Table 3.
Risk factors for insufficient reduction of microbial skin counts after two paints of preoperative skin antisepsis
Variable | Level | Crudea OR | CrudeaP-value |
---|---|---|---|
Ageb | Per 1-year increase | 1.0 (1.0─1.1) | 0.3 |
Sex | Female | 1 | 0.2 |
Male | 0.3 (0.04─1.8) | ||
BMIb | Per 1-kg/m2 increase | 1.0 (0.8─1.2) | 0.2 |
Diabetes mellitusc | No | 1 | 0.3 |
Yes | 2.6 (0.3─16.4) | ||
Antimicrobial treatment prior to surgeryd | No | 1 | 0.2 |
Yes | 3.8 (0.2─28.0) | ||
Adequate antimicrobial prophylaxise | No | 1 | Not estimable |
Yes | ─ | ||
Type of surgery | Cardiac | 1 | 0.9 |
Abdominal | 0.8 (0.1─5.4) | ||
Type of disinfectant | Chlorhexidine | 1 | Not estimable |
Povidone iodine | ─ | ||
Overall exposure time of antiseptic productf | Per 0.5-min increase | 1.1 (0.9─1.3) | 0.6 |
Microbial skin counts prior to skin antisepsis | Per 100-CFU increase | 1.0 (1.0─1.0) | 0.9 |
We performed all univariable analyses on the complete case population (n = 230 patients)
BMI body mass index, CFU colony forming unit, OR odds ratio
aCalculated by use of univariable logistic regression models with fixed effects
bAt day of surgery
cPrevious diagnosis of diabetes mellitus type 2 according to medical records
dAny antimicrobial treatment within the last 2 weeks prior to surgery and excluding peri-interventional antimicrobial prophylaxis
eAntimicrobial prophylaxis administered within 120 min prior to incision
fTime period from start of skin antisepsis until the applied antiseptic has dried out after paint 2