ArticleInternational wound journal2026
Increasing Methicillin-Resistant Staphylococcus aureus Burden in 90-Day Groin Surgical Site Infection After Femoral Arterial Exposure: A 15-Year Single-Centre Cohort Study.
Article in International wound journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Groin surgical site infection remains common after femoral arterial exposure (clean wound class I), yet long-term data on temporal trends and microbiological shifts are limited. This retrospective study reviewed all consecutive groin incisions for femoral arterial exposure at a tertiary vascular centre (2010-2024); only groin-site infections were counted. A study-defined 90-day surveillance window was used. Temporal trends were assessed using mixed-effects logistic regression. Among 8742 incisions in 7218 patients, 846 (9.7%) developed infection: 490 superficial (57.9%), 245 deep (29.0%) and 111 organ/space (13.1%). Calendar year was not associated with infection after adjustment (adjusted odds ratio 1.00; 95% confidence interval 0.98-1.03). Independent predictors included diabetes, obesity, renal insufficiency, immunosuppressive therapy and prosthetic material. The methicillin-resistant Staphylococcus aureus proportion among 724 culture-positive episodes rose from 8.7% (2010-2014) to 21.0% (2020-2024; p < 0.001), persisting after adjustment for infection depth and procedure mix. Infection incidence remained stable while the microbiological profile shifted toward higher methicillin-resistant Staphylococcus aureus burden. Antibiogram review and prophylaxis reassessment within an antimicrobial-stewardship framework are warranted.
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