Surgical site infection among patients after colorectal cancer surgery

Banaszkiewicz, Zbigniew; Cierzniakowska, Katarzyna; Tojek, Krzysztof; Kozłowska, Elżbieta; Jawień, Arkadiusz

doi:10.5604/01.3001.0009.5858

Cited by 13 publications

(17 citation statements)

References 22 publications

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“…The higher risk of acquiring SSI among patients with malignant diseases compared to patients with benign diseases is reasonable since malignancy is associated with weak immune system and vulnerability to various infections, and it is consistent with studies reported that SSI was observed in 30-60% of patients after colorec tal cancer surgeries (5,(14)(15). The lack of association between SSI and timing of SAP is similar to another retrograde cohort study (28).…”

Section: Discussionsupporting

confidence: 88%

Surgical Sites Infection After Gastrointestinal Surgeries in a Public Teaching Hospital in Sudan

Hassan

Osman

Aabdeen

et al. 2020

Preprint

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Background: Surgical site infections (SSIs) are common healthcare-associated infections and associated with prolonged hospital stays, additional financial burden, and significantly hamper the potential benefits of surgical interventions. Causes of SSIs are multi-factorials and patients undergoing gastrointestinal tract (GIT) procedures carry a high risk of bacterial contamination. This study aimed to determine the prevalence, associated factors, and causing microorganisms of SSIs among patients undergoing GIT surgeries.Methods: A hospital based, cross-sectional study conducted at Soba University Hospital (SUH) in Khartoum, Sudan. We included all patients from all age groups attending the GIT surgical unit at SUH between September-December 2017. We collected data about the socio-demographic characteristics, risk factors of SSI, and isolated microorganisms from patients with SSIs. Data analysis was done using the SPSS software version 20 (SPSS Inc., Chicago, IL, USA). A Chi-square test was conducted to determine the relationship between the independent categorical variables and the occurrence of SSI. The significance level for all analyses was set at p < .05.Results: A total of 80 participants were included in the study. The mean age was 51 +/- 16 years and most of the patients (67.5%) did not have any chronic illness prior to the surgical operation. Most of them (46.3%) of them underwent large bowel surgery. Twenty-two patients (27.5%) developed SSI post operatively and superficial SSI was the most common type of SSIs (81.8%). Occurrence of SSI was found to be associated with long operation time (p > .001), malignant nature of the disease (p > .001), intra-operative blood loss (p > .001), and intra-operative hypotension (p =.013). The most prevalent microorganism isolated from SSI patients was E coli (47.8%), followed by Enterococcus fecalis (13.0%) and combined Pseudomonas aeruginosa + E coli infection (13.0%).Conclusion: The results showed a high prevalence of SSIs among patients attending the GIT unit in SUH and the most prevalent microorganism isolated from them was E coli. Measures should be taken to reduce the magnitude of SSI by mitigating the identified associated factors.

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Section: Discussionsupporting

confidence: 88%

Surgical Sites Infection After Gastrointestinal Surgeries in a Public Teaching Hospital in Sudan

Hassan

Osman

Aabdeen

et al. 2020

Preprint

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“…Although there are global variations around the definition of an SSI, the European Commission classified SSIs into superficial incisional surgical site infection, deep incisional surgical site infection, or surgical site infection -organ/space, and the diagnostic criteria include the presence of one of the signs of infection (tenderness, swelling, reddening, and elevated skin temperature), purulent discharge from the incision site, and positive result of microbiological examination of material collected or after the surgical opening of the incision site [5,6].…”

Section: Introductionmentioning

confidence: 99%

Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan

et al. 2020

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Background Surgical site infections (SSIs) are common healthcare-associated infections and associated with prolonged hospital stays, additional financial burden, and significantly hamper the potential benefits of surgical interventions. Causes of SSIs are multi-factorials and patients undergoing gastrointestinal tract procedures carry a high risk of bacterial contamination. This study aimed to determine the prevalence, associated factors, and causing microorganisms of SSIs among patients undergoing gastrointestinal tract surgeries. Methods A hospital based, cross-sectional study conducted at Soba University Hospital in Khartoum, Sudan. We included all patients from all age groups attending the gastrointestinal tract surgical unit between 1st September and 31st December 2017. We collected data about the socio-demographic characteristics, risk factors of SSI, and isolated microorganisms from patients with SSIs. A Chi-square test was conducted to determine the relationship between the independent categorical variables and the occurrence of SSI. The significance level for all analyses was set at p < .05. Results A total of 80 participants were included in the study. The mean age was 51 +/- 16 years and most of the patients (67.5%) did not have any chronic illness prior to the surgical operation. Most of them (46.3%) of them underwent large bowel surgery. Twenty-two patients (27.5%) developed SSI post operatively and superficial SSI was the most common type of SSIs (81.8%). Occurrence of SSI was found to be associated with long operation time (p > .001), malignant nature of the disease (p > .001), intra-operative blood loss (p > .001), and intra-operative hypotension (p = .013). The most prevalent microorganism isolated from SSI patients was E coli (47.8%), followed by Enterococcus fecalis (13.0%) and combined Pseudomonas aeruginosa + E coli infection (13.0%). Conclusions The results showed a high prevalence of SSIs among patients attending the gastrointestinal tract surgical unit and the most prevalent microorganism isolated from them was E coli. Measures should be taken to reduce the magnitude of SSI by mitigating the identified associated factors.

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“…Em estudo retrospectivo conduzido com 1.581 pacientes submetidos à cirurgia colorretal para ressecção de câncer, no período de 1994 a 2016, cujo objetivo foi identificar os fatores de risco e o impacto de ISC, a taxa de ISC foi de 12,52% (n=198) (BANASZKIEWICZ et al, 2017).…”

Section: Indicadores De Incidência De Infecção Do Sítio Cirúrgico (Isc)unclassified

“…No estudo de Banaszkiewicz et al (2017) com pacientes submetidos a cirurgia colorretal para ressecção de câncer, dos 198 casos de infecção (taxa de ISC de 12,52%), 102 foram de ISC incisional-superficial (6,45%), 34 de ISC incisionalprofunda (2,15%), e 62 de órgão/cavidade (3,92%).…”

Section: Indicadores De Incidência De Infecção Do Sítio Cirúrgico (Isc)unclassified

“…A presença de neoplasia é fator de risco para ISC, e o tratamento do câncer acarreta risco alto de complicações perioperatórias aos pacientes com este diagnóstico (20 a 30% de complicações). A ISC pode ser observada de 30 a 60% dos pacientes submetidos a procedimentos cirúrgicos para ressecção de câncer gastrointestinal (BANASZKIEWICZ et al, 2017).…”

Section: Indicadores De Incidência De Infecção Do Sítio Cirúrgico (Isc)unclassified

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Efeito da hipotermia sobre a incidência de infeção de sítio cirúrgico em cirurgias abdominais: estudo de coorte

Ribeiro¹

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À Deus, pelo dom da vida, pelas oportunidades, saúde, coragem e determinação com as quais fui presenteado, pela minha família, amigos, trabalho e tantos outros presentes que me deram estrutura para concluir este trabalho. Muito obrigado meu Deus! À Nossa Senhora Aparecida, minha Mãe, que, com Seu Manto Sagrado e Coração de Mãe, me acolhe, me protege, me defende e me acalenta nos momentos difíceis de tristeza e de angústia, seca minhas lágrimas, acalma e fortalece minha fé e presenteia-me, diariamente, com tantas bênçãos. Obrigado minha Mãe, Tu és minha luz e minha força! À Profa. Dra. Cristina Maria Galvão, minha orientadora, que, desde o mestrado, compartilhou conhecimentos e ensinou-me, diariamente, através de suas ações, que a humildade é a maior qualidade dos grandes pesquisadores. Sua paciência, compreensão e carinho são demonstrações de amor e respeito aos seus alunos, à Enfermagem, à docência e à pesquisa. Sua contribuição, na minha vida, transcende os muros acadêmicos e as barreiras do conhecimento. Muito obrigado por tudo! À Profa. Dra. Isabel Cristina Martins de Freitas, por todo apoio, carinho e dedicação conosco da qualificação à finalização deste trabalho. Suas contribuições foram valiosíssimas em todo o processo. Obrigado pelo apoio metodológico, estatístico e psicológico. Muito obrigado! À minha família, Santinha, Joaquim, Tânia, Arthur, Rosângela, Nathan e Rodrigo, por serem exatamente como são, amo-os assim...! Obrigado por terem me dado, todos os dias, os subsídios para conduzir e concluir este trabalho! Ao Franco, pelo apoio, compreensão e por estar, direta e indiretamente, ao meu lado sempre. Muito obrigado! À minha amiga Gislaine, companheira de vida, de estudos, de estrada, de todas as angústias e de todas as alegrias ao longo da condução deste estudo. Este trabalho é seu também, minha amiga! Com certeza, aprendemos e crescemos muito juntos. Obrigado por tudo! À Profa. Dra. Vanessa de Brito Poveda, pelas valiosas sugestões na qualificação deste estudo e por ser, de certa forma, inspiradora desta pesquisa, visto que foi a pioneira a estudar, no cenário nacional, a temática abordada neste trabalho. Muito obrigado!

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Surgical site infection among patients after colorectal cancer surgery

Cited by 13 publications

References 22 publications

Surgical Sites Infection After Gastrointestinal Surgeries in a Public Teaching Hospital in Sudan

Surgical Sites Infection After Gastrointestinal Surgeries in a Public Teaching Hospital in Sudan

Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan

Efeito da hipotermia sobre a incidência de infeção de sítio cirúrgico em cirurgias abdominais: estudo de coorte

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