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Surgical site infections in patients undergoing breast oncological surgery during the lockdown: An unexpected lesson from the COVID-19 pandemic.
Cappelli, Sonia; Corallino, Diletta; Clementi, Marco; Guadagni, Stefano; Pelle, Fabio; Puccica, Ilaria; Barba, Maddalena; Vici, Patrizia; Sperduti, Isabella; Costantini, Maurizio; Botti, Claudio.
  • Cappelli S; Department of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Corallino D; Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza, University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
  • Clementi M; Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
  • Guadagni S; Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
  • Pelle F; Department of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Puccica I; Department of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Barba M; Division of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Vici P; Division of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Sperduti I; Biostatistics, IRCCS Regina Elena National Cancer Insitute, Rome, Italy.
  • Costantini M; Department of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
  • Botti C; Department of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
G Chir ; 42(2): e02, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-2097497
ABSTRACT

Background:

The present study aims to evaluate how the measures to contain the SARS-CoV-2 spreading affected the surgical site infections (SSIs) rate in patients who underwent nondeferrable breast cancer surgery (BCS).

Methods:

This study is a retrospective analysis of prospectively collected data from a consecutive series of patients underwent nondeferrable BCS in a regional Italian Covid-free hub during two different period March to April 2020 (pandemic cohort [PC]) and March till April 2019 (control cohort [CC]). SSIs were defined according to the criteria established by the Center for disease control and prevention (CDC) and additional treatment, serous discharge, erythema, purulent exudate, separation of deep tissues, isolation of bacteria, and stay (ASEPSIS) scoring systems.

Results:

One hundred ninety-nine patients were included in the present study 100 and 99 patients who underwent nondeferrable BCS from March to April 2020 (PC) and from March to April 2019 (CC), respectively. The overall SSIs rate in this series was 9.1% according to CDC criteria and 6.5% according to ASEPSIS criteria. The SSIs incidence decreased during the pandemic period. Moreover, the SSIs rate according to ASEPSIS criteria was statistically lower in the PC than in the CC. We observed significant evidence of higher SSIs, both in terms of CDC and ASEPSIS score, in patients having undergone breast reconstruction compared with patients not undergoing immediate reconstruction.

Conclusions:

The restrictive measures issued during the lockdown period seemed to lower the SSIs rates in patients undergoing nondeferrable BCS.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: G Chir Year: 2022 Document Type: Article Affiliation country: IA9.0000000000000003

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: G Chir Year: 2022 Document Type: Article Affiliation country: IA9.0000000000000003