Colorectal surgery and surgical site infection: is a change of attitude necessary?
| Autor: | Estíbaliz Echazarreta-Gallego, José Manuel Ramírez-Rodríguez, María Isabel Valero-Lazaro, Vicente Aguilella-Diago, Elena Córdoba-Díaz de Laspra, Manuela Elía-Guedea |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty 030230 surgery 03 medical and health sciences Postoperative Complications 0302 clinical medicine Internal medicine medicine Humans Surgical Wound Infection In patient Risk factor Prospective cohort study Aged Demography business.industry Open surgery Gastroenterology Middle Aged Hepatology Colorectal surgery Anti-Bacterial Agents Surgery 030220 oncology & carcinogenesis Female business Colorectal Surgery Surgical site infection Hospital stay |
| Zdroj: | International Journal of Colorectal Disease. 32:967-974 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-017-2801-0 |
| Popis: | Surgical site infection (SSI) can be as high as 30% in patients undergoing colorectal surgery and is associated with an increase in morbidity and mortality. The aim of this study is to evaluate the impact of a set of simple preventive measures that have resulted in a reduction in surgical site infection in colorectal surgery. Prospective study with two groups of patients treated in the colorectal unit of the “Clinico Universitario Lozano Blesa” hospital in Zaragoza. One group was subject to our measures from February to May 2015. The control group was given conventional treatment within a time period of 3 months before the set of measures were implemented. One hundred forty-nine patients underwent a major colorectal surgical procedure. Seventy (47%) belonged to the control group and were compared to the remaining 79 patients (53% of the total), who were subject to our treatment bundle in the period tested. Comparing the two groups revealed that our set of measures led to a general reduction in SSI (31.4 vs. 13.6%, p = 0.010) and in superficial site infection (17.1 vs. 2.5%, p = 0.002). As a consequence, the postoperative hospital stay was shortened (10.0 vs. 8.0 days, p = 0.048). However, it did not, the number of readmissions nor the re-operation rate. SSI was clearly related to open surgery. The preventive set of measures applied in colorectal surgery led to a significant reduction of the SSI and of the length of hospital stay. |
| Databáze: | OpenAIRE |
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