Risk factors for wound infection after cholecystectomy.

摘要: Background and Purpose: Surgical site infection (SSI) after cholecystectomy is a common problem. The aim of this study was to identify the possible risk factors for development SSI. Methods: 545 consecutive patients who received open (125) or laparoscopic (420) due gallbladder disease during years 1998 2000 were included in study. Potential including clinical features, biochemical data, operative types analysed by univariate multivariate analysis. Results: overall incidence SSI 4.4% (24/545). wound complication rate significantly lower group than (1.4% us 14.4%, respectively). Factors associated with found analysis (p< 0.05) age, gender, acute cholecystitis, white blood cell count, serum albumin, glucose bilirubin level, type surgery', time positive bile culture. Stepwise logistic regression showed that abnormal [odds ratio (OR), 4.7; 95% confidence interval (CI), 1.6 13.5], culture (OR, 3.5; CI, 1.2 10.4), 4.3; 1.3 13.6) most significant predictors Conclusion: Poor control diabetes mellitus before surgery, significandy increased These findings indicate better mellitus, appropriate selection surgical procedure antibiotic regimen management high-risk may reduce postoperative