A single-centre retrospective study of surgical site infection following equine colic surgery (2013‒2021).

IF 1.8 3区农林科学 Q2 VETERINARY SCIENCES

Veterinary Record Pub Date : 2025-03-23 DOI:10.1002/vetr.5227

Theunis Steyn Griessel, Juan Alberto Muñoz Morán, Charles Byaruhanga, Yolandi Smit

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引用次数: 0

Abstract

Background: Surgical site infection (SSI) is a significant cause of postoperative morbidity following equine laparotomy. Therefore, if risk factors for SSI can be identified, morbidity may consequently be reduced. The objectives of this study were to determine the prevalence of SSI in horses undergoing exploratory laparotomy at a single hospital over an 8-year period (2013‒2021), investigate the risk factors associated with SSI and report on the bacterial isolates identified.

Methods: The medical records of horses that had an exploratory laparotomy performed at the teaching hospital due to colic were retrospectively reviewed. SSI was defined as any purulent or serous discharge from the laparotomy incision for more than 24 hours duration during hospitalisation. Pre-, intra- and postoperative risk factors for SSI were identified using multivariable logistic regression analysis.

Results: A total of 143 horses met the criteria for inclusion in the study, of which 38 developed an SSI (26.6%, 95% confidence interval: 19.5-34.6%). Multivariable analysis revealed that the application of a postoperative abdominal bandage was significantly associated with a decreased likelihood of SSI (odds ratio = 0.29, p = 0.026).

Limitations: As this was a retrospective study performed at a single hospital, the findings may have limited generalisability.

Conclusions: The application of a postoperative abdominal bandage is protective against SSI in horses following exploratory laparotomy for colic.

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马结肠手术后手术部位感染的单中心回顾性研究（2013-2021）。

背景：手术部位感染（SSI）是马剖腹手术后并发症的重要原因。因此，如果能够确定SSI的危险因素，发病率可能会因此降低。本研究的目的是确定8年期间（2013-2021年）在一家医院进行剖腹探查术的马中SSI的患病率，调查与SSI相关的危险因素，并报告所鉴定的细菌分离株。方法：回顾性分析在教学医院因绞痛行剖腹探查术的马匹的病历。SSI定义为住院期间任何剖腹切口脓性或浆液性分泌物超过24小时。使用多变量logistic回归分析确定SSI的术前、术中和术后危险因素。结果：共有143匹马符合纳入研究标准，其中38匹发生SSI（26.6%， 95%可信区间：19.5-34.6%）。多变量分析显示，术后腹部绷带的应用与SSI的可能性降低显著相关（优势比= 0.29,p = 0.026）。局限性：由于这是一项在一家医院进行的回顾性研究，研究结果可能具有有限的普遍性。结论：应用术后腹部绷带可防止马腹绞痛探查剖腹手术后发生SSI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Record 农林科学-兽医学

CiteScore

2.10

自引率

9.10%

发文量

1181

审稿时长

6-12 weeks

期刊介绍： Veterinary Record (branded as Vet Record) is the official journal of the British Veterinary Association (BVA) and has been published weekly since 1888. It contains news, opinion, letters, scientific reviews and original research papers and communications on a wide range of veterinary topics, along with disease surveillance reports, obituaries, careers information, business and innovation news and summaries of research papers in other journals. It is published on behalf of the BVA by BMJ Group.