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Open Access 01-12-2015 | Research article

The preventive surgical site infection bundle in patients with colorectal perforation

Authors: Takehito Yamamoto, Takeshi Morimoto, Ryosuke Kita, Hideyuki Masui, Hiromitsu Kinoshita, Yusuke Sakamoto, Kazuyuki Okada, Junji Komori, Akira Miki, Masato Kondo, Kenji Uryuhara, Hiroyuki Kobayashi, Hiroki Hashida, Satoshi Kaihara, Ryo Hosotani

Published in: BMC Surgery | Issue 1/2015

Abstract

Background

Incisional surgical site infection (SSI) is one of the most frequent complications that occur after colorectal surgery. Surgery for colorectal perforation carries an especially high risk of incisional SSI because fecal ascites contaminates the incision intraoperatively, and in patients who underwent stoma creation, the incision is located near the infective origin and is subject to infection postoperatively. Although effectiveness of the preventive SSI bundle of elective colorectal surgery has been reported, no study has focused exclusively on emergency surgery for colorectal perforation.

Methods

Patients with colorectal perforation who underwent emergency surgery and stoma creation from 2010 to 2015 at our center were consecutively enrolled in the study. In March 2013, we developed the preventive incisional SSI bundle for patients with colorectal perforation undergoing stoma creation. The effectiveness of the bundle in these patients was determined and the rates of incisional SSI between before and after March 2013 were compared.

Results

We enrolled 108 patients with colorectal perforation who underwent emergency operation during the study period. Thirteen patients were excluded because they died within 30 days after surgery, and 23 patients without stoma were excluded; thus, 72 patients were analyzed. There were 47 patients in the pre-implementation group and 25 patients in the post-implementation group. The rate of incisional SSI was significantly lower after implementation of preventive incisional SSI bundle (43 % vs. 20 %, p = 0.049). Postoperative hospital stay was significantly shorter after implementation of the bundle (27 vs. 18 days respectively; p = 0.008).

Conclusions

The preventive incisional SSI bundle was effective in preventing incisional SSI in patients with colorectal perforation undergoing emergency surgery with stoma creation.

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Title: The preventive surgical site infection bundle in patients with colorectal perforation
Authors: Takehito Yamamoto
Takeshi Morimoto
Ryosuke Kita
Hideyuki Masui
Hiromitsu Kinoshita
Yusuke Sakamoto
Kazuyuki Okada
Junji Komori
Akira Miki
Masato Kondo
Kenji Uryuhara
Hiroyuki Kobayashi
Hiroki Hashida
Satoshi Kaihara
Ryo Hosotani
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2015
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-015-0115-0

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Springer Medicine

The preventive surgical site infection bundle in patients with colorectal perforation

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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