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Incidence of surgical site infection surveillance in hysterectomies and related risk factors: a prospective cohort study.

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Title: Incidence of surgical site infection surveillance in hysterectomies and related risk factors: a prospective cohort study.
Alternate Title: Incidencia de la vigilancia de la infección del sitio quirúrgico en histerectomías y factores de riesgo asociados: un estudio de cohorte prospectivo.
Authors: Rodríguez-Villar, Diego1, Cárdenas-Soriano, Maria Pilar2,3, Climent-Martínez, Nieves4, Pedraza-Flechas, Ana María2,3, Rodríguez-Villar, Sergio1,5, Zamorano-Méndez, Patricia1, Villar-del-Campo, María Concepción6, SanRomán-Montero, Jesús María3, Durán-Poveda, Manuel3,7, Rodríguez-Caravaca, Gil2,3 gil.rodriguez@salud.madrid.org
Source: Revista Española de Quimioterapia. abr2026, Vol. 39 Issue 2, p135-142. 8p.
Subjects: SURGICAL site infections, HYSTERECTOMY, DIABETES, CROSS infection, COHORT analysis, TUMORS, DISEASE risk factors
Abstract (English): Background: Healthcare-associated infections (HAIs) represent the most common adverse event among hospitalized patients. The aim of this study was to assess Surgical Site Infection (SSI) incidence in hysterectomies, and the related risk factors. Materials and methods: A prospective cohort study on patients undergoing abdominal or vaginal hysterectomy was carried out. We assessed the incidence of SSIs according to CDC/NHSN criteria. Patients’ demographic and clinical characteristics were described. Univariate and multivariate analyses were conducted to find independently associated risk factors for SSI. The association between risk factors and SSI incidence was assessed by reference to the adjusted odds ratio (OR). Results: The study covered a total of 1,154 women who underwent abdominal (47.7%) or vaginal (52.3%) hysterectomy. Patients’ overall mean age was 54.7 years (SD=13.2). Overall SSI incidence at the end of follow-up was 2.5% (n=29), 1.9% in abdominal hysterectomies and 3.4% in vaginal hysterectomies (p>0.05). We found diabetes mellitus (OR: 2.9, 95% CI: 1.1-8.0, p=0.04) and cancer (OR: 3.7, 95% CI: 1.4-9.6, p=0.007) independently associated with SSI incidence. Conclusions: Vaginal hysterectomies accounted for 52.3%. Global incidence of SSI reached 2.5% and was in the lowest rank of the published evidence. Diabetes mellitus and cancer were risk factors related to SSIs. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Las infecciones relacionadas con la asistencia sanitaria son el efecto adverso más frecuente en pacientes hospitalizados. El objetivo del estudio fue evaluar la incidencia de infección de sitio quirúrgico (ISQ) en histerectomías y los factores de riesgo relacionados. Materiales y métodos: Se llevó a cabo un estudio de cohortes prospectivo en pacientes intervenidos de histerectomía abdominal o vaginal. Evaluamos la incidencia de ISQ según los criterios de los CDC. Se describieron las características clínicas y demográficas. Se hizo un análisis univariante y multivariante para evaluar factores de riesgo de infección independientes. La asociación entre los factores de riesgo y la incidencia de infección se evaluó con la odds ratio (OR) ajustada. Resultados: Se incluyeron un total de 1.154 mujeres intervenidas de histerectomía abdominal (47,7%) o vaginal (52,3%). La edad media fue de 54,7 años (DE=13,2). La incidencia global de ISQ tras el seguimiento fue del 2,5% (n=29), 1,9% en histerectomías abdominales y 3,4% en histerectomías vaginales (p>0,05). La diabetes mellitus (OR: 2,9; IC95%: 1,1-8,0; p=0,04) y el cáncer (OR: 3,7; IC95%: 1,4-9,6; p=0,007) se asociaron de forma independiente con la ISQ. Conclusiones: Las histerectomías vaginales supusieron el 52,2% de las intervenciones. La incidencia de infección quirúrgica fue del 2,5%, en el rango inferior de la evidencia publicada. La diabetes mellitus y el cáncer fueron factores de riesgo relacionados con la ISQ. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Healthcare-associated infections (HAIs) represent the most common adverse event among hospitalized patients. The aim of this study was to assess Surgical Site Infection (SSI) incidence in hysterectomies, and the related risk factors. Materials and methods: A prospective cohort study on patients undergoing abdominal or vaginal hysterectomy was carried out. We assessed the incidence of SSIs according to CDC/NHSN criteria. Patients’ demographic and clinical characteristics were described. Univariate and multivariate analyses were conducted to find independently associated risk factors for SSI. The association between risk factors and SSI incidence was assessed by reference to the adjusted odds ratio (OR). Results: The study covered a total of 1,154 women who underwent abdominal (47.7%) or vaginal (52.3%) hysterectomy. Patients’ overall mean age was 54.7 years (SD=13.2). Overall SSI incidence at the end of follow-up was 2.5% (n=29), 1.9% in abdominal hysterectomies and 3.4% in vaginal hysterectomies (p>0.05). We found diabetes mellitus (OR: 2.9, 95% CI: 1.1-8.0, p=0.04) and cancer (OR: 3.7, 95% CI: 1.4-9.6, p=0.007) independently associated with SSI incidence. Conclusions: Vaginal hysterectomies accounted for 52.3%. Global incidence of SSI reached 2.5% and was in the lowest rank of the published evidence. Diabetes mellitus and cancer were risk factors related to SSIs. [ABSTRACT FROM AUTHOR]
ISSN:02143429
DOI:10.37201/req/152.2025