Specific National Surveillance Program for Organ Space Infections after Colonic Surgery.

Details

Serval ID
serval:BIB_3F0AD0807702
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Specific National Surveillance Program for Organ Space Infections after Colonic Surgery.
Journal
Surgical infections
Author(s)
Grass F., Martin D., Moulin E., Hahnloser D., Demartines N., Hübner M.
ISSN
1557-8674 (Electronic)
ISSN-L
1096-2964
Publication state
Published
Issued date
07/2019
Peer-reviewed
Oui
Volume
20
Number
5
Pages
373-377
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Background:
The present study aimed to analyze risk factors and management strategies for organ space infections (OSI) specifically after colonic resections.
Methods:
This was a retrospective analysis of all consecutive colonic resections performed between February 2012 and October 2017 in a single-center quality-improvement project. All OSIs were assessed prospectively by an independent national surveillance program ( www.swissnoso.ch ) and classified according to the U.S. Centers for Disease Control and Prevention (CDC) criteria (infection involves organ and spaces other than the incision), including anastomotic leaks. Risk factors for OSI were identified by univariable and multivariable analysis.
Results:
The study cohort included 1,263 patients (731 elective and 532 emergency colectomies). One hundred fifty-three patients (12%) were found to have an OSI, which occurred at median POD 8 [interquartile range 4-14]. Treatment strategies consisted of surgical management in 85 cases (56%), percutaneous drainage in 36 cases (24%), and antibiotic treatment alone in 32 patients (21%). Independent risk factors for OSI were emergency surgery (odds ratio [OR] 2.06; 95% confidence interval [CI] 1.35-3.16), operation duration >180 minutes (OR 2.10; 95% CI 1.29-3.40), and open surgery (OR 2.51; 95% CI 1.73-3.65).
Conclusions:
Organ space infections after colonic surgery were more frequent after open emergency surgery and occurred early in the post-operative course. Invasive management was required in 79% of cases.
Keywords
Adult, Aged, Aged, 80 and over, Colonic Diseases/surgery, Colorectal Surgery/adverse effects, Epidemiological Monitoring, Female, Humans, Male, Middle Aged, Prospective Studies, Retrospective Studies, Risk Factors, Surgical Wound Infection/epidemiology, United States/epidemiology, colorectal surgery, organ space infection, surgical site infection
Pubmed
Web of science
Create date
25/03/2019 10:05
Last modification date
16/12/2019 6:19
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