D.</creatorcontrib><creatorcontrib>Mechera, Robert</creatorcontrib><creatorcontrib>von Strauss, Marco</creatorcontrib><creatorcontrib>Delko, Tarik</creatorcontrib><creatorcontrib>Saxer, Franziska</creatorcontrib><creatorcontrib>Glaab, Richard</creatorcontrib><creatorcontrib>Kraus, Rebecca</creatorcontrib><creatorcontrib>Mueller, Alexandra</creatorcontrib><creatorcontrib>Curti, Gaudenz</creatorcontrib><creatorcontrib>Gurke, Lorenz</creatorcontrib><creatorcontrib>Jakob, Marcel</creatorcontrib><creatorcontrib>Marti, Walter R.</creatorcontrib><creatorcontrib>Weber, Walter P.</creatorcontrib><title>The association of surgical drains with surgical site infections – A prospective observational study</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI).
This prospective observational double center study was performed in Switzerland between February 2013 and August 2015.
The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32–4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15–1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09–2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI.
The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
•The odds of SSI are significantly increased with surgical drains in general surgery.•This association is weaker in vascular and absent in orthopedic trauma surgery.•The association of drains with SSI depended on duration of surgery and wound class.•Duration, number, type and location of drains were associated with SSI risk.</description><subject>Body mass index</subject><subject>Bone surgery</subject><subject>Drains</subject><subject>Gastrointestinal surgery</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Joint surgery</subject><subject>Nosocomial infections</subject><subject>Observational studies</subject><subject>Prospective observational study</subject><subject>Suctioning</subject><subject>Surgery</subject><subject>Surgical drains</subject><subject>Surgical site infection</subject><subject>Surgical site infections</subject><subject>Thyroid gland</subject><subject>Trauma</subject><subject>Vascular 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association of surgical drains with surgical site infections – A prospective observational study</title><author>Mujagic, Edin ; Zeindler, Jasmin ; Coslovsky, Michael ; Hoffmann, Henry ; Soysal, Savas D. ; Mechera, Robert ; von Strauss, Marco ; Delko, Tarik ; Saxer, Franziska ; Glaab, Richard ; Kraus, Rebecca ; Mueller, Alexandra ; Curti, Gaudenz ; Gurke, Lorenz ; Jakob, Marcel ; Marti, Walter R. ; Weber, Walter P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-3b550b847d640e7ed6e6a2bfb3c16614ad71c8b2fa9cc52e6c1f7a55983deb583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Body mass index</topic><topic>Bone surgery</topic><topic>Drains</topic><topic>Gastrointestinal surgery</topic><topic>Hospitals</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Joint surgery</topic><topic>Nosocomial infections</topic><topic>Observational studies</topic><topic>Prospective observational study</topic><topic>Suctioning</topic><topic>Surgery</topic><topic>Surgical drains</topic><topic>Surgical site infection</topic><topic>Surgical site infections</topic><topic>Thyroid gland</topic><topic>Trauma</topic><topic>Vascular surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mujagic, Edin</creatorcontrib><creatorcontrib>Zeindler, Jasmin</creatorcontrib><creatorcontrib>Coslovsky, Michael</creatorcontrib><creatorcontrib>Hoffmann, Henry</creatorcontrib><creatorcontrib>Soysal, Savas D.</creatorcontrib><creatorcontrib>Mechera, Robert</creatorcontrib><creatorcontrib>von Strauss, Marco</creatorcontrib><creatorcontrib>Delko, Tarik</creatorcontrib><creatorcontrib>Saxer, Franziska</creatorcontrib><creatorcontrib>Glaab, Richard</creatorcontrib><creatorcontrib>Kraus, Rebecca</creatorcontrib><creatorcontrib>Mueller, Alexandra</creatorcontrib><creatorcontrib>Curti, 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Surg</addtitle><date>2019-01</date><risdate>2019</risdate><volume>217</volume><issue>1</issue><spage>17</spage><epage>23</epage><pages>17-23</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI).
This prospective observational double center study was performed in Switzerland between February 2013 and August 2015.
The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32–4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15–1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09–2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI.
The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
•The odds of SSI are significantly increased with surgical drains in general surgery.•This association is weaker in vascular and absent in orthopedic trauma surgery.•The association of drains with SSI depended on duration of surgery and wound class.•Duration, number, type and location of drains were associated with SSI risk.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29935905</pmid><doi>10.1016/j.amjsurg.2018.06.015</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7678-7354</orcidid><orcidid>https://orcid.org/0000-0002-4533-9265</orcidid><orcidid>https://orcid.org/0000-0001-7518-6311</orcidid><orcidid>https://orcid.org/0000-0003-0479-1682</orcidid><orcidid>https://orcid.org/0000-0002-5400-7844</orcidid></addata></record> |
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| subjects | Body mass index Bone surgery Drains Gastrointestinal surgery Hospitals Infections Infectious diseases Joint surgery Nosocomial infections Observational studies Prospective observational study Suctioning Surgery Surgical drains Surgical site infection Surgical site infections Thyroid gland Trauma Vascular surgery |
| title | The association of surgical drains with surgical site infections – A prospective observational study |
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