Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil

Introduction: Surgical site infection (SSI) following hydrocelectomy is relatively uncommon, but it is one of the main post-operative problems. We aimed to describe the prevalence of SSI following hydrocelectomy among adult patients, and to assess predisposing risk factors for inf...

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Principais autores:	Medeiros, Paulo José de, Costa, Thiago Silva da, Salles, Mauro José Costa
Formato:	article
Idioma:	English
Publicado em:	The Journal Of Infection In Developing Countries
Assuntos:	hydrocelectomy risk factors smoking surgical site infection urological surgery
Endereço do item:	https://repositorio.ufrn.br/handle/123456789/54301 https://doi.org/10.3855/jidc.9450
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spelling	ri-123456789-543012023-07-31T17:09:02Z Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil Medeiros, Paulo José de Costa, Thiago Silva da Salles, Mauro José Costa hydrocelectomy risk factors smoking surgical site infection urological surgery Introduction: Surgical site infection (SSI) following hydrocelectomy is relatively uncommon, but it is one of the main post-operative problems. We aimed to describe the prevalence of SSI following hydrocelectomy among adult patients, and to assess predisposing risk factors for infection. Methodology: This retrospective cohort study was carried out at a university hospital and included hydrocelectomies performed between January 2007 and December 2014. Diagnosis of SSI was performed according to the Center for Diseases Control (CDC) guidelines. Multivariable logistic regression analysis was used to identify independent risk factors. Results: A total of 196 patients were included in the analysis. Overall, 30 patients were diagnosed with SSI (15.3%) and of these, 63.3% (19/30) were classified as having superficial SSI, while 36.7% (11/30) had deep SSI. The main signs and symptoms of infection were the presence of surgical wound secretion (70%) and inflammatory superficial signs such as hyperemia, edema and pain (60%). Among the 53 patients presenting chronic smoking habits, 26.4% (14⁄53) developed SSI, which was associated with a higher risk for SSI (odds ratio [OR] = 2.84, 95% confidence interval [CI] = 1.27 to 6.35, p < 0.01) in the univariate analysis. In the adjusted multivariable analysis, smoking habits were also statistically associated with SSI after hydrocelectomy (odds ratio [OR] = 2.84, 95% confidence interval [CI] = 1.30 to 6.24, p = 0.01). No pre-, intra-, or post-operative variable analyzed showed an independent association to SSI following hydrocelectomy. Conclusions: Smoking was the only independent modifiable risk factorfor SSI in the multivariate analysis. 2023-07-31T17:09:01Z 2023-07-31T17:09:01Z 2018 article MEDEIROS, Paulo José de; COSTA, Thiago Silva da; SALLES, Mauro José Costa. Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in brazil. The Journal Of Infection In Developing Countries, [S.L.], v. 11, n. 12, p. 950-956, 10 jan. 2018. Journal of Infection in Developing Countries. http://dx.doi.org/10.3855/jidc.9450. Disponível em: https://jidc.org/index.php/journal/article/view/31626601. Acesso em: 12 jul. 2023. https://repositorio.ufrn.br/handle/123456789/54301 https://doi.org/10.3855/jidc.9450 en Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ application/pdf The Journal Of Infection In Developing Countries
institution	Repositório Institucional
collection	RI - UFRN
language	English
topic	hydrocelectomy risk factors smoking surgical site infection urological surgery
spellingShingle	hydrocelectomy risk factors smoking surgical site infection urological surgery Medeiros, Paulo José de Costa, Thiago Silva da Salles, Mauro José Costa Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
description	Introduction: Surgical site infection (SSI) following hydrocelectomy is relatively uncommon, but it is one of the main post-operative problems. We aimed to describe the prevalence of SSI following hydrocelectomy among adult patients, and to assess predisposing risk factors for infection. Methodology: This retrospective cohort study was carried out at a university hospital and included hydrocelectomies performed between January 2007 and December 2014. Diagnosis of SSI was performed according to the Center for Diseases Control (CDC) guidelines. Multivariable logistic regression analysis was used to identify independent risk factors. Results: A total of 196 patients were included in the analysis. Overall, 30 patients were diagnosed with SSI (15.3%) and of these, 63.3% (19/30) were classified as having superficial SSI, while 36.7% (11/30) had deep SSI. The main signs and symptoms of infection were the presence of surgical wound secretion (70%) and inflammatory superficial signs such as hyperemia, edema and pain (60%). Among the 53 patients presenting chronic smoking habits, 26.4% (14⁄53) developed SSI, which was associated with a higher risk for SSI (odds ratio [OR] = 2.84, 95% confidence interval [CI] = 1.27 to 6.35, p < 0.01) in the univariate analysis. In the adjusted multivariable analysis, smoking habits were also statistically associated with SSI after hydrocelectomy (odds ratio [OR] = 2.84, 95% confidence interval [CI] = 1.30 to 6.24, p = 0.01). No pre-, intra-, or post-operative variable analyzed showed an independent association to SSI following hydrocelectomy. Conclusions: Smoking was the only independent modifiable risk factorfor SSI in the multivariate analysis.
format	article
author	Medeiros, Paulo José de Costa, Thiago Silva da Salles, Mauro José Costa
author_facet	Medeiros, Paulo José de Costa, Thiago Silva da Salles, Mauro José Costa
author_sort	Medeiros, Paulo José de
title	Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
title_short	Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
title_full	Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
title_fullStr	Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
title_full_unstemmed	Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil
title_sort	smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in brazil
publisher	The Journal Of Infection In Developing Countries
publishDate	2023
url	https://repositorio.ufrn.br/handle/123456789/54301 https://doi.org/10.3855/jidc.9450
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Smoking increases the risk of surgical site infection after hydrocelectomy in adults: a retrospective cohort study in Brazil

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