title: [Surgical wound infections in newborns: analysis of risk factors].
abstract: The incidence of surgical wound infections in neonates is high and it has an associated morbidity which extends hospital stay and gets a worse prognosis. The purpose of this study is to analyze the risk factors associated with the development of surgical wound infection and to identify susceptible patients with modifiable factors.
  
  
  METHODS
  Case-control study of 90 surgical procedures underwent in newborns. We analyze pre-, intra- and postoperative risk factors.
  
  
  RESULTS
  There are statically significant differences in terms of wound infection in dirty and contaminated surgery, reoperation, lavage of abdominal cavity, preoperative hospital stay longer than 8 days and wound closure with reabsorbable material. Furthermore, the surgical site infection is more likely in preterms patients, with a previous positive culture infection and the use of invasive devices as mechanical ventilation or central venous access. We found no relationship between wound infection and surgical time, bleeding during surgery and preoperative skin preparation with antiseptics.
  
  
  CONCLUSIONS
  Reoperative patients, in which dirty and contaminated surgery is performed, absorbable material for skin is used and who have a preoperative hospital stay longer than 8 days, are in risk of developping wound infection and they will require an aggressive antibiotic treatment and special postsurgical care.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Universitario Materno-lnfantil Gregorio Marañón, Madrid. raquelrojodiez@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Rojo
authors.forename: M
authors.initials: M
authors.lastname: Fanjul
authors.forename: M A
authors.initials: MA
authors.lastname: García-Casillas
authors.forename: C
authors.initials: C
authors.lastname: Corona
authors.forename: A R
authors.initials: AR
authors.lastname: Tardáguila
authors.forename: M
authors.initials: M
authors.lastname: Zornoza
authors.forename: I
authors.initials: I
authors.lastname: Simal
authors.forename: A
authors.initials: A
authors.lastname: Cañizo
authors.forename: E
authors.initials: E
authors.lastname: Molina
authors.forename: D
authors.initials: D
authors.lastname: Peláez
authors.forename: J M
authors.initials: JM
authors.lastname: Angulo
authors.forename: R
authors.initials: R
authors.lastname: Romero
authors.forename: S
authors.initials: S
authors.lastname: Rivas
authors.forename: A
authors.initials: A
authors.lastname: Parente
authors.forename: E
authors.initials: E
authors.lastname: de Tomás
authors.forename: J A
authors.initials: JA
authors.lastname: Cerdá
mesh_terms: D016022:Case-Control Studies; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology*