지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 146 - 152 (7page)
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초록· 키워드
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Purpose: This study aimed to evaluate association between compliance with surgical site infection (SSI) prevention bun- dle and the development of superficial or deep incisional SSI following colorectal surgery and to evaluate the impact of incisional SSI on surgical outcomes. Methods: A prospectively collected database of consecutive patients undergoing elective colectomy and/or proctectomy from 2011 to 2019 in a university hospital was reviewed. The association between compliance with Thailand’s SSI Preven- tion Bundle (10 level-1A interventions) and the incidence of incisional SSI was determined. Surgical outcomes were com- pared between those with incisional SSI and those without. Results: This study included 600 patients with a median age of 64 years (range, 18–102 years). Some 126 patients (21.0%) had stoma formation and 52 (8.7%) underwent laparoscopy. The incidence of incisional SSI was 5.5% (n = 33; 32 superfi- cial incisional SSI and 1 deep incisional SSI). Higher compliance with care bundle tended to decrease incisional SSI (P = 0.20). In multivariate analysis, compliance of 70% or more was the only dependent factor for reducing incisional SSI (odds ratio, 0.39; 95% confidence interval, 0.15 to 0.99; P = 0.047). None of individual interventions were significantly as- sociated with a lower probability of incisional SSI. Compared with counterparts, patients with incisional SSI had a 2-day longer length of postoperative stay (6 day vs. 4 day, P < 0.001) but comparable time for gastrointestinal recovery and simi- lar rate of 30-day mortality or readmission. Conclusion: High compliance with SSI prevention bundle (especially ≥ 70%) reduced incisional SSI after colorectal surgery.
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참고문헌 (29)
참고문헌 신청
Cassini A / 2016 / Burden of six healthcare-associated infections on European population health: estimating incidence-based disability-adjusted life years through a population prevalence-based modelling study / PLoS Med 13:e1002150
Romy S / 2008 / Laparoscope use and surgical site infections in digestive surgery / Ann Surg 247:627~632
Lohsiriwat V / 2009 / Antibiotic prophylaxis and incisional surgical site infection following colorectal cancer surgery: an analysis of 330 cases / J Med Assoc Thai 92:12~16
Lohsiriwat V / 2008 / Outcomes of sphincter-saving operation for rectal cancer without protective stoma and pelvic drain, and risk factors for anastomotic leakage / Dig Surg 25:191~197
Allegranzi B / 2016 / New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective / Lancet Infect Dis 16:e276~e287
Romy S / 2008 / Laparoscope use and surgical site infections in digestive surgery / Ann Surg 247:627~632
Lohsiriwat V / 2009 / Antibiotic prophylaxis and incisional surgical site infection following colorectal cancer surgery: an analysis of 330 cases / J Med Assoc Thai 92:12~16
Lohsiriwat V / 2008 / Outcomes of sphincter-saving operation for rectal cancer without protective stoma and pelvic drain, and risk factors for anastomotic leakage / Dig Surg 25:191~197
Allegranzi B / 2016 / New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective / Lancet Infect Dis 16:e276~e287
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