Risk factors for surgical-site infections in head and neck cancer surgery.

Risk factors for surgical-site infections in head and neck cancer surgery. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Risk factors for surgical-site infections in head and neck cancer surgery. Abstract Text:

Carlos Jorge Lotfi, Cavalcanti,Adriana Maria Costa E Silva, Dias de Oliveira Latorre,Karina , Carvalho,Luiz Paulo Kowalski,Carlos Jorge Lotfi, Cavalcanti,Adriana Maria Costa e Silva, Latorre, Ribeiro, Carvalho,Luiz Paulo Kowalski,

OBJECTIVE: The aim of this study was to identify risk factors for surgical-site infections (SSIs) in patients with head and neck cancer submitted to major clean-contaminated surgery. STUDY DESIGN: This is a prospective study conducted in a tertiary cancer center hospital. SUBJECTS AND METHODS: This study includes 258 patients submitted to a major clean-contaminated head and neck oncologic surgery. RESULTS: The overall SSI rate was 38.8%. The univariate analysis showed the following significant risk factors: race, tobacco consumption, clinical stage, comorbidities, time duration of the surgical procedure, and flap reconstruction. The final model by logistic regression identified the following independent predictors for SSI: tobacco consumption (odds ratio [OR] = 2.96), presence of metastatic lymph nodes (OR = 2.05), flap reconstruction (OR = 2.20), and antimicrobial prophylaxis exceeding 48 hours (OR=1.89). CONCLUSION: The high-risk patients for SSI in head and neck oncologic surgery were those with cancer at advanced stages, those who were smokers, those presenting comorbidities, those who needed major reconstruction of the surgical wound, or those who were submitted to inadequate antibiotic prophylaxis.

Risk factors for surgical-site infections in head and neck cancer surgery. Publishing Authors By Initials

CJ Lotfi,Rde Cavalcanti,AM Silva,Mdo Dias de Oliveira Latorre,K ,AL Carvalho,LP Kowalski,CJ Lotfi,Rde Cavalcanti,AM Costa e Silva,Mdo Latorre,Kde Ribeiro,AL Carvalho,LP Kowalski,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Risk factors for surgical-site infections in head and neck cancer surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Otolaryngology--head and neck surgery : official j

VOLUME: 138

Page Numbers: 74-80

Journal Abbreviation:

ISSN: 0194-5998

DAY: 31

MONTH: Jan

YEAR: 2008

Risk factors for surgical-site infections in head and neck cancer surgery. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8508176

Risk factors for surgical-site infections in head and neck cancer surgery. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Risk factors for surgical-site infections in head and neck cancer surgery. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Risk factors for surgical-site infections in head and neck cancer surgery.

AFFILIATION: Infectious Diseases Service, Hospital do Câncer A.C.Camargo, São Paulo, Brazil.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Otolaryngol Head Neck Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Risk factors for surgical-site infections in head and neck cancer surgery Related Publications

• 0.8 /spl mu/m CMOS implementation of weighted-order statistic image filter based on cellular neural network architecture.
• A neural-network approach to nonparametric and robust classification procedures.
• Budd-Chiari syndrome from an advanced practice nurse perspective.
• Difficult questions in difficult situations.
• E-cadherin abnormalities resulting from CPG methylation promoter in metastatic and nonmetastatic oral cancer.
• Electroform replication used for multiple x-ray mirror production.
• Endoscopic stenting of esophageal cancer: the clinical impact.
• Guidelines for asking questions.
• High-performance thin-layer chromatography method for quantitative determination of oenothein B and quercetin glucuronide in aqueous extract of Epilobii angustifolii herba.
• Internal jugular vein preservation in neck dissection for pN1-N2c oral and oropharyngeal carcinoma.
• Is galectin-3 a good method for the detection of malignancy in patients with thyroid nodules and a cytologic diagnosis of "follicular neoplasm"? A critical appraisal of the evidence.
• Juvenile intraoral mucoepidermoid carcinoma.
• MEDICINE IN THE OUT OF DOORS: PROTECTION FROM MISERIES OF COLD AIR AND WIND.
• Patentability issues surrounding antivirals.
• Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution.
• Portal vein thrombosis after laparoscopic gastric bypass.
• Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery.
• Preservation of the internal jugular vein in the radical treatment of node-positive neck-is it safe?
• Prevalence of allergy, patterns of allergic sensitization and allergy risk factors in rural and urban children.
• Risk factors for surgical-site infections in head and neck cancer surgery.
• Sauces and dressings: a review of properties and applications.
• Surgical treatment of paragangliomas of the carotid bifurcation: Results of 36 patients.
• Systemic responses after bronchial aspirin challenge in sensitive patients with asthma.
• TWO ZOONOSES.
• The efficiency assessment of rehabilitation with DBC method in low back pain patients.
• The pilloried medical profession.
• Unusual side effects during disodium cromoglycate (intal) therapy in a case of bronchial asthma (case report).
• Vocal fold immobility after thyroidectomy with intraoperative recurrent laryngeal nerve monitoring.
• [A case of tuberculosis of the middle ear in a 4-year-old child]
• [Value of abdominal compression in the X-ray diagnosis of the esophagus (author's transl)]