Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols

Details

Serval ID
serval:BIB_33F7AD53B647
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols
Journal
Medicine
Author(s)
Joliat Gaëtan-Romain, Sauvain Marc-Olivier, Petermann David, Halkic Nermin, Demartines Nicolas, Schäfer Markus
ISSN
1536-5964
Publication state
Published
Issued date
08/2018
Peer-reviewed
Oui
Volume
97
Number
31
Pages
e11728
Language
english
Abstract
Few data exist on risk factors (RF) for surgical site infections (SSI) among patients treated in an enhanced recovery after surgery (ERAS) pathway. This study aimed to assess RF for SSI after pancreas surgery in a non-ERAS group and an ERAS cohort.An exploratory retrospective analysis of all pancreas surgeries prospectively collected (01/2000-12/2015) was performed. RF for SSI were calculated using uni- and multivariable binary logistic regressions in non-ERAS and ERAS patients.Pancreas surgery was performed in 549 patients. Among them, 144 presented a SSI (26\%). In the non-ERAS group (n = 377), SSI incidence was 27\% (99/377), and RF for SSI were male gender and preoperative biliary stenting. Since 2012, 172 consecutive patients were managed within an ERAS pathway. Forty-five patients (26\%) had SSI. On multivariable analysis no RF for SSI in the ERAS cohort was found. In the ERAS group, patients with a pathway compliance ≤70\% had higher occurrence of SSI (30/45 = 67\% vs. 7/127 = 6\%, p {\textless} 0.001) and patients with and without SSI had similar median overall compliances (77\%, IQR 71-80 vs. 80\%, IQR 73-83, p = 0.097).In the non-ERAS cohort, male gender and preoperative biliary stenting were RF for SSI, whereas in the ERAS group no RF for SSI was found. In an ERAS pathway, having an overall compliance {\textgreater}70\% might diminish the SSI rate.
Keywords
Aged, Clinical Protocols, Female, Humans, Length of Stay, Male, Middle Aged, Pancreas, Perioperative Care, Retrospective Studies, Risk Factors, Sex Factors, Surgical Wound Infection
Pubmed
Create date
11/02/2021 0:55
Last modification date
12/02/2021 6:25
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