Impact of surgical training on incidence of surgical site infection

Rosenthal, Rachel; Weber, Walter P; Zwahlen, Marcel; Misteli, Heidi; Reck, Stefan; Oertli, Daniel; Widmer, Andreas F; Marti, Walter R (2009). Impact of surgical training on incidence of surgical site infection. World journal of surgery, 33(6), pp. 1165-73. New York, N.Y.: Springer 10.1007/s00268-009-0012-8

[img] Text
Rosenthal WorldJSurg 2009.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (207kB) | Request a copy

BACKGROUND: Despite availability of other training forms, tutorial assistance cannot be entirely replaced in surgical education. Concerns exist that tutorial assistance may lead to an increased rate of surgical site infection (SSI). The purpose of the present study was to investigate whether the risk of SSI is higher after surgery with tutorial assistance than after surgery performed autonomously by a fully trained surgeon. METHODS: All consecutive visceral, vascular, and traumatological inpatient procedures at a Swiss University Hospital were prospectively recorded during a 24-month period, and the patients were followed for 12 months to ascertain the occurrence of SSI. Using univariable and multivariable logistic regressions, we assessed the association of tutorial assistance surgery with SSI in 6,103 interventions. RESULTS: Autonomously performed surgery was associated with SSI in univariable analysis (5.36% SSI vs. 3.81% for tutorial assistance, p = 0.006). In multivariable analysis, the odds of SSI for tutorial assistance was no longer significantly lower (Odds Ratio [OR] = 0.82; 95% Confidence Interval [CI]: 0.62-1.09; p = 0.163). CONCLUSIONS: Surgical training does not lead to higher SSI rate if trainees are adequately supervised and interventions are carefully selected. Although other forms of training are useful, tutorial assistance in the operating room continues to be the mainstay of surgical education.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Zwahlen, Marcel








Factscience Import

Date Deposited:

04 Oct 2013 15:10

Last Modified:

30 Jun 2015 15:19

Publisher DOI:


Web of Science ID:




URI: (FactScience: 194914)

Actions (login required)

Edit item Edit item
Provide Feedback