کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4159490 1273827 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Conflicts in wound classification of neonatal operations
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Conflicts in wound classification of neonatal operations
چکیده انگلیسی

Background/PurposeThis study sought to determine the reliability of wound classification guidelines when applied to neonatal operations.MethodsThis study is a cross-sectional web-based survey of pediatric surgeons. From a random sample of 22 neonatal operations, participants classified each operation as “clean,” “clean-contaminated,” “contaminated,” or “dirty or infected,” and specified duration of perioperative antibiotics as “none,” “single preoperative,” “24 hours,” or “>24 hours.” Unweighted κ score was calculated to estimate interrater reliability.ResultsOverall interrater reliability for wound classification was poor (κ = 0.30). The following operations were classified as clean: pyloromyotomy, resection of sequestration, resection of sacrococcygeal teratoma, oophorectomy, and immediate repair of omphalocele; as clean-contaminated: Ladd procedure, bowel resection for midgut volvulus and meconium peritonitis, fistula ligation of tracheoesophageal fistula, primary esophageal anastomosis of esophageal atresia, thoracic lobectomy, staged closure of gastroschisis, delayed repair and primary closure of omphalocele, perineal anoplasty and diverting colostomy for imperforate anus, anal pull-through for Hirschsprung disease, and colostomy closure; and as dirty: perforated necrotizing enterocolitis.ConclusionsThere is poor consensus on how neonatal operations are classified based on contamination. An improved classification system will provide more accurate risk assessment for development of surgical site infections and identify neonates who would benefit from antibiotic prophylaxis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 44, Issue 6, June 2009, Pages 1206–1211
نویسندگان
, , , ,