Drains and Surgical Site Infections
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About
This prospective observational study examines the associations of presence, duration, type, number and location of surgical drains with the risk of surgical site infections in a contemporary and multicentric cohort of general, orthopedic trauma and vascular surgery procedures.
Full description
Surgical site infections (SSI) represent the most common type of nosocomial infection amongst surgical patients. They cause morbidity and mortality.
Surgical Drains are commonly inserted at the end of many surgical procedures. In contrast to potential benefits, drains are also thought to potentially serve as a conduit of bacteria into the wound and hence may increase the risk of SSI. Patterns of use of drains vary widely across surgical disciplines and individual practices. There are no uniform guidelines and standards are often rather based on tradition than on evidence. The aim of this large prospective study was to examine the association of presence, duration, type, number and location of drains with the risk of SSI in a contemporary and multicentric cohort of general, orthopedic trauma and vascular surgery procedures.
Enrollment
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Inclusion criteria
- Inpatients
- Age 18 years or older
- General, orthopedic trauma and vascular procedures
- Surgical antimicrobial prophylaxis
Exclusion criteria
- outpatient surgery
- Presence of a contraindication for cefuroxime and/or metronidazole
- preexisting antibiotic therapy within 14 days prior to surgery
- cognitive impairment
- combined operations including other than the above specified surgical divisions
- Emergency procedures with planned incision within 2 hours after indicating the procedure.
Trial design
4,584 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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