Early post-operative fever after colorectal surgery in infants is common and rarely associated with infection.

Autor: Kwong JZ; Division of Pediatric Surgery, Department of Surgery, Rush University Medical Center, Chicago, IL, USA. jacky_z_kwong@rush.edu., Lapidus-Krol E; Division of General and Thoracic Surgery, The Hospital for Sick Children and Department of Surgery, University of Toronto, Toronto, ON, Canada., Langer JC; Division of General and Thoracic Surgery, The Hospital for Sick Children and Department of Surgery, University of Toronto, Toronto, ON, Canada., Gulack BC; Division of Pediatric Surgery, Department of Surgery, Rush University Medical Center, Chicago, IL, USA.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2024 Aug 19; Vol. 40 (1), pp. 235. Date of Electronic Publication: 2024 Aug 19.
DOI: 10.1007/s00383-024-05823-9
Abstrakt: Purpose: Early post-operative fever (< 48 h) is common in adults and children and seldom indicative of an infection. Guidance to limit excessive evaluation in adults is well-characterized but similar studies for the pediatric population is scarce. This study was performed to better clarify which infants should undergo investigation for post-operative fever after colorectal reconstructive surgical procedures.
Methods: We performed a retrospective chart review of all infants under one year of age who underwent elective reconstruction for anorectal malformations (ARM) and Hirschsprung Disease (HD) between June 2018 and April 2020 at a single institution. Patient and perioperative characteristics were analyzed to evaluate for possible factors associated with infection.
Results: Sixty-eight infants met study criteria - 38 (55.9%) had HD and 30 (44.1%) had ARM. Twenty-two infants (32.4%) had early post-operative fever. A definitive infectious cause was identified in only two infants. The presence of a colostomy pre-operatively and longer operative times were associated with increased risk of post-operative fever (62.5% vs. 22.7% and 175 min vs. 150 min respectively, p < 0.05).
Conclusion: Early post-operative fever in infants after colorectal surgery is common and rarely associated with an infection. Further research is needed to determine which infants require further work-up and which can be safely observed.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: