title: [Risk factors for surgical site infections in newborns in a neonatal intensive care unit].
abstract: OBJECTIVE
  To identify risk factors associated to surgical site infection (SSI) in newborns.
  
  
  METHODS
  Case-control study. Site. Neonatal intensive care unit (NICU), Hospital de Pediatría, Centro Medico Nacional SXXI, IMSS.
  
  
  METHODS
  279 patients were included (125 cases and 154 controls).
  
  
  METHODS
  Gestational age, birth weight, previous infection, hospital stay, type of surgery, surgical drains, length of surgical procedure, bleeding during surgery, surgical site classification, serum albumin, classification of infection and surgeon performing the procedure.
  
  
  RESULTS
  Five independent factors associated to SSI were identified: surgical reinterventions (OR = 13.6, CI 95% = 4.3-42.7); length of surgery > 60 minutes (OR = 3.0, CI 95% = 1.4-6.3); preoperative stay > 5 days (OR = 2.8, CI 95% = 1.3-5.6); consultant surgeon (OR = 2.7, CI 95% = 1.3-5.3), and previous systemic infection (OR = 2.1, CI 95% = 1.1-4.3). Lethality was 8.2% (n = 23), 74% in the group of cases (n = 17).
  
  
  CONCLUSIONS
  Factors associated to SSI are mainly related to the characteristics of surgery and those of the patient. Lethality was low, but most of deaths were in the group of cases.
authors.affiliation: Unidad de Cuidados Intensivos Neonatales, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, IMSS. hely1802@yahoo.com.mx
authors.forename: Heladia J
authors.initials: HJ
authors.lastname: García
authors.forename: Xóchitl
authors.initials: X
authors.lastname: Rodríguez-Medina
authors.forename: Mario
authors.initials: M
authors.lastname: Franco-Gutiérrez
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Miranda-Novales
authors.forename: Raúl
authors.initials: R
authors.lastname: Villegas-Silva
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D016470:Bacteremia / Q000453:epidemiology; D016022:Case-Control Studies; D000013:Congenital Abnormalities / Q000601:surgery; D003428:Cross Infection / Q000453:epidemiology*; D004066:Digestive System Diseases / Q000601:surgery; D004374:Ductus Arteriosus, Patent / Q000601:surgery; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D007431:Intraoperative Complications / Q000453:epidemiology; D007432:Intraoperative Period; D007902:Length of Stay; D008297:Male; D008800:Mexico / Q000453:epidemiology; D015999:Multivariate Analysis; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology*