[Risk factors for surgical site infections in newborns in a neonatal intensive care unit].
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.
García
Heladia J
HJ
Unidad de Cuidados Intensivos Neonatales, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, IMSS. hely1802@yahoo.com.mx
Rodríguez-Medina
Xóchitl
X
Franco-Gutiérrez
Mario
M
Miranda-Novales
Guadalupe
G
Villegas-Silva
Raúl
R
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*