Superficial incisional surgical site infections in emergency surgery in cancer patients: A tertiary cancer care center experience

Bhargavan, Rexeena; Augustine, Paul

doi:10.4103/ijc.ijc_534_17

Cited by 2 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…E. coli is reported as the most common pathogen causing SSI in abdominal surgery [13,14]. Similarly, our ndings showed that E. coli was the leading pathogen isolated from surgical sites (16/43; 37.2%), with most isolates resistant to third-generation cephalosporins (15/16; 93.8%).…”

Section: Discussionsupporting

confidence: 68%

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction After Emergency Surgery

Feng

Xie²,

An³

et al. 2022

SN Compr. Clin. Med.

View full text Add to dashboard Cite

Background Surgical site infection (SSI) and antimicrobial resistance may adversely affect the clinical outcome of older patients.Objective Investigate the etiology and outcome of SSIs in elderly patients who underwent emergency bowel surgery.Methods We conducted a retrospective study of all patients aged ≥60 years who underwent emergency surgery due to an ileus from January 2014 to June 2019 in a tertiary teaching hospital in Western China. Demographic data, comorbidities, perioperative physiological and microbiological data, and information on the surgical technique and duration of hospitalization were extracted from clinical records to assess risk factors for SSIs.Results Of 125 patients included, 115/125 (92%) had a duration of >48 hours postoperative prophylactic antibiotic use; 37 (29.6%) patients were diagnosed with SSI. All occurred within the period of postoperative antimicrobial prophylaxis or after an extended duration of >48 hours prophylactic antibiotic use. Enterobacteriaceae and Enterococcus were the most frequently isolated species (67.4% and 20.9%, respectively): 93.8% of Escherichia coli (15/16) and 46.2% of other Enterobacteriaceae (6/13) isolated were ceftriaxone-resistant. Incision site classi cation was an independent risk factor for SSI in multivariate analysis. SSI patients had a signi cantly longer length of stay than those without (29.81±12.96 days vs. 22.52±10.67 days, respectively; p=0.001). ConclusionHigher rates of extended-spectrum beta-lactamase-producing Enterobacteriaceae carriage were associated with higher SSI, despite prolonged antimicrobial prophylaxis. This calls for the improved surveillance of resistance in order to offer an alternative prophylaxis for the prevention of these types of infections.

show abstract

Section: Discussionsupporting

confidence: 68%

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction After Emergency Surgery

Feng

Xie²,

An³

et al. 2022

SN Compr. Clin. Med.

View full text Add to dashboard Cite

show abstract

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction after Emergency Surgery

Feng

Xie

Wen-hong

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Surgical site infection (SSI) and antimicrobial resistance may adversely affect the clinical outcome of older patients. Objective Investigate the etiology and outcome of SSIs in elderly patients who underwent emergency bowel surgery. Methods We conducted a retrospective study of all patients aged ≥60 years who underwent emergency surgery due to an ileus from January 2014 to June 2019 in a tertiary teaching hospital in Western China. Demographic data, comorbidities, perioperative physiological and microbiological data, and information on the surgical technique and duration of hospitalization were extracted from clinical records to assess risk factors for SSIs. Results Of 125 patients included, 115/125 (92%) had a duration of >48 hours postoperative prophylactic antibiotic use; 37 (29.6%) patients were diagnosed with SSI. All occurred within the period of postoperative antimicrobial prophylaxis or after an extended duration of >48 hours prophylactic antibiotic use. Enterobacteriaceae and Enterococcus were the most frequently isolated species (67.4% and 20.9%, respectively): 93.8% of Escherichia coli (15/16) and 46.2% of other Enterobacteriaceae (6/13) isolated were ceftriaxone-resistant. Incision site classification was an independent risk factor for SSI in multivariate analysis. SSI patients had a significantly longer length of stay than those without (29.81±12.96 days vs. 22.52±10.67 days, respectively; p=0.001). Conclusion Higher rates of extended-spectrum beta-lactamase-producing Enterobacteriaceae carriage were associated with higher SSI, despite prolonged antimicrobial prophylaxis. This calls for the improved surveillance of resistance in order to offer an alternative prophylaxis for the prevention of these types of infections.

show abstract

Superficial incisional surgical site infections in emergency surgery in cancer patients: A tertiary cancer care center experience

Cited by 2 publications

References 7 publications

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction After Emergency Surgery

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction After Emergency Surgery

Risk Factors and Outcome Analysis of Surgical Site Infections in Chinese Elderly Patients with Intestinal Obstruction after Emergency Surgery

Contact Info

Product

Resources

About