Naslov
Multivariate analysis of risk factors for postoperative wound infection following oral and oropharyngeal cancer surgery

Autori
Belušić-Gobić, Margita ; Zubović, Arijan ; Cerović, Robert ; Dekanić, Andrea ; Maržić, Diana ; Zamolo, Gordana

Izvornik
Journal of cranio-maxillo-facial surgery (1010-5182) 46 (2017), 1; 135-141

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

Ključne riječi
risk factors ; wound infection ; oral cancer ; oropharyngeal cancer ; surgery ; neck dissection

Sažetak
Purpose: The goal of this study is to identify risk factors for wound infections in patients with oral cancer who underwent surgical procedure. Methods: This study included 195 patients who underwent surgical treatment of oral and oropharyngeal cancer over the seven-year period. Wound infection was defined as the presence of a purulent drainage from the wound with local symptoms of infection (pain, redness, swelling). For every patient who was suspected to have a wound infection, a swab from the wound was taken and microbiological analysis was performed. The patients were divided into two groups: 1) Patients who don't have postoperative wound infection ; 2) Patients who have postoperative wound infection. Results: The overall rate of wound infection was present in 155 patients (59%). Univariate analysis indicated that the following factors were significantly related to the occurance of wound infection: gender, smoking, tumor localization, size and stage of the tumor, type of surgery, neck dissection, type of reconstruction, nasogastric sonde, gastrostomy and tracheotomy. In multivariate analysis statistically significant predictors of wound infection are: gender, tumor localization and type of reconstruction. Conslusions: Occurance of wound infection is high despite the antibiotic prophylaxis. In order to minimize the risk of wound infection and with prompt recognition of risk factors, surgeons menaging the oral tumor patients should have a better understanding of the risk factors such as gender, tumor localization and type of reconstruction.

Izvorni jezik
Engleski

POVEZANOST RADA