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International Journal of Colorectal Disease

Published in:

01-07-2017 | Original Article

Colorectal surgery and surgical site infection: is a change of attitude necessary?

Authors: Manuela Elia-Guedea, Elena Cordoba-Diaz de Laspra, Estibaliz Echazarreta-Gallego, María Isabel Valero-Lazaro, Jose Manuel Ramirez-Rodriguez, Vicente Aguilella-Diago

Published in: International Journal of Colorectal Disease | Issue 7/2017

Abstract

Introduction

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.

Applied method

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.

Results

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.

Conclusions

The preventive set of measures applied in colorectal surgery led to a significant reduction of the SSI and of the length of hospital stay.

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Title: Colorectal surgery and surgical site infection: is a change of attitude necessary?
Authors: Manuela Elia-Guedea
Elena Cordoba-Diaz de Laspra
Estibaliz Echazarreta-Gallego
María Isabel Valero-Lazaro
Jose Manuel Ramirez-Rodriguez
Vicente Aguilella-Diago
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 7/2017
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-017-2801-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Colorectal surgery and surgical site infection: is a change of attitude necessary?

Abstract

Introduction

Applied method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Applied method

Results

Conclusions

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