Risk factors for incisional surgical site infections in elective surgery for colorectal cancer: focus on intraoperative meticulous wound management

Surgery Today ◽  
2013 ◽  
Vol 44 (7) ◽  
pp. 1242-1252 ◽  
Author(s):  
Keita Itatsu ◽  
Gen Sugawara ◽  
Yuji Kaneoka ◽  
Takehito Kato ◽  
Eiji Takeuchi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Elective Surgery ◽  
Surgical Site Infections ◽  
Wound Management

Risk factors of surgical site infections after supratentorial elective surgery: A focus on the efficacy of the wound-drain-tip culture

2013 ◽  
Vol 155 (11) ◽  
pp. 2165-2170 ◽  
Author(s):  
Tackeun Kim ◽  
Jung Ho Han ◽  
Hong Bin Kim ◽  
Kyoung-Ho Song ◽  
Eu Suk Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Elective Surgery ◽  
Surgical Site Infections ◽  
Wound Drain

scholarly journals Do the Severity of Peritonitis and Stoma Creation Influence the Occurrence of Incisional Surgical Site Infections in Patients With Colorectal Perforation?

2019 ◽  
Vol 104 (7-8) ◽  
pp. 338-343
Author(s):  
Takehito Yamamoto ◽  
Takeshi Morimoto ◽  
Hiroki Hashida ◽  
Satoshi Kaihara ◽  
Ryo Hosotani
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Emergency Surgery ◽  
Independent Risk Factor ◽  
Multivariate Logistic Regression Analysis ◽  
Surgical Site Infections ◽  
Wound Management ◽  
Colorectal Perforation ◽  
Stoma Creation ◽  
Incisional Surgical Site Infection

Objective To identify the risk factors for incisional surgical site infection (SSI) in patients undergoing emergency surgery for colorectal perforation. Summary of Background Data Emergency surgery for colorectal perforation carries an especially high risk of incisional SSI. Although the risk factors of incisional SSI after colorectal surgery have been analyzed, no study has focused exclusively on patients with colorectal perforation. Methods Patients with colorectal perforation who underwent emergent surgery from 2010 to 2015 were enrolled. The factors associated with the occurrence of postoperative incisional SSI were evaluated. Results We enrolled 108 patients with colorectal perforation who underwent an emergency operation. Of these, 13 patients who died within 30 days after surgery were excluded. The mean age of the 95 study patients was 70 ± 13 years; 48 (51%) patients were male. The incisional SSI group comprised 26 patients (27%). Multivariate logistic regression analysis showed that stoma creation [odds ratio: 11.34; 95% confidence interval: 2.06–214.14] was an independent risk factor for incisional SSI. However, none of the clinical indicators of severe peritonitis and sepsis, including body temperature, systolic blood pressure, heart rate, preoperative white blood cell count, and C-reactive protein, were associated with the occurrence of incisional SSI. Conclusions Stoma creation was an independent risk factor for postoperative incisional SSI. Therefore, in this patient population, meticulous postoperative wound management is essential.

scholarly journals Wound infection in surgery department in BSMMU: A study of 100 cases

2014 ◽  
Vol 24 (2) ◽  
pp. 65-69
Author(s):  
M Nur-e-elahi ◽  
I Jahan ◽  
O Siddiqui ◽  
SU Ahmed ◽  
AI Joarder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Elective Surgery ◽  
Surgical Site Infections ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Surgical Patients ◽  
Resistance Pattern ◽  
Degree Of Contamination ◽  
Surgery Department

Background Surgical site infections (SSI) are the most common nosocomial infection in surgical patients, accounting for 38% of all such infections, and are a significant source of postoperative morbidity resulting in increased hospital length of stay and increased cost. Objectives To find out the incidence of wound infection in patients following elective surgery and the most likely causative organisms and their resistance pattern. Methods Prospective data were collected on 496 surgical patients admitted in the surgery department in BSMMU from January 2010 to June 2010. All preoperative risk factors were evaluated. Patients operated were followed in the post operative period and if any wound infection noted, swab from the site of infection was sent for culture and sensitivity and antibiotics were given accordingly. Results Following 496 elective operations 20.16 % patients developed wound infection. Highest numbers of infection were seen in the fifth decade with slight female preponderance. Wound infection progressively rises with the degree of contamination and increasing operative time. The common risk factors for development of surgical wound infection were anemia (52%), malnutrition (44%), diabetes (38%), jaundice (30%), contaminated operation (44%) dirty operation (38 %), obesity and smoking. The most predominant isolated organism was Escherichia coli (43%) followed by Staphylococcus aureus (33%) and Pseudomonas aeruginosa (11%). Ceftriaxone still remains the most effective antibiotic although the incidence of resistance is rising. Conclusion Despite a good numbers of variables influence surgical site infections; it is still possible to reduce the infection rate by correcting modifiable risk factors, reducing degree of contamination and duration of operation. To battle the emerging resistance of pathogens a definitive guideline is essential. DOI: http://dx.doi.org/10.3329/jbsa.v24i2.19804 Journal of Bangladesh Society of Anaesthesiologists 2011; 24(2): 65-69

scholarly journals Emergency and Elective Surgery for Colorectal Cancer: A Single-Center Experience

2022 ◽  
Vol 9 (1) ◽  
pp. 22-28
Author(s):  
Veysel Barış Turhan ◽  
Mutlu Şahin ◽  
Halil Fatih Gök ◽  
Doğan Öztürk ◽  
Bülent Öztürk ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Intestinal Obstruction ◽  
Poor Prognosis ◽  
Elective Surgery ◽  
Single Center ◽  
Surgical Interventions ◽  
Emergency Situations ◽  
Single Center Experience ◽  
Colorectal Tumours

Objective: Emergency surgical interventions due to colorectal cancer (CRC) obstruction are risk factors for poor prognosis. This study aims to compare emergency and elective surgeries for colorectal tumours performed in a single center. Material and Methods: CRC patients operated on between November 2014 and November 2019 were included in the study. Patients were divided into two groups; Patients operated under elective conditions, and patients operated under the emergency diagnosis of ileus or acute abdomen. Results: A total of 103 CRC patients were included in the study. Forty-five (43.7%) were operated in emergency situations, and 58 (56.3%) electively. 45.6% of the emergency cases were found to be Stage 3B and 4 (p=0.009). Bleeding and constipation were more common in elective cases, whereas in emergency cases, applications related to ileus and perforation were quite frequent (p<0.001). It was found that 62.3% of the tumors in emergency cases were seen in sigmoid and rectosigmoid regions (p=0.015). There was no anastomosis in 60.0% of emergency cases (p<0.001). Conclusion: In the hospital area where the study was applied, compared to other countries, more patients with CRC underwent emergency surgery for intestinal obstruction. Therefore, necessary measures must be taken to prevent further increases in these rates.

Examination of the efficacy of olanexidine gluconate for surgical site infections in colorectal cancer elective surgery

2021 ◽  
Author(s):  
Keita Kojima ◽  
Takatoshi Nakamura ◽  
Takeyoshi Habiro ◽  
Mina Waraya ◽  
Keiko Hayashi ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Elective Surgery ◽  
Surgical Site Infections

Risk factors related to surgical site infections among surgical patients in developing world: a systematic review

2020 ◽  
pp. 1984-1992
Author(s):  
Faihan Alotaibi ◽  
Faisal Alnemari ◽  
Alwaleed Alsufyani ◽  
Aisha Al-sanea ◽  
Abeer Al-Nashri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Developing World ◽  
Surgical Site Infections ◽  
Surgical Patients

Colon cancer: risk factors and screening

2020 ◽  
pp. 13-22
Author(s):  
Mark Natanson
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Cancer Risk ◽  
Clinical Manifestations ◽  
Dysplastic Lesion ◽  
Test Analysis ◽  
Cancer Risk Factors ◽  
Colon Cancer Risk ◽  
Neoplastic Process ◽  
Rectal Cancers

Colon and rectal cancers are usually combined under the same term "colorectal cancer". It should be noted that the lesion of the colon is much more common. Colorectal cancer ranks fourth in the overall structure of oncological pathology in terms of prevalence, and in some countries even comes third after lung and stomach cancer. Risk factors that contribute to the development of colorectal cancer include bowel polyps, ulcerative colitis and Crohn's disease, and a genetic predisposition. Most often, neoplastic transformation occurs at the site of an adenoma or dysplastic lesion of the intestinal mucosa. Due to the high risk of neoplastic process in a sufficiently large number of elderly people, it is recommended that every person over the age of 50 should undergo compulsory screening to detect latent cancer. The simplest, but at the same time insufficiently informative method is a blood culture test - analysis for the presence of blood in the feces. Method of total colonoscopy and double-contrast radiography is distinguished by a higher information content, but at the same time a higher cost. It is recommended to have these examinations every three to five years after the age of 50 years without clinical manifestations, and after the age of 40 for those at risk for colorectal cancer.

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