[Surgical site infection rates using a laparoscopic approach: results of the German national nosocomial infections surveillance system].
BACKGROUND
Our aim was to assess the impact of laparoscopy on surgical site infections.


METHODS
An analysis was performed using the data of the German national nosocomial infections surveillance system (Krankenhaus-Infektions-Surveillance-Systems, KISS) collected during the period from January 2001 to June 2006. Univariate and multivariate analyses were used to investigate the influence of age, gender, ASA score, duration of surgery, wound contamination class and surgical technique.


CONCLUSIONS
A total of 18,249 appendectomies, 32,912 herniorrhaphies, 42,949 cholecystectomies and 19,523 colon operations were analysed. The overall surgical site infection rate was significantly higher (2.6-fold) for the open approach compared to laparoscopically performed appendectomies. For herniorrhaphies, cholecystectomies and colon operations the corresponding odds ratios were 3.40, 3.22 and 1.20 respectively. Whenever possible a laparoscopic approach should be used.
Brümmer
S
S
Nationales Referenzzentrum (NRZ) für nosokomiale Infektionen, Berlin, Deutschland. sophie.bruemmer@charite.de
Sohr
D
D
Rüden
H
H
Gastmeier
P
P
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001062:Appendectomy / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data; D003108:Colonic Diseases / Q000601:surgery; D003428:Cross Infection / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D046449:Hernia, Abdominal / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D008297:Male; D016017:Odds Ratio; D011159:Population Surveillance; D012307:Risk Factors; D012737:Sex Factors; D013530:Surgical Wound Infection / Q000453:epidemiology*