Alcohol consumption and the risk of nosocomial infection in general surgery

Delgado-Rodrı́guez, Miguel; Mariscal-Ortiz, Marcial; Gómez-Ortega, Antonio; Martı́nez-Gallego, Gabriel; Palma-Pérez, Silvia; Sillero-Arenas, Marı́a; Medina-Cuadros, Marcelino

doi:10.1002/bjs.4186

Cited by 37 publications

(27 citation statements)

References 28 publications

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“…Patient characteristics that appear to be associated with an increased risk of an SSI include diabetes, cigarette smoking, systemic steroid use, obesity (> 20% ideal body weight), old age, and poor nutritional status [12••]. A recently reported study showed that heavy alcohol consumption increased the risk of nosocomial infection in men who underwent general surgical procedures [13]. Other factors that are implicated in influencing the risk for infection include length of preoperative stay, coexistent infections at a remote site, preoperative bathing, and preparation of operative site techniques in addition to the use of antimicrobial prophylaxis [12••].…”

Section: Risk Factors For Infectionmentioning

confidence: 98%

Current strategies for prevention of surgical site infections

Nichols

2004

Curr Infect Dis Rep

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Surgical site infections (SSIs) are a common complication that follows all types of operative procedures. These infections are usually caused by the exogenous and endogenous microorganisms that enter the operative wound during the course of surgery. The general and procedure-specific risk factors for the development of SSI have been identified and are discussed in this article. Factors that influence the SSI rate and the current strategies for prevention of SSIs are also presented. Emphasis is placed on the efficacious use of antibiotic prophylaxis in surgery. A discussion of the principles of antibiotic prophylaxis, including choice of agents, route of administration, and timing, is offered. It appears that the use of less invasive laparoscopic surgical approaches, as practiced widely today, will be associated with an overall decreased incidence of SSI.

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Section: Risk Factors For Infectionmentioning

confidence: 98%

Current strategies for prevention of surgical site infections

Nichols

2004

Curr Infect Dis Rep

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“…German and Danish studies have typically conducted detailed assessments of patients' drinking to identify those who drank over 60 grams of alcohol daily [4-7, 11-13, 51, 52], or those who drank over 60 grams of alcohol daily and screened positive on standardized screening questionnaires such as the MAST [53] or CAGE [15,16,54,55]. A large Spanish study of hospital-acquired infections used a structured questionnaire to assess alcohol consumption above 72 grams per day [56] and a recent German study showed that the 10-item AUDIT identified a much higher prevalence of alcohol misuse than anesthesiologists who usually asked nonstandard questions about alcohol consumption [57].…”

Section: Discussionmentioning

confidence: 99%

Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

Harris¹,

Frey²,

DeBenedetti³

et al. 2009

TOSJ

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Abstract:We conducted a standardized review of research on the prevalence of alcohol use or misuse (including alcohol use disorders), and the association of alcohol use or misuse with post-operative surgical complications among US patients. Twenty seven studies that included a preoperative measure of alcohol use or misuse and included at least 50 US surgical patients were identified using a standardized search strategy (1950( -April 2007. Twenty-two of the studies reported prevalence of alcohol use or misuse, which was highest in major otolaryngology surgeries (mostly for cancer and injuries: 22-88.5%) and thoracic surgery (lung transplant and cancer resections: 29-33%) and ranged from 8-28% in the remaining studies. Nineteen studies examined the association between pre-operative alcohol consumption and post-operative complications suggesting positive associations between alcohol use or misuse and risk for post-operative delirium, pneumonia, cognitive decline, overall complications, and death. Most identified studies had methodological limitations, especially the widespread use of drinking assessment methods that cannot distinguish alcohol use from misuse.

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“…These complications include postoperative wound complications (including bleeding and infections) and various cardiopulmonary complications. 32,94,101,[145][146][147] Preoperative intervention for patients consuming excessive alcohol on a daily basis and abstinence before surgery has been shown to abate some of these risks. 101,145 Although few analyses point to a direct association between outcomes of spine care and alcohol consumption, a negative correlation between chronic heavy alcohol consumption and bone mineral density (including that of the spine) has been identified.…”

Section: Rationalementioning

confidence: 99%

The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

Parker¹,

McGirt

Bekelis

et al. 2015

FOC

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Meaningful quality measurement and public reporting have the potential to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. Recent developments in national quality reporting programs, such as the Centers for Medicare & Medicaid Services Qualified Clinical Data Registry (QCDR) reporting option, have enhanced the ability of specialty groups to develop relevant quality measures of the care they deliver. QCDRs will complete the collection and submission of Physician Quality Reporting System (PQRS) quality measures data on behalf of individual eligible professionals. The National Neurosurgery Quality and Outcomes Database (N2QOD) offers 21 non-PQRS measures, initially focused on spine procedures, which are the first specialty-specific measures for neurosurgery. Securing QCDR status for N2QOD is a tremendously important accomplishment for our specialty. This program will ensure that data collected through our registries and used for PQRS is meaningful for neurosurgeons, related spine care practitioners, their patients, and other stakeholders. The 2015 N2QOD QCDR is further evidence of neurosurgery’s commitment to substantively advancing the health care quality paradigm. The following manuscript outlines the measures now approved for use in the 2015 N2QOD QCDR. Measure specifications (measure type and descriptions, related measures, if any, as well as relevant National Quality Strategy domain[s]) along with rationale are provided for each measure.

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Alcohol consumption and the risk of nosocomial infection in general surgery

Abstract: Heavy alcohol consumption increased the risk of nosocomial infection in men who underwent general surgical procedures.

Cited by 37 publications

References 28 publications

Current strategies for prevention of surgical site infections

Current strategies for prevention of surgical site infections

Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

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