Operating room wait time increases infection risk

July 11, 2013
Operating room wait time increases infection risk
The risk of surgical site infections is significantly elevated with lengthier waits in the operating room prior to surgical incision, according to a study published in the July 1 issue of Spine.

(HealthDay)—The risk of surgical site infections (SSIs) is significantly elevated with lengthier waits in the operating room prior to surgical incision, according to a study published in the July 1 issue of Spine.

Kris E. Radcliff , M.D., from Thomas Jefferson University in Philadelphia, and colleagues identified 276 patients who developed SSI out of 7,991 cases that underwent from 2005 to 2009. Risk factors for SSI were identified using multivariate analysis.

The researchers found that the mean anesthesia ready time (ART, calculated as the time after the patient was brought into the prior to ) was significantly higher in patients with infection compared with those without infection (68 versus 60 minutes). In cases with ART more than one hour versus less than one hour, the infection rate was significantly higher (4.9 versus 2.3 percent). In multivariate analysis, ART more than one hour, the number of levels, American Society of Anesthesiologists score, and posterior approach were independent for SSI. August and September had the highest percentage of cases with ART more than one hour.

"All possible steps should be taken prior to entry into the operating theater to reduce in-room time and opening of surgical sterile instrumentation be delayed until the surgery is ready to proceed," the authors write.

Explore further: Surgical site infections in pediatric scoliosis reviewed

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Surgical site infections in pediatric scoliosis reviewed

June 6, 2013

(HealthDay)—Surgical site infections, particularly those caused by gram-negative pathogens, occur more frequently following procedures in patients with non-idiopathic rather than idiopathic scoliosis, according to research ...

More complications for inpatient lumbar discectomy

February 4, 2013

(HealthDay)—Patients undergoing inpatient lumbar discectomy have significantly higher overall complication rates than those treated as outpatients, according to a study published in the Feb. 1 issue of Spine.

Claims data reveals patients at post-op infection risk

July 13, 2012

(HealthDay) -- Claims data can be used to accurately identify rates and risk factors for surgical site infection (SSI) following spinal surgery, according to a study published in the July 1 issue of Spine.

Delayed skin closure may reduce surgical infection

June 30, 2013

(HealthDay)—Delayed primary skin closure may reduce the risk of infection after surgery, but the current studies are not definitive due to poor design, according to the results of a meta-analysis published online June 26 ...

Recommended for you

International study proves old blood is as good as new

October 24, 2016

It's been long thought that when blood transfusions are needed, it may be best to use the freshest blood, but McMaster University researchers have led a large international study proving that it is not so.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.