Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study. Issue 12 (3rd December 2020)

• Record Type: Journal Article
• Other Names: Drake Thomas M author non-byline.; Pata Francesco author non-byline.; Ghosh Dhruv author non-byline.; Ademuyiwa Adesoji O author non-byline.; Arnaud Alexis author non-byline.; Bhangu Aneel author non-byline.; Edward Fitzgerald J author non-byline.; Glasbey James author non-byline.; Harrison Ewen M author non-byline.; Bhangu Aneel author non-byline.; Ademuyiwa Adesoji O author non-byline.; Aguilera Maria Lorena author non-byline.; Alexander Philip author non-byline.; Al-Saqqa Sara W author non-byline.; Borda-Luque Giuliano author non-byline.; Costas-Chavarri Ainhoa author non-byline.; Drake Thomas M author non-byline.; Ntirenganya Faustin author non-byline.; Edward Fitzgerald J author non-byline.; Fergusson Stuart J author non-byline.; Glasbey James author non-byline.; Allen Ingabire JC author non-byline.; Ismaïl Lawani author non-byline.; Salem Hosni Khairy author non-byline.; Teddy Kojo Anyomih Theophilus author non-byline.; Lapitan Marie Carmela author non-byline.; Lilford Richard author non-byline.; Mihaljevic Andre L author non-byline.; Morton Dion author non-byline.; Mutabazi Alphonse Zeta author non-byline.; Nepogodiev Dmitri author non-byline.; Adisa Adewale O author non-byline.; Ots Riinu author non-byline.; Pata Francesco author non-byline.; Pinkney Thomas author non-byline.; Poškus Tomas author non-byline.; Qureshi Ahmad Uzair author non-byline.; Medina Antonio Ramos-De la author non-byline.; Rayne Sarah author non-byline.; Shaw Catherine A author non-byline.; Shu Sebastian author non-byline.; Spence Richard author non-byline.; Smart Neil author non-byline.; Tabiri Stephen author non-byline.; Verjee Azmina author non-byline.; Runigamugabo Emmy author non-byline.; Khatri Chetan author non-byline.; Mohan Midhun author non-byline.; Drake Thomas M author non-byline.; Glasbey James author non-byline.; Nepogodiev Dmitri author non-byline.; Shaw Catherine A author non-byline.; Jaffry Zahra author non-byline.; Fergusson Stuart J author non-byline.; Pata Francesco author non-byline.; Ademuyiwa Adesoji O author non-byline.; Altamini Afnan author non-byline.; Salem Hosni Khairy author non-byline.; Kirby Andrew author non-byline.; Soreide Kjetil author non-byline.; Recinos Gustavo author non-byline.; Spence Richard author non-byline.; Rayne Sarah author non-byline.; Tabiri Stephen author non-byline.; Cornick Jen author non-byline.; Pinkney Thomas author non-byline.; Lilford Richard author non-byline.; Edward Fitzgerald J author non-byline.; Harrison Ewen M author non-byline.; Bhangu Aneel author non-byline.; Modolo Maria Marta author non-byline.; King Sebastian author non-byline.; Nazmum Nahar Sayeda author non-byline.; Waterman Ade author non-byline.; Lawini Ismail author non-byline.; Agarwal Arnav author non-byline.; Zani Augusto author non-byline.; Firdouse Mohammed author non-byline.; Rouse Tyler author non-byline.; Liu Qinyang author non-byline.; Camilo Correa Juan author non-byline.; Talving Peep author non-byline.; Worku Mengistu author non-byline.; Salem Hosni Khairy author non-byline.; Iyer Dushyant author non-byline.; Arthur Tom author non-byline.; Arnaud Alexis author non-byline.; Tabiri Stephen author non-byline.; Aguilera MariaLorena author non-byline.; Recinos Gustavo author non-byline.; Kumar Basant author non-byline.; Kumar Sunil author non-byline.; Amandito Radhian author non-byline.; Quek Roy author non-byline.; Pata Francesco author non-byline.; Ansaloni Luca author non-byline.; Altibi Ahmed author non-byline.; Venskutonis Donatas author non-byline.; Zilinskas Justas author non-byline.; Poskus Tomas author non-byline.; Whitaker John author non-byline.; Tew YongYong author non-byline.; Msosa Vanessa author non-byline.; Farrugia Alexia author non-byline.; Borg Elaine author non-byline.; Antonio Ramos-DelaMedina author non-byline.; Bent Zineb author non-byline.; Ademuyiwa Adesoji author non-byline.; Gala Tanzeela author non-byline.; Al-Slaibi Ibrahim author non-byline.; Tahboub Haya author non-byline.; Alser Osaid H author non-byline.; Romani Diego author non-byline.; Shu Sebestian author non-byline.; Major Piotr author non-byline.; Mironescu Aurel author non-byline.; Bratu Matei author non-byline.; Kourdouli Amar author non-byline.; Kitts Saint author non-byline.; Alsaggaf Mohammed Ubaid author non-byline.; Gudal Ahmad author non-byline.; Jubran Al Faifi author non-byline.; Leone Sierra author non-byline.; Seisay Sam author non-byline.; Lieske Bettina author non-byline.; Rayne Sarah author non-byline.; Spence Richard author non-byline.; Ortega Irene author non-byline.; Jeyakumar Jenifa author non-byline.; Senanayake Kithsiri author non-byline.; Abdulbagi Omar author non-byline.; Cengiz Yucel author non-byline.; Raptis Dmitri author non-byline.; Altinel Yuksel author non-byline.; Kong Chia author non-byline.; Teasdale Ella author non-byline.; Irwin Gareth author non-byline.; Stoddart Michael author non-byline.; Kabariti Rakan author non-byline.; Suresh Sukrit author non-byline.; Gash Katherine author non-byline.; Scott Mark author non-byline.; Narayanan Ragavan author non-byline.; Maimbo Mayaba author non-byline.; Grizhja Besmir author non-byline.; Ymeri Shpetim author non-byline.; Galiqi Gezim author non-byline.; Klappenbach Roberto author non-byline.; Antezana Diego author non-byline.; MendozaBeleño Alvaro Enrique author non-byline.; Costa Cecilia author non-byline.; Sanchez Belen author non-byline.; Aviles Susan author non-byline.; Modolo Maria Marta author non-byline.; Fermani Claudio Gabriel author non-byline.; Balmaceda Rubén author non-byline.; Villalobos Santiago author non-byline.; Carmona Juan Manuel author non-byline.; Hamill Daniel author non-byline.; Deutschmann Peter author non-byline.; Sandler Simone author non-byline.; Cox Daniel author non-byline.; Nataraja Ram author non-byline.; Sharpin Claire author non-byline.; Ljuhar Damir author non-byline.; Gray Demi author non-byline.; Haines Morgan author non-byline.; Iyer Dush author non-byline.; Niranjan Nithya author non-byline.; D'Amours Scott author non-byline.; Ashtari Morvarid author non-byline.; Franco Helena author non-byline.; Mitul Ashrarur Rahman author non-byline.; Karim Sabbir author non-byline.; Aman Nowrin F author non-byline.; Estee Mahnuma Mahfuz author non-byline.; Salma Umme author non-byline.; Razzaque Joyeta author non-byline.; Hamidkanta Tasnia author non-byline.; Tori Sayeedaaktar author non-byline.; Alamin Md Shadid author non-byline.; Roy Swapnil author non-byline.; Amin Md Shadid Al author non-byline.; Haque Muhtarima author non-byline.; Faruq Amreen author non-byline.; Margaret Farhana Iftekhar author non-byline.; O'Shea Greg Padmore author non-byline.; Jonnalagadda Ramesh author non-byline.; Litvin Andrey author non-byline.; Filatau Aliaksandr author non-byline.; Paulouski Dzmitry author non-byline.; Shubianok Maryna author non-byline.; Shachykava Tatsiana author non-byline.; Khokha Dzianis author non-byline.; Khokha Vladimir author non-byline.; Djivoh Fernande author non-byline.; Lawani Ismaïl author non-byline.; Dossou Francis author non-byline.; Seto Djifid Morel author non-byline.; Gbessi Dansou Gaspard author non-byline.; Noukpozounkou Bruno author non-byline.; Souaibou Yacoubou Imorou author non-byline.; Keke Kpèmahouton René author non-byline.; Hodonou Fred author non-byline.; Ahounou Ernestyemalinstephane author non-byline.; Alihonou Thierry author non-byline.; Dénakpo Max author non-byline.; Ahlonsou Germain author non-byline.; Bedada Alemayehu Ginbo author non-byline.; Nsengiyumva Carlos author non-byline.; Kwizera Sandrine author non-byline.; Barendegere Venerand author non-byline.; Choi Philip author non-byline.; Stock Simon author non-byline.; Jamal Luai author non-byline.; Firdouse Mohammed author non-byline.; Zani Augusto author non-byline.; Azzie Georges author non-byline.; Kushwaha Sameer author non-byline.; Agarwal Arnav author non-byline.; Chen Tzu-Ling author non-byline.; Yip Chingwan author non-byline.; Montes Irene author non-byline.; Zapata Felipe author non-byline.; Sierra Sebastian author non-byline.; Youssef Mohamed author non-byline.; Elfeki Hossam author non-byline.; Thabet Waleed author non-byline.; Sanad Aly author non-byline.; Tawfik Gehad author non-byline.; Zaki Ahmed author non-byline.; Abdel-Hameed Noran author non-byline.; Mostafa Mohamed author non-byline.; Elkhalek Esraa Abd author non-byline.; Zakaria Yehia author non-byline.; Ezzat Tarek author non-byline.; ElDahab Ali Abo author non-byline.; Kelany Mohamed author non-byline.; Arafa Sara author non-byline.; Hassan OsamaMokhtar Mohamed author non-byline.; Badwi Nermin Mohamed author non-byline.; Sleem Ahmad Saber author non-byline.; Ahmed Hussien author non-byline.; Abdelbadeai Kholoud author non-byline.; Abdullah Mohamed Abozed author non-byline.; Lokman Muhammadamsyarauni author non-byline.; Bahar Suraya author non-byline.; Radyabdelazeam Anan author non-byline.; Adelshone Abdelrahman author non-byline.; Hasnan Muhammad Bin author non-byline.; Zulkifli Athirah author non-byline.; Kamarulzamil Siti NurAlia author non-byline.; Elhendawy Abdelaziz author non-byline.; Latif Aliang author non-byline.; Adnan Ahmad Bin author non-byline.; Shaharuddin Shahadatul author non-byline.; AbdulMajid Aminah HanumHaji author non-byline.; Amreia Mahmoud author non-byline.; Al-Marakby Dina author non-byline.; Salma Mahmoud author non-byline.; Ismail Mohamadjeffreybin author non-byline.; MohdBasir Elissa Rifhan author non-byline.; MohdAli Citra Dewi author non-byline.; Ata Aya Yehia author non-byline.; Nasr Maha author non-byline.; Rezq Asmaa author non-byline.; Sheta Ahmed author non-byline.; Tariq Sherif author non-byline.; Sallam Abdelkhalek author non-byline.; Darwish Abdelrhman KZ author non-byline.; Elmihy Sohaila author non-byline.; Hadry Shady El author non-byline.; Farag Ahmed author non-byline.; Hajah Haidar author non-byline.; Seliem Abdelaziz author non-byline.; Aglan Amro author non-byline.; Zohair Ahmed author non-byline.; Essam Mahitab author non-byline.; Moussa Omar author non-byline.; El-Gizawy Esraa author non-byline.; Samy Mostafa author non-byline.; Ali Safia author non-byline.; Elhalawany Esraa author non-byline.; Ata Ahmed author non-byline.; Elhalawany Mohamed author non-byline.; Nashat Mohamed author non-byline.; Soliman Samar author non-byline.; Elazab Alaa author non-byline.; Samy Mostada author non-byline.; Abdelaziz Mohamed A author non-byline.; Ibrahim Khaled author non-byline.; Ibrahim Ahmed mohamed author non-byline.; Gado Ammar author non-byline.; Hantour Usama author non-byline.; Eldeen Esraa Alm author non-byline.; loaloa Mohamed Reda author non-byline.; Abouzaid Arwa author non-byline.; Ahmedbahaaeldin Mostafa author non-byline.; Hashad Eman author non-byline.; Sroor Fathy author non-byline.; Gamil Doaa author non-byline.; Mahmoudabdulhakeem Eman author non-byline.; Zakaria Mahmoud author non-byline.; Mohamed Fawzy author non-byline.; Abubakr Marwan author non-byline.; Ali Elsayed author non-byline.; Magdy Hesham author non-byline.; Ramadan Mennatallah author non-byline.; Abdelatymohamed Mohamed author non-byline.; Mansour Salma author non-byline.; Abdulazizamin Hager author non-byline.; Rabiemohamed Ahmed author non-byline.; Saami Mahmoud author non-byline.; Ahmedredaelsayed Nada author non-byline.; Tarek Adham author non-byline.; Mohyeldeenmahmoud Sabry author non-byline.; Sayed Islam MagdyEl author non-byline.; Reda Amira author non-byline.; Yusufshawky Martina author non-byline.; Mousasalem Mohammed author non-byline.; El-Din Shahinaz Alaa author non-byline.; Soliman Noha Abdullah author non-byline.; Talaat Muhammed author non-byline.; AhmedAbdelmoenelhusseiny Shahinaz Alaael-Dein author non-byline.; Abdullah Noha author non-byline.; Ahmedbahaaeldin Mostafa author non-byline.; Elshaar Mohammed author non-byline.; Abdelfatahibraheem Aya author non-byline.; Abdulaziz Hager author non-byline.; Ismail Mohammed Kamal author non-byline.; Hamdymadkor Mona author non-byline.; Abdelaty Mohamed author non-byline.; Kader Sara Mahmoudabdel author non-byline.; Mohamedsalah Osama author non-byline.; Eldafrawy Mahmoud author non-byline.; Zakieldeeb Ahmed author non-byline.; Mahmoudeid Mostafa author non-byline.; Attia Attia author non-byline.; El-Dien Khalid Salah author non-byline.; Shwky Ayman author non-byline.; Badenjki Mohamed Adel author non-byline.; Soliman Abdelrahman author non-byline.; Attar Samaa Mahmoud Al author non-byline.; Sayed Farrag author non-byline.; Abdelsabour Fahd author non-byline.; Azizeldine Mohammed G author non-byline.; Shawqi Muhammad author non-byline.; Hashim Abdullah author non-byline.; Aamer Ahmed author non-byline.; Raouf Ahmed Mahmoud Abdel author non-byline.; Abdelshakour Mahmoud author non-byline.; Ibrahim Amal author non-byline.; Mahmoud Basma author non-byline.; Mahmoud Mohamed Ali author non-byline.; Qenawy Mostafa author non-byline.; Rashed Ahmed M author non-byline.; Dahy Ahmed author non-byline.; Sayed Marwa author non-byline.; Shamsedine Ahmed W author non-byline.; Mohamed Bakeer author non-byline.; Hasan Ahmad author non-byline.; Saad Mahmoud M author non-byline.; Abdulbassit Khalil author non-byline.; Khalidabdelatif Nadia author non-byline.; Elzahed Nada author non-byline.; Elkashash Ahmed author non-byline.; Hafez Sarah author non-byline.; Gad Ahmed author non-byline.; Maher Mahmoud Elkhadragy author non-byline.; Abdelsameea Ahmed author non-byline.; Hafez Mohamed author non-byline.; Sabe Ahmad author non-byline.; Kalles Vassilis author non-byline.; Bekheta Nada Mohamed author non-byline.; Ahmed Ataa author non-byline.; Shahine Ahmed author non-byline.; Dawood Khaled author non-byline.; Gaafar Shireen author non-byline.; Husseiny Reem author non-byline.; Aboelmagd Omnia author non-byline.; Soliman Ahmed author non-byline.; Mesbah Nourhan author non-byline.; Emadeldin Hossam author non-byline.; Almeligy Amgad author non-byline.; Bekhet Amira Hassan author non-byline.; Hasan Doaa author non-byline.; Alhady Khaled author non-byline.; Sabe Ahmad Khaled author non-byline.; Elnajjar Mahmoud A author non-byline.; Aboelella Majed author non-byline.; Hamsho Ward author non-byline.; Hassan Ihab author non-byline.; Saad Hala author non-byline.; Abdelazim Galaleldin author non-byline.; Mahmoud Hend author non-byline.; Wael Noha author non-byline.; Kandil Ahmedali M author non-byline.; Magdy Ahmed author non-byline.; Saidelkholy Shimaa author non-byline.; Adel Badreldineadel author non-byline.; Dabbour Kareem author non-byline.; Elsherbiney Saged author non-byline.; Mattar Omar author non-byline.; Abdrabou Abdulshafi Khaled author non-byline.; mohamedAly Mohammed Yahia author non-byline.; Geuoshy Abdelrahman author non-byline.; Elnagar Ahmedglal author non-byline.; Ahmed Saraibrahim author non-byline.; Abdelmotaleb Ibrahem author non-byline.; Saleh Amr Ahmed author non-byline.; Mohammedbakry Hesham author non-byline.; Saeed Manar author non-byline.; Mahmoud Shady author non-byline.; Tawfik Badreldinadel author non-byline.; Ismail Samar Adel author non-byline.; Zakaria Esraay author non-byline.; Gad‏ Mariam O author non-byline.; Elhelbawy Mohamedsalah author non-byline.; Bassem Monica author non-byline.; Khaledabdel-Latif Nadia author non-byline.; Maraie Noha author non-byline.; Elhadary Nourhan Medhat author non-byline.; Semeda Nourhan author non-byline.; Rabiemohamed Shaza author non-byline.; Bakry Hesham Mohammed author non-byline.; Essam AA author non-byline.; Tarek Dina author non-byline.; Ashour Khlood author non-byline.; Elhadad Alaa author non-byline.; Abdel-Aty Abdulrahman author non-byline.; Rakha Ibrahim author non-byline.; Matter Sara Mamdouh author non-byline.; Abdelhamed Rasha author non-byline.; Abdelkader Omar author non-byline.; Hassaan Ayat author non-byline.; Soliman Yasmin author non-byline.; Mohamed Amna author non-byline.; Ghanem Sara author non-byline.; MohamedFarouk Sara Amr author non-byline.; Ibrahim Eman Mohamed author non-byline.; El-Taher Esraa author non-byline.; Mostafa Merna author non-byline.; Mahrousbadr Mohamedfawzy author non-byline.; AyaEl-Sawy Rofida Elsemelawy author non-byline.; Bakr Ahmad author non-byline.; Rafati Ahmad Abdel Razaq Al author non-byline.; Saar Sten author non-byline.; Reinsoo Arvo author non-byline.; Talving Peep author non-byline.; Seyoum Nebyou author non-byline.; Worku Tewodros author non-byline.; Fitsum Agazi author non-byline.; Tolonen Matti author non-byline.; Leppäniemi Ari author non-byline.; Sallinen Ville author non-byline.; Parmentier Benoît author non-byline.; Peycelon Matthieu author non-byline.; Irtan Sabine author non-byline.; Dardenne Sabrina author non-byline.; Robert Elsa author non-byline.; Maillot Betty author non-byline.; Courboin Etienne author non-byline.; Arnaud Alexis Pierre author non-byline.; Hascoet Juliette author non-byline.; Abbo Olivier author non-byline.; Kaci Amir Ait author non-byline.; Prudhomme Thomas author non-byline.; Ballouhey Quentin author non-byline.; Grosos Céline author non-byline.; Fourcade Laurent author non-byline.; Cecilia Tolg author non-byline.; Jean-Francois Colombani author non-byline.; Helene Francois-Coridon author non-byline.; Delforge Xavier author non-byline.; Haraux Elodie author non-byline.; Dousset Bertrand author non-byline.; Schiavone Roberto author non-byline.; Gaujoux Sebastien author non-byline.; Marret Jean-Baptiste author non-byline.; Haffreingue Aurore author non-byline.; Rod Julien author non-byline.; Renaux-Petel Mariette author non-byline.; Lecompte Jean-François author non-byline.; Bréaud Jean author non-byline.; Gastaldi Pauline author non-byline.; Taieb Chouikh author non-byline.; Claire Raquillet author non-byline.; Anis Echaieb author non-byline.; Bustangi Nasir author non-byline.; Lopez Manuel author non-byline.; Scalabre Aurelien author non-byline.; Grella Maria Giovanna author non-byline.; Mariani Aurora author non-byline.; Podevin Guillaume author non-byline.; Schmitt Françoise author non-byline.; Hervieux Erik author non-byline.; Broch Aline author non-byline.; Muller Cecile author non-byline.; Tabiri Stephen author non-byline.; TeddyKojo Anyomih Theophilus author non-byline.; Bandoh Dickson author non-byline.; Abantanga Francis author non-byline.; Kyereh Martin author non-byline.; Asumah Hamza author non-byline.; Appiah Eric Kofi author non-byline.; Wondoh Paul author non-byline.; Gyedu Adam author non-byline.; Dally Charles author non-byline.; AgbedinuMichaelAmoah Kwabena AgbedinuKwabena author non-byline.; Agbedinu Kwabena author non-byline.; Yifieyeh Abiboye author non-byline.; Owusu Frank author non-byline.; Amoako-Boateng Mabel author non-byline.; Dayie Makafui author non-byline.; Hagan Richmond author non-byline.; Debrah Sam author non-byline.; Ohene-Yeboah Micheal author non-byline.; Clegg-Lampety Joe-Nat author non-byline.; Etwire Victor author non-byline.; Dakubo Jonathan author non-byline.; Essoun Samuel author non-byline.; Bonney William author non-byline.; Glover-Addy Hope author non-byline.; Osei-Nketiah Samuel author non-byline.; Amoako Joachim author non-byline.; Adu-Aryee Niiarmah author non-byline.; Appeadu-Mensah William author non-byline.; Bediako-Bowan Antoinette author non-byline.; Dedey Florence author non-byline.; Ekow Mattew author non-byline.; Akatibo Emmanuel author non-byline.; 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• Is Part Of: BMJ global health. Volume 5:Issue 12(2020)
• Publication Date: 2020-12-03
• Subjects: gastro-enterologic surgery -- paediatrics; World health -- Periodicals; 362.105
• DOI: 10.1136/bmjgh-2020-003429
• Languages: English
• ISSNs: 2059-7908

Abstract

Abstract : Introduction: Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods: A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results: Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion: The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.