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Pregled bibliografske jedinice broj: 1160318

Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study


(GlobalSurg Collaborative) GlobalSurg Collaborative
Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study // BMJ global health, 5 (2020), 12; 33272940, 14 doi:10.1136/bmjgh-2020-003429 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1160318 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study

Autori
GlobalSurg Collaborative

Kolaboracija
GlobalSurg Collaborative

Izvornik
BMJ global health (2059-7908) 5 (2020), 12; 33272940, 14

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
gastro-enterologic surgery ; paediatrics

Sažetak
Introduction: Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods: A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results: Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion: The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita



POVEZANOST RADA


Ustanove:
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Profili:

Avatar Url Jakov Mihanović (autor)

Citiraj ovu publikaciju:

(GlobalSurg Collaborative) GlobalSurg Collaborative
Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study // BMJ global health, 5 (2020), 12; 33272940, 14 doi:10.1136/bmjgh-2020-003429 (međunarodna recenzija, članak, znanstveni)
(GlobalSurg Collaborative) (GlobalSurg Collaborative) GlobalSurg Collaborative (2020) Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study. BMJ global health, 5 (12), 33272940, 14 doi:10.1136/bmjgh-2020-003429.
@article{article, year = {2020}, pages = {14}, DOI = {10.1136/bmjgh-2020-003429}, chapter = {33272940}, keywords = {gastro-enterologic surgery, paediatrics}, journal = {BMJ global health}, doi = {10.1136/bmjgh-2020-003429}, volume = {5}, number = {12}, issn = {2059-7908}, title = {Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study}, keyword = {gastro-enterologic surgery, paediatrics}, chapternumber = {33272940} }
@article{article, year = {2020}, pages = {14}, DOI = {10.1136/bmjgh-2020-003429}, chapter = {33272940}, keywords = {gastro-enterologic surgery, paediatrics}, journal = {BMJ global health}, doi = {10.1136/bmjgh-2020-003429}, volume = {5}, number = {12}, issn = {2059-7908}, title = {Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study}, keyword = {gastro-enterologic surgery, paediatrics}, chapternumber = {33272940} }

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