Risk Factors for Surgical Site Infection after Perforator-Based Transposition Flap Reconstruction for Sacral and Ischial Pressure Ulcer : A Retrospective Study

DOI
  • SAITO Junpei
    Department of Plastic, Reconstructive and Aesthetic Surgery, Saitama Medical University Hospital
  • SATO Tomoya
    Department of Plastic, Reconstructive and Aesthetic Surgery, Saitama Medical University Hospital
  • ICHIOKA Shigeru
    Department of Plastic, Reconstructive and Aesthetic Surgery, Saitama Medical University Hospital

Bibliographic Information

Other Title
  • 穿通枝を含む転位皮弁による殿部褥瘡の二期的再建：手術部位感染発生に関与する危険因子の検討

Abstract

<p> Introduction: Reconstructive surgery for sacral and ischial pressure ulcers carries a high risk of surgical site infection (SSI) owing to contamination from the perineum. In this study, patients underwent a staged reconstruction, which involved flap reconstruction after debridement and wound bed preparation. The aim of this study was to identify risk factors for SSI in patients who underwent perforator-based transposition flap reconstruction for sacral and ischial pressure ulcers.<br> Method: Eighty-three flaps in the study cohort were assessed for patient age and sex, flap size, operative time, bacterial species in the wound, and other potential SSI risk factors.<br> Result: In the group affected by SSI, larger flap size (p = 0.04; odds ratio [OR]: 1.03; 95% confidence interval [CI]: 1.00-1.06) and longer operative time (p = 0.04; OR: 1.02; 95% CI: 1.00-1.03) were significant risk factors. Methicillin-resistant staphylococci (Staphylococcus aureus or coagulase negative staphylococci, p = 0.03) and Bacteroides fragilis group (p = 0.03) detected in the wound were also risk factors.<br> Discussion and Conclusion: Flap size should be considered. The risk of bacterial contamination increases with long surgery time. Thorough debridement and appropriate antibiotic selection are necessary.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390300058783914624
  • DOI
    10.57414/jjpnprs.44.4_149
  • ISSN
    2758271X
    03894703
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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