Table 9.
Risk factors with the rate of agreement at the Delphy method
| Major risk factors | Rate of agreement |
|---|---|
| Surgery with elevate risk of MRSA infection | 100 % |
| SSIs with signs of systemic infections | 100 % |
| Patients from long term care facilities | 100 % |
| Previous hospitalization (less than 30 days) | 89 % |
| Charlson score > 5 points | 100 % |
| COPD and thoracic surgery | 100 % |
| Antibiotic therapy with beta-lactams (especially cefalosporins and carbapenem) and/or quinolones in the previous 30 days | 89 % |
| Current lengt of stay > 16 days | 100 % |
| Age 75 years or older | 100 % |
| Surgery with prothesis implantation | 100 % |
| Minor risk factors | |
| Not compensated diabetes or complicated diabetes | 100 % |
| Body mass index > 30 | 100 % |
| Previous hospitalization (>30 days, < 12 months) | 100 % |
| Steroids (prednisone 15 mg/die or equivalent dose for at least 15 days) | 100 % |
| Other immunosoppressive therapy | 100 % |
| Renal insufficiency | 100 % |
| COPD not in thoracic surgery | 100 % |
| Antibiotic therapy not with beta-lactams and/or quinolones in the previous 30 days | 89 % |
| Lenght of surgery > 75 percentile (for surgical procedures that last more than 4 h) | 100 % |
| External biliary drainage | 100 % |
| Protective factors | |
| Hospital with surveillance system of SSIs | 100 % |
| Correct antibiotic prophylaxis | 100 % |
| Laparoscopic surgery | 100 % |