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Post-Operative Infections in Head and Neck Cancer Surgery: Risk Factors for Different Infection Sites

2022; Multidisciplinary Digital Publishing Institute; Volume: 11; Issue: 17 Linguagem: Inglês

10.3390/jcm11174969

2077-0383

Giancarlo Pecorari, Giuseppe Riva, Andrea Albera, Ester Cravero, Elisabetta Fassone, Andrea Canale, Roberto Albera,

Nosocomial Infections in ICU

Post-operative infections in head and neck cancer (HNC) surgery represent a major problem and are associated with an important increase in mortality, morbidity, and burden on the healthcare system. The aim of this retrospective observational study was to evaluate post-operative infections in HNC surgery and to analyze risk factors, with a specific focus on different sites of infection.Clinical data about 488 HNC patients who underwent surgery were recorded. Univariate and multivariate analyses were performed to identify risk factors for post-operative infections.Post-operative infections were observed in 22.7% of cases. Respiratory and surgical site infections were the most common. Multiple site infections were observed in 3.9% of cases. Considering all infection sites, advanced stage, tracheotomy, and higher duration of surgery were risk factors at multivariate analysis. Median hospital stay was significantly longer in patients who had post-operative infection (38 vs. 9 days).Post-operative infections may negatively affect surgical outcomes. A correct identification of risk factors may help the physicians to prevent post-operative infections in HNC surgery.