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Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals.

Publication ,  Journal Article
Seidelman, JL; Ge, M; Baker, AW; Lewis, S; Advani, SD; Smith, B; Anderson, DJ
Published in: Infect Control Hosp Epidemiol
August 2023

OBJECTIVES: To describe the epidemiology of complex colon surgical procedures (COLO), stratified by present at time of surgery (PATOS) surgical-site infections (SSIs) and non-PATOS SSIs and their impact on the epidemiology of colon-surgery SSIs. DESIGN: Retrospective cohort study. METHODS: SSI data were prospectively collected from patients undergoing colon surgical procedures (COLOs) as defined by the National Healthcare Safety Network (NHSN) at 34 community hospitals in the southeastern United States from January 2015 to June 2019. Logistic regression models identified specific characteristics of complex COLO SSIs, complex non-PATOS COLO SSIs, and complex PATOS COLO SSIs. RESULTS: Over the 4.5-year study period, we identified 720 complex COLO SSIs following 28,188 COLO surgeries (prevalence rate, 2.55 per 100 procedures). Overall, 544 complex COLO SSIs (76%) were complex non-PATOS COLO SSIs (prevalence rate [PR], 1.93 per 100 procedures) and 176 (24%) complex PATOS COLO SSIs (PR, 0.62 per 100 procedures). Age >75 years and operation duration in the >75th percentile were independently associated with non-PATOS SSIs but not PATOS SSIs. Conversely, emergency surgery and hospital volume for COLO procedures were independently associated with PATOS SSIs but not non-PATOS SSIs. The proportion of polymicrobial SSIs was significantly higher for non-PATOS SSIs compared with PATOS SSIs. CONCLUSIONS: Complex PATOS COLO SSIs have distinct features from complex non-PATOS COLO SSIs. Removal of PATOS COLO SSIs from public reporting allows more accurate comparisons among hospitals that perform different case mixes of colon surgeries.

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Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

August 2023

Volume

44

Issue

8

Start / End Page

1255 / 1260

Location

United States

Related Subject Headings

  • Surgical Wound Infection
  • Southeastern United States
  • Risk Factors
  • Retrospective Studies
  • Humans
  • Hospitals, Community
  • Epidemiology
  • Colon
  • Aged
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Seidelman, J. L., Ge, M., Baker, A. W., Lewis, S., Advani, S. D., Smith, B., & Anderson, D. J. (2023). Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals. Infect Control Hosp Epidemiol, 44(8), 1255–1260. https://doi.org/10.1017/ice.2022.236
Seidelman, Jessica L., Maojun Ge, Arthur W. Baker, Sarah Lewis, Sonali D. Advani, Becky Smith, and Deverick J. Anderson. “Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals.Infect Control Hosp Epidemiol 44, no. 8 (August 2023): 1255–60. https://doi.org/10.1017/ice.2022.236.
Seidelman JL, Ge M, Baker AW, Lewis S, Advani SD, Smith B, et al. Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals. Infect Control Hosp Epidemiol. 2023 Aug;44(8):1255–60.
Seidelman, Jessica L., et al. “Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals.Infect Control Hosp Epidemiol, vol. 44, no. 8, Aug. 2023, pp. 1255–60. Pubmed, doi:10.1017/ice.2022.236.
Seidelman JL, Ge M, Baker AW, Lewis S, Advani SD, Smith B, Anderson DJ. Colon surgical-site infections and the impact of "present at the time of surgery (PATOS)" in a large network of community hospitals. Infect Control Hosp Epidemiol. 2023 Aug;44(8):1255–1260.
Journal cover image

Published In

Infect Control Hosp Epidemiol

DOI

EISSN

1559-6834

Publication Date

August 2023

Volume

44

Issue

8

Start / End Page

1255 / 1260

Location

United States

Related Subject Headings

  • Surgical Wound Infection
  • Southeastern United States
  • Risk Factors
  • Retrospective Studies
  • Humans
  • Hospitals, Community
  • Epidemiology
  • Colon
  • Aged
  • 42 Health sciences