Predictors of intraoperative bacterial contamination and postoperative infection in elective colorectal surgery

Claesson, Berndt E. B.; Holmlund, D

doi:10.1016/0195-6701(88)90054-0

Cited by 38 publications

(20 citation statements)

References 14 publications

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“…In the present study, out of 500 patients, 83.4% women underwent emergency LSCS and the rest were electively operated. Emergency LSCS predisposes more to SSI as compared to elective surgery [11][12][13]. In the present study a similar observation was made.…”

Section: Discussionsupporting

confidence: 88%

Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section

Saxena

Mehta

et al. 2013

International Journal of Antibiotics

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Background. Lower segment caesarean section (LSCS) is a common mode of delivery now and surgical site infection is the second most common infectious complication in these patients. This study was planned with this background to have a comprehensive approach to SSI following LSCS. Methods. 500 consecutive patients undergoing LSCS, irrespective of indication, were studied. A questionnaire was developed to assess the risk factors associated with development of SSI. All patients were followed up from day one of surgery till discharge and then up till the postoperative day 30 after discharge. Results. SSI was identified in 121 (24.2%) out of 500 patients. In all age groups, Gram-negative bacilli were the commonest finding. The commonest isolate was Acinetobacter species (32.03%) followed by Staphylococcus aureus and coagulase negative Staphylococcus (21.09%). 23.8% of Staphylococcus aureus strains were MRSA. By multivariate logistic regression premature rupture of membrane (PROM), antibiotics given earlier than 2 hours and increased duration of stay in the hospital were found to be significant. Conclusions. A proper assessment of risk factors that predispose to SSI and their modification may help in reduction of SSI rates. Also, frequent antimicrobial audit and qualitative research could give an insight into the current antibiotic prescription practices and the factors affecting these practices.

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Section: Discussionsupporting

confidence: 88%

Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section

Saxena

Mehta

et al. 2013

International Journal of Antibiotics

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“…59% of the patients were nulliparous which is similar to that of study in Mitt et al 9 Tran et al reported that the risk factor of surgical site infection was shown to be reduced by 39% and 60% when women had one or more children respectively. 10 Majority of the cases were unbooked which correlates with Amenu D et al study. 8 Antenatal care provides opportunities for health education, prior detection and correction of maternal problems.…”

Section: Discussionsupporting

confidence: 63%

Surgical site infections post cesarean section

Devi¹,

Durga²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Surgical site infections are among the most common hospital acquired infections. They make upto 14-16% of inpatient infections. Objective of present study was to evaluate the risk factors associated with surgical site infections and the bacteria causing wound infections in obstetric operations and the antibiotic sensitivity and resistance pattern of the pathogens isolated.Methods: 100 women with wound infection during hospital stay or within 30 days following surgery. Pus samples were collected from the wound site with help of sterile swabs under aseptic precautions and immediately transported to microbiology laboratory for culture and sensitivity.Results: Most of the patients belonged to the age group of 21-25 years, contributing to 55% of the cases. Majority of the women are from rural areas (71%). 57% of the cases were unbooked. 90% of the SSI were seen in emergency surgeries. Anaemia (48%) was the most common medical risk factor followed by hypertensive disorders 25%. The risk of post operative infection has been shown to be proportional to volume of blood loss during cesarean section and duration of surgery. Staphylococcus aureus to be predominant organism of wound infection of which 21% were MRSA followed by Klebsiella and E.coli. The gram negative isolates were 100% resistant to ampicillin followed by 22.5% to third generation cephalosporins and aminoglycosides.Conclusions: Proper assessment of risk factors that predispose to SSI is critical for the development of strategies for reducing the incidence of SSI and for identifying high risk patients requiring intensive postoperative surveillance.

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“…The incidence of surgical site infection following spinal procedures is influenced by a multitude of intrinsic and extrinsic factors. Patient-specific factors identified as increasing the risk for surgical site infection include advanced age 6,8,9 , corticosteroid use 10,11 , smoking 6,12,13 , alcohol abuse 6 , and diabetes 6,10,13,14 . Olsen et al performed a large retrospective case control Disclosure: One or more of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of an aspect of this work.…”

mentioning

confidence: 99%

The Association Between Perioperative Allogeneic Transfusion Volume and Postoperative Infection in Patients Following Lumbar Spine Surgery

Woods

Rosario

Chen

et al. 2013

The Journal of Bone & Joint Surgery

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Predictors of intraoperative bacterial contamination and postoperative infection in elective colorectal surgery

Cited by 38 publications

References 14 publications

Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section

Risk Factor Analysis and Microbial Etiology of Surgical Site Infections following Lower Segment Caesarean Section

Surgical site infections post cesarean section

The Association Between Perioperative Allogeneic Transfusion Volume and Postoperative Infection in Patients Following Lumbar Spine Surgery

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