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Risk factors associated with surgical site infection and the development of short-term complications in macaques undergoing indwelling vascular access port placement.
Graham, M L; Rieke, E F; Wijkstrom, M; Dunning, M; Aasheim, T C; Graczyk, M J; Pilon, K J; Hering, B J.
Afiliación
  • Graham ML; Department of Surgery, University of Minnesota, Minneapolis, MN, USA. graha066@umn.edu
J Med Primatol ; 37(4): 202-9, 2008 Aug.
Article en En | MEDLINE | ID: mdl-18331559
BACKGROUND: Risk factors associated with surgical site infection (SSI) and the development of short-term complications in macaques undergoing vascular access port (VAP) placement are evaluated in this study. METHODS: Records from 80 macaques with VAPs were retrospectively reviewed. Logistic regression was used to identify factors associated with short-term post-operative complications. RESULTS: The primary outcome was SSI, which occurred in 21.6% (52.6% in the first 12 months vs. 13% thereafter) of procedures. SSI was associated with major secondary complications including VAP removal (11.4%), wound dehiscence (5.7%), and mechanical catheter occlusion (5.7%). In multivariate modeling, only surgical program progress was a statistically significant predictor of SSI, while animal compliance had a slightly protective effect. CONCLUSIONS: Vascular access ports have a moderate risk of complications, provided the surgical program optimizes best practices. Under complex experimental conditions, VAPs represent an important refinement, both improving animals' overall well-being and environment and reducing stress.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Catéteres de Permanencia / Macaca fascicularis / Macaca mulatta Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: J Med Primatol Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Catéteres de Permanencia / Macaca fascicularis / Macaca mulatta Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Animals Idioma: En Revista: J Med Primatol Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca