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o Issue N# 3 - 2014 o

CANCER

Predictive factors for surgical site infection in head and neck cancer surgery: A case-control study


Authors : Henry JS, Buffet-Bataillon S, Deberge S, Jegoux F. (Rennes)

Ref. : Rev Laryngol Otol Rhinol. 2014;135,3:121-126.

Article published in english
Downloadable PDF document english



Summary : Surgical Site Infection (SSI) after head and neck cancer surgery may be life threatening and induces increasing in healthcare cost. The objective of this present study was to identify predic­ti­ve factors associated to surgical site infection in head and neck cancer surgery. Numerous predictive factors were analyzed with univariate case-control method, then with multi­variate method. This retrospective study included 71 patients who have been hospitalized in our department during 2010 for a head and neck cancer surgery. The incidence of surgical site infection was 15.5%. The T3-T4 stages were identified as an independent predictive factor (p = 0.04). Our study does not find other pre­dic­tive factor for a SSI. The NNIS index (National Noso­comial Infections Surveillance), used by the Center for disease control and prevention as predictive factor, was not valid in our study. A specific predictive index should include the tumor stage for Head and Neck Cancer surgery and should be taken into account for the management of a preventive antibiotic treat­ment.

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