Addressing an increase in surgical site infections during the COVID-19 pandemic—Identifying opportunities during a chaotic time

Plummer, Tabitha; Zepeda, Jordan; Reese, Sara M.

doi:10.1016/j.ajic.2023.06.015

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…These include correct perioperative antibiotic prophylaxis. Incorrect, non-procedure-specific selection and timing of perioperative antibiotics led to a 2.9 greater odds for SSI in a retrospective cohort study in the United States of America between January 2020 and September 2021 [32].…”

Section: Discussionmentioning

confidence: 99%

Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study

Strobel,

Baehr,

Hammerich

et al. 2024

JCM

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(1) Background: Surgical site infections (SSIs) are a relevant problem with a 25% incidence rate after elective laparotomy due to inflammatory bowel disease (IBD). The aim of this study was to evaluate whether stricter hygienic measures during the COVID-19 pandemic influenced the rate of SSI. (2) Methods: This is a monocentric, retrospective cohort study comparing the rate of SSI in patients with bowel resection due to IBD during COVID-19 (1 March 2020–15 December 2021) to a cohort pre-COVID-19 (1 February 2015–25 May 2018). (3) Results: The rate of SSI in IBD patients with bowel resection was 25.8% during the COVID-19 pandemic compared to 31.8% pre-COVID-19 (OR 0.94; 95% CI 0.40–2.20; p = 0.881). There were seventeen (17.5%) superficial and four (4.1%) deep incisional and organ/space SSIs, respectively, during the COVID-19 pandemic (p = 0.216). There were more postoperative intra-abdominal abscesses during COVID-19 (7.2% vs. 0.9%; p = 0.021). The strictness of hygienic measures (mild, medium, strict) had no influence on the rate of SSI (p = 0.553). (4) Conclusions: Hygienic regulations in hospitals during COVID-19 did not significantly reduce the rate of SSI in patients with bowel resection due to IBD. A ban on surgery, whereby only emergency surgery was allowed, was likely to delay surgery and exacerbate the disease, which probably contributed to more SSIs and postoperative complications.

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Section: Discussionmentioning

confidence: 99%