ArticleViszeralmedizin2014
Gender-Specific Differences in Surgical Site Infections: An Analysis of 438,050 Surgical Procedures from the German National Nosocomial Infections Surveillance System.
Article in Viszeralmedizin, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 58 citations in OpenAlex.
- Surgical site infection among hospitalized patients in palestine: association with in-hospital preoperative time stay, biological and clinical characteristics.BMC research notes · 2025Article
- From Guidelines to Action: Tackling Risk Factors for Surgical Site Infections.Antibiotics (Basel, Switzerland) · 2025Article
- The burden of surgical site infection and associated factors among patients admitted to the surgical ward in resource-limited countries: an institutional-based cross-sectional study.Frontiers in surgery · 2025Article
- Risk and outcomes of healthcare-associated infections in three hospitals in Bobo Dioulasso, Burkina Faso, 2022: A longitudinal study.PloS one · 2025Article
- An explainable long short-term memory network for surgical site infection identification.Surgery · 2024Article
- Effects of Postoperative Splinting on Outcomes following Digital Mucous Cyst Excision: A Retrospective Review.Journal of hand and microsurgery · 2024Article
- Article
- A Health Economic Analysis Exploring the Cost Consequence of Using a Surgical Site Infection Prevention Bundle for Hip and Knee Arthroplasty in Germany.Journal of health economics and outcomes research · 2023Article
- Assessment of risk factors associated with surgical site infection following abdominal surgery: a systematic review.BMJ surgery, interventions, & health technologies · 2023Article
- A clinical prediction model for predicting the surgical site infection after an open reduction and internal fixation procedure considering the NHSN/SIR risk model: a multicenter case-control study.Frontiers in surgery · 2023Article
- Article
- Preoperative Surgical Site Hair Removal for Elective Abdominal Surgery: Does It Have Impact on Surgical Site Infection.Surgery journal (New York, N.Y.) · 2022Article
- Risk factors of surgical site infection in elective laparotomy in a tertiary care center: an observational study.International journal of burns and trauma · 2022Article
- Surgical Site Infection Post-appendectomy in a Tertiary Hospital, Jeddah, Saudi Arabia.Cureus · 2021Article
- Article
- Burden of Staphylococcus aureus infections after orthopedic surgery in Germany.BMC infectious diseases · 2020Article
- Article
- Relationship between computed tomography-derived body composition, sex, and post-operative complications in patients with colorectal cancer.European journal of clinical nutrition · 2019Article
- Impact of blood transfusion on major infection after isolated coronary artery bypass surgery: Incidence and risk factors.Journal of the Saudi Heart Association · 2019Article
- A Longitudinal Study of S. aureus Infection in a National Cohort of Surgical Patients.Open forum infectious diseases · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical site infections (SSI) are among the most frequent healthcare-associated infections. They impose a substantial burden with increased morbidity and exceeding healthcare costs. Risk factors such as age, diabetes, and smoking status are commonly accounted for in the literature, but few studies address gender differences.
methodsData from the German Nosocomial Infections Surveillance System (Krankenhaus-Infektions-Surveillance-System (KISS)) from 2005 to 2010 were analysed for cardiac, vascular, visceral, and orthopaedic surgery, with a total of 438,050 surgical procedures and 8,639 SSI. Rates of SSI and isolated pathogens were analysed for gender.
resultsWomen had a lower rate of SSI (SSI/100 procedures) in abdominal surgery than men (2.92 vs. 4.37; p < 0.001). No gender-specific differences were found in orthopaedic and vascular surgery, while women had a higher risk for SSI in cardiac surgery (5.50 vs. 3.02; p < 0.001). Isolated pathogens showed differences for sensitive Staphylococcus aureus and Pseudomonas aeruginosa, which were more frequent in women (both p = 0.007), while coagulase-negative staphylococci occurred more often in men (18.8 vs. 14.0%; p < 0.001).
conclusionGender differences in SSI exist and are procedure-specific. The underlying mechanisms need to be further elucidated so that targeted measures for the prevention of SSI can be developed.
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