Prediction of surgical site infection after colorectal surgery

Pedroso, Yanet; Aguirre‐Jaime, Armando; Ramos, María José Rodríguez; Hernández, Miriam; Cuervo, Milagros; Bravo, Alberto; Carrillo, Ángel

doi:10.1016/j.ajic.2015.10.024

Cited by 44 publications

(42 citation statements)

References 36 publications

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“…Something that can be influenced, however, is the invasiveness of the surgery. Minimally invasive procedures in liver, colonic and gynaecological surgery decrease the risk of SSI. This is partly explained by the smaller wounds created by laparoscopic procedures, as large incisions increase the risk of SSI.…”

Section: Perioperative Measuresmentioning

confidence: 99%

Alternatives to antibiotics for prevention of surgical infection

Ploegmakers

Damink

Breukink

2017

British Journal of Surgery

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Background: Surgical-site infection (SSI) is still the second most common healthcare-associated infection, after respiratory tract infection. SSIs are associated with higher morbidity and mortality rates, and result in enormous healthcare costs. In the past decade, several guidelines have been developed that aim to reduce the incidence of SSI. Unfortunately, there is no consensus amongst the guidelines, and some are already outdated. This review discusses the recent literature regarding alternatives to antibiotics for prevention of SSI.Methods: A literature search of PubMed/MEDLINE was performed to retrieve data on the prevention of SSI. The focus was on literature published in the past decade.

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Section: Perioperative Measuresmentioning

confidence: 99%

Alternatives to antibiotics for prevention of surgical infection

Ploegmakers

Damink

Breukink

2017

British Journal of Surgery

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“…In contrast, Morikane et al (18) found an association between male sex and increased risk of SSI in adult patients undergoing colorectal surgery. The reasons for SSI being more common in female than male patients in three of these four studies is unclear; however, Pedroso-Fernandez et al (17) proposed in a personal communication that the procedure for extracting the resected tissue and size of incision may differ in female patients for cosmetic reasons.…”

Section: Discussionmentioning

confidence: 99%

“…In adult colorectal surgery, dirty or contaminated surgery, open ileostomy or colostomy placement, emergency surgery, and multiple procedures are reportedly associated with increased risk of SSI (17,18). Segal et al (19) reported that risk factors for I-SSI and OS-SSI differ in patients who undergo colon resection.…”

Section: Discussionmentioning

confidence: 99%

Immunosuppressive medication is not associated with surgical site infection after surgery for intractable ulcerative colitis in children

Uchida

Ohtsuka

Yoden

et al. 2017

IRDR

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“…Patientdependent variables had little effect on the prevalence of SSI in our study. Age was reported to be a significant risk factor in few of the other operative procedures [32], but not in CRS [15,16,19,[33][34][35].…”

Section: Prevalence Of Ssi and Trends Over Timementioning

confidence: 99%

Prevalence and risk factors for surgical site infection after colorectal surgery: a multiple-center prospective study of 3,663 consecutive patients in China

Zhang

Gan

Zhou

et al. 2020

Preprint

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Background: Surgical site infection (SSI) after colorectal surgery (CRS) remains a significant problem for its negative clinical outcomes. However, it is poorly understood in China . This study aims to investigate the prevalence, risk factors and microbiology of SSI after CRS. Methods: A nationwide prospective multicenter design was applied. Patients in 19 Chinese hospitals from 2015 to 2018 were prospectively monitored for SSI after CRS. Demographic data, hospital characteristics, and potential perioperative risk factors were collected and analyzed, using univariate and multivariate logistic regression models. Results: Among 3,663 study participants, 134(3.66%) episodes of SSI were identified. The prevalence rate of SSI decreased from 5.9 infections per 100 procedures in 2014 to 3.1 infections per 100 procedures in 2017 (prevalence rate ratio [PRR], 0.52; 95% CI, 0.28–0.94). The SSI rates were 1.88, 4.15, 6.27 and 11.58 per 100 operations for the National Nosocomial Infections Surveillance system (NNIS) risk index categories of 0, 1, and 2 or 3, respectively. Escherichia coli (54/134, 40.3%) and Klebsiella pneumoniae (10/134, 7.5%) were the most frequently isolated microorganisms. A high prevalence of antibiotic resistance were observed in our study, with rates of extended spectrum beta-lactamase-producing or carbapenem-resistant Escherichia coli and Klebsiella pneumonia of 50.0%(27/54) and 30.0%(3/10) respectively. Preoperative hospital stay ≥ 48h (OR=2.28, 95% CI: 1.03–5.02) and contaminated or dirty wound (OR=3.38, 95% CI: 1.88–6.06) were significantly associated with increasing risk of SSI after CRS. Conclusion: A statistically significant but modest decrease in the prevalence rate of CRS SSI over the 4-year study period was observed in this study. Noticeably, the relatively high rates of multidrug-resistant pathogens causing SSI after CRS should be alert despite of the small number of isolates identified in our survey.

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Prediction of surgical site infection after colorectal surgery

Cited by 44 publications

References 36 publications

Alternatives to antibiotics for prevention of surgical infection

Alternatives to antibiotics for prevention of surgical infection

Immunosuppressive medication is not associated with surgical site infection after surgery for intractable ulcerative colitis in children

Prevalence and risk factors for surgical site infection after colorectal surgery: a multiple-center prospective study of 3,663 consecutive patients in China

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