TABLE 4.
Association Between Duration of Prophylactic Antibiotic Use and Deep SSI Stratified by Severity of Wound Contamination Based on Unadjusted, Adjusted, and Propensity Score–Stratified Models, N = 2400
Contamination | Antibiotic Use | Deep SSI (n = 163) n (%) | No Deep SSI (n = 2237) n (%) | Unadjusted |
Adjusted |
Propensity Score–Stratified |
|||
---|---|---|---|---|---|---|---|---|---|
OR (95% CI) | P | OR (95% CI) | P | OR (95% CI) | P | ||||
Mild | > 72 h (n = 726) | 43 (5.9) | 683 (94.1) | 1.20 (0.80, 1.81) | 0.38 | 1.39 (0.92, 2.11) | 0.12 | 1.35 (0.89, 2.05) | 0.16 |
≤ 72 h (n = 1123) | 56 (5.0) | 1067 (95.0) | 1.0 (ref) | 1.0 (ref) | 1.0 (ref) | ||||
Moderate | > 72 h (n = 221) | 17 (7.7) | 204 (92.3) | 0.85 (0.43, 1.70) | 0.65 | 1.09 (0.53, 2.27) | 0.81 | 1.17 (0.57, 2.43) | 0.67 |
≤ 72 h (n = 202) | 18 (8.9) | 184 (91.1) | 1.0 (ref) | 1.0 (ref) | 1.0 (ref) | ||||
Severe | > 72 h (n = 61) | 7 (11.5) | 54 (88.5) | 0.27 (0.10, 0.68) | 0.006 | 0.20 (0.07, 0.60) | 0.003 | 0.23 (0.08, 0.65) | 0.005 |
≤ 72 h (n = 67) | 22 (32.8) | 45 (67.2) | 1.0 (ref) | 1.0 (ref) | 1.0 (ref) |
Odds ratios (ORs), confidence intervals (CIs), and P values calculated using logistic regression. Percentages shown are row percents. Adjusted model includes Gustilo–Anderson wound type, days to definitive closure, country, and wound area. Propensity score–stratified model adjusts for propensity score stratum, days to definitive closure, and country.