• Gil Rodríguez-Caravaca, Gonzalo de las Casas-Cámara, María José Pita-López, Ana Robustillo-Rodela, Cristina Díaz-Agero, Vicente Monge-Jodrá, José Fereres, and Grupo de Trabajo INCLIMECC de la Comunidad de Madrid.
• Unidad de Medicina Preventiva, Hospital Universitario de Alcorcón, Departamento de Medicina Preventiva, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain. grodriguez@fhalcorcon.es
• Enferm. Infecc. Microbiol. Clin. 2011 Jun 1; 29 (6): 415-20.

IntroductionThe impact of surgical wound infection on public health justifies its surveillance and prevention. Our objectives were to estimate the incidence of surgical wound infection in breast procedures and assess its protocol of antibiotic prophylaxis and preoperative preparation.MethodsObservational multicentre prospective cohort study of incidence of surgical wound infection. Incidence was evaluated, stratified by National Nosocomial Infection Surveillance (NNIS) risk index and we calculated the standardized incidence ratio (SIR). The SIR was compared with Spanish rates and U.S. rates. The compliance and performance of the antibiotic prophylaxis and preoperative preparation protocol were assessed and their influence in the incidence of infection with the relative risk.ResultsTen hospitals from the Comunidad de Madrid were included, providing 592 procedures. The cumulative incidence of surgical wound infection was 3.89% (95% CI: 2.3-5.5). The SIR was 1.82 on the Spanish rate and 2.16 on the American. Antibiotic prophylaxis was applied in 97.81% of cases, when indicated. The overall performance of antibiotic prophylaxis was 75%, and 53% for preoperative preparation. No association was found between infection and performance of prophylaxis or preoperative preparation (P>.05).ConclusionOur incidence is within those seen in the literature although it is somewhat higher than the national surveillance programs. The performance of prophylaxis antibiotic must be improved, as well as the recording of preoperative preparation data.Copyright © 2010 Elsevier España, S.L. All rights reserved.

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