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Statewide Collaboration to Evaluate the Effects of Blood Loss and Transfusion on Surgical Site Infection after Hysterectomy

Published online by Cambridge University Press:  02 January 2015

Heather Young*
Affiliation:
Division of Infectious Diseases, Denver Health Medical Center, Denver, Colorado
Crystal Berumen
Affiliation:
Colorado Hospital Association, Greenwood Village, Colorado
Bryan Knepper
Affiliation:
Division of Infectious Diseases, Denver Health Medical Center, Denver, Colorado
Amber Miller
Affiliation:
Division of Infectious Diseases, Denver Health Medical Center, Denver, Colorado Infection Control and Prevention, Exempla Lutheran Hospital, Wheat Ridge, Colorado
Morgan Silverman
Affiliation:
Infection Control and Prevention, Exempla Lutheran Hospital, Wheat Ridge, Colorado
Heather Gilmartin
Affiliation:
Infection Control and Prevention, Vail Valley Medical Center, Vail, Colorado
Elizabeth Wodrich
Affiliation:
Infection Control and Prevention, Vail Valley Medical Center, Vail, Colorado
Sandy Alexander
Affiliation:
Infection Control and Prevention, Platte Valley Medical Center, Brighton, Colorado
Connie S. Price
Affiliation:
Division of Infectious Diseases, Denver Health Medical Center, Denver, Colorado
*
777 Bannock Street, MC 4000, Denver, CO 80204 (heather.young@ucdenver.edu)

Abstract

We used mandatory public reporting as an impetus to perform a statewide study to define risk factors for surgical site infection. Among women who underwent abdominal hysterectomy, blood transfusion was a significant risk factor for surgical site infection in patients who experienced blood loss of less than 500 mL.

Infect Control Hosp Epidemiol 2012;33(1):90-93

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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References

1. Centers for Disease Control and Prevention. Healthcare-associated infections (HAIs). http://www.cdc.gov/ncidod/dhqp/healthDis.html. Accessed April 17, 2010.Google Scholar
2. Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309332.CrossRefGoogle ScholarPubMed
3. Young, H, Bliss, R, Carey, JC, Price, CS. Beyond core measures: identifying modifiable risk factors for prevention of surgical site infection after elective total abdominal hysterectomy. Surgical Infections (forthcoming).Google Scholar
4. Olsen, MA, Higham-Kessler, J, Yokoe, DS, et al. Developing a risk stratification model for surgical site infection after abdominal hysterectomy. Infect Control Hosp Epidemiol 2009;30:10771083.Google Scholar
5. Edwards, J, Peterson, K, Mu, Y, et al. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783805.Google Scholar
6. Doganay, M, Yildiz, Y, Tongue, E, et al. Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity. Arch Gynecol Obstet 2011;284(2):385389.Google Scholar
7. Aronson, D, Dann, EJ, Bonstein, L, et al. Impact of red blood cell transfusion on clinical outcomes in patients with acute myocardial infarction. Am J Cardiol 2008;102:115119.Google Scholar
8. Rao, SV, Jollis, JG, Harrington, RA, et al. Relationship of blood transfusion and clinical outcomes in patients with acute coronary syndromes. JAMA 2004;292:15551562.Google Scholar
9. Murphy, GJ, Reeves, BC, Rogers, CA, Rizvi, SI, Culliford, L, Angelini, GD. Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery. Circulation 2007;116:25442552.Google Scholar
10. Walz, JM, Paterson, CA, Seligowski, JM, Heard, SO. Surgical site infection following bowel surgery: a retrospective analysis of 1446 patients. Arch Surg 2006;141:10141018.Google Scholar
11. Tang, R, Chen, HH, Want, YL, et al. Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients. Ann Surg 2001;234:181189.Google Scholar
12. O'Keeffe, SD, Davenport, DL, Minion, DJ, Sorial, EE, Endean, ED, Xenos, ES. Blood transfusion is associated with increased morbidity and mortality after lower extremity revascularization. J Vase Surg 2010;51:616621, 21 el-e3.CrossRefGoogle ScholarPubMed
13. Vamvakas, EC, Blajchman, MA. Transfusion-related immuno-modulation (TRIM): an update. Blood Rev 2007;21:327348.CrossRefGoogle Scholar
14. van de Watering, L. Red cell storage and prognosis. Vox Sang 2011;100:3645.Google Scholar