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The Association Between Operating Room Personnel and Turnover With Surgical Site Infection in More Than 12 000 Neurosurgical Cases by Connor Wathen; Varun R. Kshettry; Ajit Krishnaney; Steven M. Gordon; Thomas Fraser; Edward C. Benzel; Michael T. Modic; Sam Butler; Andre G. Machado is a Medicine article available to read on EtoBox.

What is The Association Between Operating Room Personnel and Turnover With Surgical Site Infection in More Than 12 000 Neurosurgical Cases about?

## Background: Surgical site infection (ssi) contributes significantly to postoperative morbidity and mortality and greatly increases the cost of care. ## Objective: To identify the impact of workflow and personnel-related risk factors contributing to the incidence of ssis in a large sample of neurological surgeries. ## Methods: Data were obtained using an enterprisewide electronic health record system, operating room, and anesthesia records for neurological procedures conducted between january 1, 2009, and november 30, 2012. ssi data were obtained from prospective surveillance by infection preventionists using centers for disease control and prevention definitions. a multivariate model was constructed and refined using backward elimination logistic regression methods. ## Results: The analysis included 12 528 procedures. most cases were elective (94.5%), and the average procedure length was 4.8 hours. the average number of people present in the operating room at any time during the procedure was 10.0. the overall infection rate was 2.3%. patient body mass index (odds ratio, 1.03; 95% confidence interval [ci], 1.01-1.04) and sex (odds ratio, 1.36; 95% ci, 1.07-1.72) as well as proce

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Author

Connor Wathen; Varun R. Kshettry; Ajit Krishnaney; Steven M. Gordon; Thomas Fraser; Edward C. Benzel; Michael T. Modic; Sam Butler; Andre G. Machado

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2016

Language

EN

Field

Medicine (Health Sciences)