Predicting postoperative fever and bacterial colonization on packing material following endoscopic endonasal surgery

Nomura, Kazuhiro; Yamanaka, Yurika; Sekine, Yasuhiro; Yamamoto, Hiroki; Esu, Yoshihiko; Hara, Mariko; Hasegawa, Masayo; Shinnabe, Akihiro; Kanazawa, Hiromi; Kakuta, Risako; Ozawa, Daiki; Hidaka, Hiroshi; Katori, Yukio; Yoshida, Naohiro

doi:10.1007/s00405-016-4189-9

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…The operation requires a longer duration, the contact time between the electrosurgical knife and the submucosa is also extended, mechanical injury to the tissue increases. It is suggested that for patients with large specimens or complicated lesion, we should be alert to postoperative fever, intervene and prevent it early [24].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors and Causes of Fever after Endoscopic Submucosal Dissection

Chen¹,

Liu²,

Zhang³

et al. 2021

Preprint

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Background To investigate the fever and related risk factors of gastrointestinal mucosa or submucosal lesions after endoscopic mucosal dissection(ESD).Method A retrospective analysis of patients undergoing ESD. Patients were divided into two groups according to the presence or absence of post-ESD fever. Patient-related factors and lesion-related factors were counted in both groups.Results The incidence of fever was 31.0% in 290 patients after the operation, 87 patients developed fever within 24 hours after operation. The average of (2.82 ± 1.186) days. According to logistic analysis, the surgical site was in the esophagus (OR value: 6.439; 95% CI: 2.030-20.424; P value: 0.002), with diabetes history (OR value: 3.289; 95% CI: 1.015-10.662; P value: 0.047), age≥70.6 years (OR value: 0.844; 95% CI: 0.805-0.884; P value: 0.000), resection diameter> 4.25 mm (OR value: 2.361; 95% CI: 5.202-29.371; P value: 0.000), operation time> 196min (OR value: 1.022; 95% CI: 1.003-1.042; P value: 0.022) were risk factors for fever.Conclusions Older patient, the operation site in esophagus, diabetes, large tumors and long operation time were more likely to develop post-ESD fever, The possibility of bacteremia after ESD is small, antibiotics do not need to be applied in advance.

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Section: Discussionmentioning

confidence: 99%

Risk Factors and Causes of Fever after Endoscopic Submucosal Dissection

Chen¹,

Liu²,

Zhang³

et al. 2021

Preprint

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“…The reported incidence of postoperative fever after cardiac surgeries was 43%, after endoscopic endonasal surgeries was 17%, after cervical fusion surgeries was 25%, and after retrograde internal surgeries was 17.5%. [3][4][5][6] Fever is also a common complication of craniotomy procedures. After craniotomy procedures, the reported incidences of fever were 8.9% to 81.7%.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of intensive antibiotic regimens on postcraniotomy fever and cerebrospinal fluid examination results in patients with infratentorial surgeries

Yuan

Wang

2022

Medicine

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Postcraniotomy fever is a common complication in patients undergoing infratentorial surgeries. There are few studies about it and the efficacy of intensive antibiotic regimens, which remain to be studied. We carried out a retrospective study in patients undergoing infratentorial surgeries to analyze the factors associated with postcraniotomy fever and further investigated the efficacy of different antibiotic regimens on fever and abnormal cerebrospinal fluid (CSF) results. Among the 115 patients, 74 (64.3%) had fever after craniotomy. Univariate analysis results showed that disease type, drainage tube placement, duration of drainage tube, and intraoperative bleeding volume were associated with postcraniotomy fever in patients undergoing infratentorial surgeries (P < .05). The multivariate analysis results showed that the duration of drainage tube (odds ratio = 1.010, 95% confidence interval: 1.232–6.178, P = .014) and duration of surgery (odds ratio = 1.010, 95% confidence interval: 1.002–1.017, P = .013) were associated with postcraniotomy fever in these patients. After treatment with different antibiotic regimens, the changes of white blood cells, sugar, chlorine and protein in CSF in patients with intensive antibiotic regimens were −638.48 × 106/L, 0.25 mmol/L, −0.76 mmol/L and −0.16 g/L respectively, which did not show significant differences when compared with ordinary antibiotic regimens (P > .05). Most cases of fever at the early stage after craniotomy in patients with infratentorial surgeries were nonintracranial infectious. Intensive antibiotic regimens did not show obvious advantages in improving the body temperature and CSF examination results. It is not necessary to use intensive antibiotic regimens too early, such as carbapenems or linezolids.

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Clinical Characteristics and Risk Factors of Noninfectious Fever after Thoracic Endovascular Aortic Repair of Acute Type B Aortic Dissection

Huang

et al. 2023

Annals of Vascular Surgery

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Predicting postoperative fever and bacterial colonization on packing material following endoscopic endonasal surgery

Cited by 5 publications

References 24 publications

Risk Factors and Causes of Fever after Endoscopic Submucosal Dissection

Risk Factors and Causes of Fever after Endoscopic Submucosal Dissection

Efficacy of intensive antibiotic regimens on postcraniotomy fever and cerebrospinal fluid examination results in patients with infratentorial surgeries

Clinical Characteristics and Risk Factors of Noninfectious Fever after Thoracic Endovascular Aortic Repair of Acute Type B Aortic Dissection

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