The aim of this study was to determine the incidence of surgical site infection (SSI) after vasectomy and to identify associated patient and perioperative risk factors, including the operating room environment (non-ventilated treatment room or ventilated operating theatre). This study used an active 30-day surveillance follow-up programme with telephone interviews and home visits. Patients were recruited over an 18 month period. Demographics, patient details and perioperative procedures were documented on the day of surgery. Patients were telephoned 10 and 30 days post procedure. Of 1,155 patients enrolled, 994 (86%) completed the full 30-day follow-up. Of these, 25 (2.5%) developed an SSI. The mean number of days until presentation with an SSI was 13. No statistically significant difference was found in rates of SSI when vasectomies were undertaken in either ventilated operating theatres or non-ventilated treatment rooms.
ArabshahiKKoohpayezadeJ. (2006) Investigation of risk factors for surgical wound infection among teaching hospitals in Tehran. International Wound Journal3: 59–62
CasanovaJHerruzoRDiezJ. (2006) Risk factors for surgical site infection in children. Infection Control & Hospital Epidemiology27(7): 709–15.
4.
ChristensenPAl-AqidiOJensenFDorflingerT. (2002) Vasectomy. A prospective, randomised trial of vasectomy with bilateral incision versus the Li vasectomy. Ugeskrift for laeger164: 2390–4.
5.
ConnollyP. (2007) Quantitative Data Analysis in Education. Oxford: Routledge.
6.
CookLPunAGalloMLopezLVan VlietH. (2009) Scalpel versus no-scalpel incision for vasectomy (review). The Cochrane Collaboration. John Wiley and Sons Ltd: Bognor Regis, UK
FinnLCrookS. (1998) Minor surgery in general practice – setting the standards. Journal of Public Health Medicine20(2): 169.
9.
GouldD. (2012) Causes, prevention and management of surgical site infection. Nursing Standard26(47): 47–56.
10.
HaasJEvansAPrestonKLarsonE. (2005) Risk factors for surgical site infection after cardiac surgery: the role of endogenous flora. Heart and Lung34(2): 108–14.
HoranTAndrusMDudeckM. (2008) CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of Infection Control36(5): 309–32.
13.
HumphreysHCoiaJStaceyAThomasMBelliAHoffmanPJenksPMackintoshC. (2012) Guidelines on the facilities required for minor surgical procedures and minimal access interventions. Journal of Hospital Infection80(2): 103–9.
14.
KatzM. (1999) Multivariable analysis. A practical guide for clinicians. Cambridge University Press: Cambridge.
15.
KiernanM. (2012) Reducing the risk of surgical site infection. Nursing Times108(27): 12–14.
16.
LidwellO. (1980) The ventilation of surgical operating rooms. Journal of Hospital Infection1: 285.
17.
MangramAHoranTPearsonLSilverCJarvisW. (1999) Guideline for prevention of surgical site infection. Infection Control and Hospital Epidemiology20(4): 247–78.
18.
MeersP. (1983) Ventilation in operating rooms. British Medical Journal286: 244.
19.
NeumayerLHosokawaPItaniKEl-TamerMHendersonWKhuriS. (2007) Multivariable predictors of postoperative surgical site infection after general and vascular surgery: results from the patient safety in surgery study. Journal of the American College of Surgeons204: 1178–87.
20.
NHS Estates. (2002) Infection control in the built environment. Stationery Office: Norwich.
21.
NICE (2008) Surgical site infection: prevention and treatment of surgical site infection. RCOG Press: London
22.
ReillyJNooneACliftACochraneLJohnstonLRowleyDPhillipsGSullivanF. (2005) A study of telephone screening and direct observation of surgical wound infections after discharge from hospital. Journal Of Bone And Joint Surgery. British Volume 87(7): 997–9.
23.
RichardsM. (1973) Vasectomy….as an office procedure. Canadian Medical Association Journal109: 394.
24.
RojanapiromS. (1992) Pre-operative shaving and wound infection in appendectomy. Journal of the Medical Association of Thailand75(2): 20–3.
25.
Royal College of Obstetricians and Gynaecologists (RCOG). (2004) Male and female sterilisation: evidence based clinical guideline Number 4. RCOG Press: London.
26.
SangrasiALeghariAMemonATalpurAQureshiGMemonJ. (2008) Surgical site infection rate and associated risk factors in elective general surgery at a public sector medical university in Pakistan. International Wound Journal5(1): 74–8.
27.
SmythEHumphreysHStaceyATaylorEHoffmanPBannisterG. (2005) Survey of operating theatre ventilation facilities for minimally invasive surgery in Great Britian and Northern Ireland: current practice and considerations for the future. Journal of Hospital Infection61: 112.
28.
SokalDMcMullenSGatesDDominikR. (1999) A comparative study of the no scalpel and standard incision approaches to vasectomy in 5 countries. The male sterilization investigator team. Journal of Urology162: 1621–5.
29.
SpelmanDRussoPHarringtonGDavisBRabinovMSmithJSpicerWEsmoreD. (2000) Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. ANZ Journal of Surgery70(1): 47–51.
30.
StaceyAHumphreysH. (2002) A UK historical perspective on operating theatre ventilation. Journal of Hospital Infection52: 77.
31.
TannerJKhanD. (2008). Surgical site infection, preoperative body washing and hair removal. Journal of Perioperative Practice18(6): 232–42.
32.
TannerJKhanDAplinCBallJThomasMBankartJ. (2009) Post-discharge surveillance to identify colorectal surgical site infection rates and related costs. Journal of Hospital Infection72(3): 243–50.
33.
TaylorEDuffyKLeeKNooneALeanordAKingPO’DwyerP. (2003) Telephone call contact for post-discharge surveillance of surgical site infections. A pilot, methodological study. Journal of Hospital Infection55(1): 8–13.
34.
WardVCharlettAFaganJCrawshawS. (2008) Enhanced surgical site infection surveillance following caesarean section: experience of a multicentre collaborative post-discharge system. Journal of Hospital Infection70(2): 166–73.
35.
WhyteWHodgsonRTinklerJ. (1982) The importance of airborne bacterial contamination of wounds. Journal of hospital infection3: 123.
36.
World Health Organisation (WHO) (1988) Technical and managerial guidelines for vasectomy. Geneva.
37.
YoungHKnepperBMooreEJohnsonJMehlerPPriceC. (2012) Surgical site infection after colon surgery: national healthcare safety network risk factors and modelled rates compared with published risk factors and rates. Journal of the American College of Surgeons214(5): 852–859.
