Risk factors for wound infection after minor surgery in general practice

Heal, Clare, Buettner, Petra, and Browning, Sheldon (2006) Risk factors for wound infection after minor surgery in general practice. Medical Journal of Australia, 185 (5). pp. 255-258.

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Abstract

OBJECTIVE: To determine the incidence of and risk factors for surgical site infections in general practice. DESIGN: Prospective, observational study of patients presenting for minor excisions. SETTING: Primary care in a regional centre, Queensland, October 2004 to May 2005. PARTICIPANTS: 857 patients were assessed for infection. RESULTS: 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. CONCLUSION: 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.

Item ID: 3696
Item Type: Article (Research - C1)
ISSN: 1326-5377
Keywords: wound infection; risk factor; minor surgery; general practice
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Reproduced with permission from the Medical Journal of Australia. Heal, Clare, Buettner, Petra, and Browning, Sheldon (2006) Risk factors for wound infection after minor surgery in general practice. Medical Journal of Australia, 185 (5). pp. 255-258. ISSN 1326-5377.

Date Deposited: 27 Oct 2009 22:57
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111716 Preventive Medicine @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 51%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine @ 49%
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