ArticleInfection control and hospital epidemiology2017
The Seasonal Variability in Surgical Site Infections and the Association With Warmer Weather: A Population-Based Investigation.
Article in Infection control and hospital epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between extreme weather events and postoperative adverse outcomes: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Pooled it
- Preoperative antibiotic prophylaxis regimen in brain tumour surgery in Sweden: a quasi-experimental study.Acta neurochirurgica · 2020Trial
- Operating under pressure: a scoping review of the effects of climate change on general surgery.Surgical endoscopy · 2026Article
- Climate change and antimicrobial resistance.Nature reviews. Microbiology · 2026Review
- Seasonal trends in surgical site infections after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Climatic and clinical risk factors for surgical site infection following spine fusion surgery: a large-scale big data analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Article
- Environmental Determinants of Surgical Site Infections in Abdominal Surgeries: A Scoping Review of Evidence from East Africa.Journal of multidisciplinary healthcare · 2026Review
- Associated factors for surgical site infection with spinal instrumentation surgery.Scientific reports · 2025Article
- Surgical management of neuromuscular scoliosis in paediatric patients: experiences from a tertiary centre multidisciplinary team.BMJ paediatrics open · 2025Article
- Seasonal and cyclical variations in short-term postoperative outcomes of colorectal cancer: a time series analysis.Scientific reports · 2025Observational
- Variation in facility-level likelihood of drug-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Seasonal Factors Associated with Surgical Site Infections Following Gynecologic and Obstetric Surgeries and Pathogen Identification: A Retrospective Study in A Single Center in China.Risk management and healthcare policy · 2025Article
- Incidence and Risk Factors of Infection After Fracture Fixation: A Multicenter Cohort Study.Orthopaedic surgery · 2025Article
- Seasonal Impact on Wound Healing and Surgical Site Infections after Reduction Mammoplasty.Journal of clinical medicine · 2024Article
- Seasonal variation and preoperative risk factors for polymicrobial infection following open fracture.Journal of clinical orthopaedics and trauma · 2024Article
- Incidence of Surgical Site Infection Following Cesarean Section and Its Associated Factors in a Hospital of the Eastern Region, Saudi Arabia: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2024Article
- Review
- Antimicrobial Resistance Patterns of Outpatient Staphylococcus aureus Isolates.JAMA network open · 2024Article
- Total hip arthroplasty performed in summer is not associated with increased risk of revision due to prosthetic joint infection: a cohort study on 58 449 patients with osteoarthritis from the Danish Hip Arthroplasty Register.Journal of bone and joint infection · 2024Article
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5 authors.
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Abstract
OBJECTIVE To determine whether the seasonality of surgical site infections (SSIs) can be explained by changes in temperature. DESIGN Retrospective cohort analysis. SETTING The National Inpatient Sample database. PATIENTS All hospital discharges with a primary diagnosis of SSI from 1998 to 2011 were considered cases. Discharges with a primary or secondary diagnoses of specific surgeries commonly associated with SSIs from the previous and current month served as our "at risk" cohort. METHODS We modeled the national monthly count of SSI cases both nationally and stratified by region, sex, age, and type of institution. We used data from the National Climatic Data Center to estimate the monthly average temperatures for all hospital locations. We modeled the odds of having a primary diagnosis of SSI as a function of demographics, payer, location, patient severity, admission month, year, and the average temperature in the month of admission. RESULTS SSI incidence is highly seasonal, with the highest SSI incidence in August and the lowest in January. During the study period, there were 26.5% more cases in August than in January (95% CI, 23.3-29.7). Controlling for demographic and hospital-level characteristics, the odds of a primary SSI admission increased by roughly 2.1% per 2.8°C (5°F) increase in the average monthly temperature. Specifically, the highest temperature group, >32.2°C (>90°F), was associated with an increase in the odds of an SSI admission of 28.9% (95% CI, 20.2-38.3) compared to temperatures <4.4°C (<40°F). CONCLUSIONS At population level, SSI risk is highly seasonal and is associated with warmer weather. Infect Control Hosp Epidemiol 2017;38:809-816.
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