血管手术中胶布与预防腹股沟手术部位感染的关系

IF 1.7 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-09-05 DOI:10.1016/j.jss.2025.08.005

Justin M. Robbins MD , Brian Schutter BS , Charles Cush BS , Dawn Szeltner MS MPH , Haley Ehrlich MD , Timothy Crawford PhD , Michaella Thomas DO , Muhammud Rishi MD , Louisa Pecchioni MD , Jonathan Velasco MD

{"title":"血管手术中胶布与预防腹股沟手术部位感染的关系","authors":"Justin M. Robbins MD , Brian Schutter BS , Charles Cush BS , Dawn Szeltner MS MPH , Haley Ehrlich MD , Timothy Crawford PhD , Michaella Thomas DO , Muhammud Rishi MD , Louisa Pecchioni MD , Jonathan Velasco MD","doi":"10.1016/j.jss.2025.08.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Iodine impregnated adhesive drapes have been shown to reduce incidence of surgical site infection (SSI) in cardiothoracic surgery. A Cochrane review of its use in multiple specialties found significantly more SSIs in the adhesive group <em>versus</em> control. No studies have evaluated their use in vascular surgery and infrainguinal SSIs which this study sought to evaluate.</div></div><div><h3>Methods</h3><div>This was a retrospective study evaluating patients with any infrainguinal vascular surgical procedure from 2013 to 2023. We evaluated demographics, intraoperative variables including use of adhesive drapes and the occurrence of SSI up to 90 d postoperatively. Patients were excluded if they presented with already infected site.</div></div><div><h3>Results</h3><div>A total of 1292 patients with average age of 62.1 ± 8.8 and majority were male. Eighty percent had adhesive drapes used and 18.1% had an SSI with 79.6% being superficial and 20.4% deep. Patients were more likely to have SSI if they had higher body mass index (BMI), were female, or had diabetes. A multivariable logistic regression model examined association of adhesive drapes on SSI. There was no difference in the odds of an SSI for those with adhesive drapes compared to those without (odds ratio = 0.86; 95% confidence interval: 0.57-1.30). On secondary analysis, there was a significant interaction between adhesive drape use and BMI (<em>P</em> = 0.007) with a higher odd of SSI found in patients with higher BMI.</div></div><div><h3>Conclusions</h3><div>This study showed no significant difference in SSI rates with Ioban use but showed that BMI may impact its preventative benefit. Future multicenter prospective randomized trials will be needed to better elucidate its true impact on SSI prevention.</div></div>","PeriodicalId":17030,"journal":{"name":"Journal of Surgical Research","volume":"314 ","pages":"Pages 662-670"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Relationship of Adhesive Drapes on Groin Surgical Site Infection Prevention in Vascular Surgery\",\"authors\":\"Justin M. Robbins MD , Brian Schutter BS , Charles Cush BS , Dawn Szeltner MS MPH , Haley Ehrlich MD , Timothy Crawford PhD , Michaella Thomas DO , Muhammud Rishi MD , Louisa Pecchioni MD , Jonathan Velasco MD\",\"doi\":\"10.1016/j.jss.2025.08.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Iodine impregnated adhesive drapes have been shown to reduce incidence of surgical site infection (SSI) in cardiothoracic surgery. A Cochrane review of its use in multiple specialties found significantly more SSIs in the adhesive group <em>versus</em> control. No studies have evaluated their use in vascular surgery and infrainguinal SSIs which this study sought to evaluate.</div></div><div><h3>Methods</h3><div>This was a retrospective study evaluating patients with any infrainguinal vascular surgical procedure from 2013 to 2023. We evaluated demographics, intraoperative variables including use of adhesive drapes and the occurrence of SSI up to 90 d postoperatively. Patients were excluded if they presented with already infected site.</div></div><div><h3>Results</h3><div>A total of 1292 patients with average age of 62.1 ± 8.8 and majority were male. Eighty percent had adhesive drapes used and 18.1% had an SSI with 79.6% being superficial and 20.4% deep. Patients were more likely to have SSI if they had higher body mass index (BMI), were female, or had diabetes. A multivariable logistic regression model examined association of adhesive drapes on SSI. There was no difference in the odds of an SSI for those with adhesive drapes compared to those without (odds ratio = 0.86; 95% confidence interval: 0.57-1.30). On secondary analysis, there was a significant interaction between adhesive drape use and BMI (<em>P</em> = 0.007) with a higher odd of SSI found in patients with higher BMI.</div></div><div><h3>Conclusions</h3><div>This study showed no significant difference in SSI rates with Ioban use but showed that BMI may impact its preventative benefit. Future multicenter prospective randomized trials will be needed to better elucidate its true impact on SSI prevention.</div></div>\",\"PeriodicalId\":17030,\"journal\":{\"name\":\"Journal of Surgical Research\",\"volume\":\"314 \",\"pages\":\"Pages 662-670\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-09-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0022480425005323\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022480425005323","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

碘浸渍胶布已被证明可以降低心胸外科手术部位感染（SSI）的发生率。Cochrane对其在多个专业的应用进行了回顾，发现黏合剂组的ssi明显高于对照组。没有研究评估它们在血管外科和腹股沟下ssi中的应用，而本研究试图评估这些应用。方法回顾性分析2013 - 2023年接受腹股沟下血管手术的患者。我们评估了人口统计学、术中变量（包括使用胶布）和术后90天SSI的发生情况。如果患者已经出现感染部位，则排除。结果1292例患者，平均年龄62.1±8.8岁，男性居多。80%的患者使用了胶布，18.1%的患者有SSI，其中79.6%为浅表，20.4%为深部。如果患者身体质量指数（BMI）较高，女性或患有糖尿病，则更有可能发生SSI。一个多变量逻辑回归模型检验了胶布与SSI的关系。有黏贴窗帘的患者与没有黏贴窗帘的患者发生SSI的几率没有差异（优势比= 0.86；95%可信区间：0.57-1.30）。在二次分析中，黏贴布的使用与BMI之间存在显著的相互作用（P = 0.007）， BMI越高的患者SSI的奇数越高。结论：本研究显示，使用艾奥班后SSI发生率无显著差异，但BMI可能会影响其预防效果。未来的多中心前瞻性随机试验将需要更好地阐明其对SSI预防的真正影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Relationship of Adhesive Drapes on Groin Surgical Site Infection Prevention in Vascular Surgery

Introduction

Iodine impregnated adhesive drapes have been shown to reduce incidence of surgical site infection (SSI) in cardiothoracic surgery. A Cochrane review of its use in multiple specialties found significantly more SSIs in the adhesive group versus control. No studies have evaluated their use in vascular surgery and infrainguinal SSIs which this study sought to evaluate.

Methods

This was a retrospective study evaluating patients with any infrainguinal vascular surgical procedure from 2013 to 2023. We evaluated demographics, intraoperative variables including use of adhesive drapes and the occurrence of SSI up to 90 d postoperatively. Patients were excluded if they presented with already infected site.

Results

A total of 1292 patients with average age of 62.1 ± 8.8 and majority were male. Eighty percent had adhesive drapes used and 18.1% had an SSI with 79.6% being superficial and 20.4% deep. Patients were more likely to have SSI if they had higher body mass index (BMI), were female, or had diabetes. A multivariable logistic regression model examined association of adhesive drapes on SSI. There was no difference in the odds of an SSI for those with adhesive drapes compared to those without (odds ratio = 0.86; 95% confidence interval: 0.57-1.30). On secondary analysis, there was a significant interaction between adhesive drape use and BMI (P = 0.007) with a higher odd of SSI found in patients with higher BMI.

Conclusions

This study showed no significant difference in SSI rates with Ioban use but showed that BMI may impact its preventative benefit. Future multicenter prospective randomized trials will be needed to better elucidate its true impact on SSI prevention.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.