Predictors of intraoperative bacterial contamination and postoperative infection in elective colorectal surgery
| Autor: | Dan E. W. Holmlund, Berndt E.B. Claesson |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Male Microbiology (medical) Staphylococcus aureus medicine.medical_specialty Adolescent Colon medicine.medical_treatment medicine.disease_cause Enterobacteriaceae Risk Factors Colon surgery medicine Postoperative infection Humans Surgical Wound Infection In patient Prospective Studies Intraoperative Complications Prospective cohort study Aged business.industry Age Factors Enterobacteriaceae Infections Rectum Colostomy General Medicine Middle Aged Staphylococcal Infections Contamination Colorectal surgery Surgery Infectious Diseases Drainage Female business |
| Zdroj: | Journal of Hospital Infection. 11:127-135 |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/0195-6701(88)90054-0 |
| Popis: | This prospective study of 238 patients undergoing colorectal operations attempted to identify the risk factors for intraoperative bacterial contamination and postoperative infection. The degree of contamination was assessed by the recovery of Enterobacteriaceae spp. or Staphylococcus aureus in peritoneal irrigation fluid using dip-slides. Uni- and multivariate analyses comprised 17 parameters. Intraoperative contamination was strongly associated with postoperative infection (P less than 0.001). Abdominal drains were correlated with contamination (P = 0.019), but not with infection. Decompressive colostomy was over-represented in patients with contamination (P less than 0.001) but contributed to infection independent of its association with contamination (P less than 0.05), as did advanced age (P less than 0.05). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|