title: Surgical site infections and cellulitis after abdominal hysterectomy.
abstract: OBJECTIVE
  To identify risk factors for and outcomes of surgical site infections and cellulitis after abdominal hysterectomies.
  
  
  METHODS
  We used logistic regression analysis to analyze data from a case-control study of 1104 patients undergoing abdominal hysterectomies at a university hospital between Jan. 1, 2007 and Dec. 30, 2010.
  
  
  RESULTS
  Factors significantly associated with surgical site infections and with cellulitis were: pulmonary disease, operations done in Main Operating Room East, and seroma. Body mass index >35, no private insurance, and fluid and electrolyte disorders were risk factors for surgical site infections. The mean prophylactic dose of cefazolin was significantly higher for controls than for patients with surgical site infections. Preoperative showers with Hibiclens (Molnlycke Health Care US, LLC, Norcross, GA) and cefazolin prophylaxis were associated with a significantly decreased cellulitis risk. Surgical site infections and cellulitis were significantly associated with readmissions and return visits and surgical site infections were associated with reoperations.
  
  
  CONCLUSIONS
  Preoperative showers, antimicrobial prophylaxis, surgical techniques preventing seromas, and the operating room environment may affect the risk of surgical site infections and cellulitis after abdominal hysterectomies.
authors.affiliation: Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
authors.forename: Mack W
authors.initials: MW
authors.lastname: Savage
authors.forename: Jean M
authors.initials: JM
authors.lastname: Pottinger
authors.forename: Hsiu-Yin
authors.initials: HY
authors.lastname: Chiang
authors.forename: Katherine R
authors.initials: KR
authors.lastname: Yohnke
authors.forename: Noelle C
authors.initials: NC
authors.lastname: Bowdler
authors.forename: Loreen A
authors.initials: LA
authors.lastname: Herwaldt
mesh_terms: D000328:Adult; D000368:Aged; D019072:Antibiotic Prophylaxis; D015992:Body Mass Index; D016022:Case-Control Studies; D002437:Cefazolin / Q000627:therapeutic use; D002481:Cellulitis / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D016015:Logistic Models; D008875:Middle Aged; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000209:etiology* / Q000517:prevention & control
chemical_list: D002437:Cefazolin
keywords: abdominal hysterectomy; cellulitis; surgical site infections