title: [Preoperative preparation, antibiotic prophylaxis and surgical wound infection in breast surgery].
abstract: BACKGROUND
  The impact of surgical wound infection on public health justifies its surveillance and prevention. Our objectives were to estimate the incidence of surgical wound infection in breast procedures and assess its protocol of antibiotic prophylaxis and preoperative preparation.
  
  
  METHODS
  Observational multicentre prospective cohort study of incidence of surgical wound infection. Incidence was evaluated, stratified by National Nosocomial Infection Surveillance (NNIS) risk index and we calculated the standardized incidence ratio (SIR). The SIR was compared with Spanish rates and U.S. rates. The compliance and performance of the antibiotic prophylaxis and preoperative preparation protocol were assessed and their influence in the incidence of infection with the relative risk.
  
  
  RESULTS
  Ten hospitals from the Comunidad de Madrid were included, providing 592 procedures. The cumulative incidence of surgical wound infection was 3.89% (95% CI: 2.3-5.5). The SIR was 1.82 on the Spanish rate and 2.16 on the American. Antibiotic prophylaxis was applied in 97.81% of cases, when indicated. The overall performance of antibiotic prophylaxis was 75%, and 53% for preoperative preparation. No association was found between infection and performance of prophylaxis or preoperative preparation (P>.05).
  
  
  CONCLUSIONS
  Our incidence is within those seen in the literature although it is somewhat higher than the national surveillance programs. The performance of prophylaxis antibiotic must be improved, as well as the recording of preoperative preparation data.
authors: Unidad de Medicina Preventiva, Hospital Universitario de Alcorcón, Departamento de Medicina Preventiva, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain. grodriguez@fhalcorcon.es
authors: Gil
authors: G
authors: Rodríguez-Caravaca
authors: Gonzalo
authors: G
authors: de las Casas-Cámara
authors: María José
authors: MJ
authors: Pita-López
authors: Ana
authors: A
authors: Robustillo-Rodela
authors: Cristina
authors: C
authors: Díaz-Agero
authors: Vicente
authors: V
authors: Monge-Jodrá
authors: José
authors: J
authors: Fereres
mesh_terms: D019072:Antibiotic Prophylaxis; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008408:Mastectomy; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000517:prevention & control*