Skip to main content

Table 9 Risk factors with the rate of agreement at the Delphy method

From: Focus on the prophylaxis, epidemiology and therapy of methicillin-resistant Staphylococcus aureus surgical site infections and a position paper on associated risk factors: the perspective of an Italian group of surgeons

Major risk factors

Rate of agreement

Surgery with elevate risk of MRSA infection

100 %

SSIs with signs of systemic infections

100 %

Patients from long term care facilities

100 %

Previous hospitalization (less than 30 days)

89 %

Charlson score > 5 points

100 %

COPD and thoracic surgery

100 %

Antibiotic therapy with beta-lactams (especially cefalosporins and carbapenem) and/or quinolones in the previous 30 days

89 %

Current lengt of stay > 16 days

100 %

Age 75 years or older

100 %

Surgery with prothesis implantation

100 %

Minor risk factors

 

Not compensated diabetes or complicated diabetes

100 %

Body mass index > 30

100 %

Previous hospitalization (>30 days, < 12 months)

100 %

Steroids (prednisone 15 mg/die or equivalent dose for at least 15 days)

100 %

Other immunosoppressive therapy

100 %

Renal insufficiency

100 %

COPD not in thoracic surgery

100 %

Antibiotic therapy not with beta-lactams and/or quinolones in the previous 30 days

89 %

Lenght of surgery > 75 percentile (for surgical procedures that last more than 4 h)

100 %

External biliary drainage

100 %

Protective factors

 

Hospital with surveillance system of SSIs

100 %

Correct antibiotic prophylaxis

100 %

Laparoscopic surgery

100 %