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The association of surgical drains with surgical site infections - A prospective observational study

Mujagic, Edin and Zeindler, Jasmin and Coslovsky, Michael and Hoffmann, Henry and Soysal, Savas D. and Mechera, Robert and von Strauss, Marco and Delko, Tarik and Saxer, Franziska and Glaab, Richard and Kraus, Rebecca and Mueller, Alexandra and Curti, Gaudenz and Gurke, Lorenz and Jakob, Marcel and Marti, Walter R. and Weber, Walter P.. (2018) The association of surgical drains with surgical site infections - A prospective observational study. American Journal of Surgery. p. 7.

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Abstract

Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI).; This prospective observational double center study was performed in Switzerland between February 2013 and August 2015.; The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32-4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15-1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09-2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI.; The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
Faculties and Departments:03 Faculty of Medicine
03 Faculty of Medicine > Bereich Operative Fächer (Klinik)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik)
UniBasel Contributors:Zeindler, Jasmin
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:0002-9610
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:05 Oct 2018 14:21
Deposited On:05 Oct 2018 14:21

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