Risk factors for surgical site infection in Japanese patients with ulcerative colitis: a multicenter prospective study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-12-12

AUTHORS

Toshimitsu Araki, Yoshiki Okita, Motoi Uchino, Hiroki Ikeuchi, Iwao Sasaki, Yuji Funayama, Kouhei Fukushima, Kitarou Futami, Kiyoshi Maeda, Tsuneo Iiai, Michio Itabashi, Kazuo Hase, Satoshi Motoya, Atsuo Kitano, Tsunekazu Mizushima, Kotaro Maeda, Minako Kobayashi, Yasuhiko Mohri, Masato Kusunoki

ABSTRACT

PurposeA prospective, multicenter, observational study was performed to investigate the risk factors of surgical site infection (SSI) in patients with ulcerative colitis (UC).MethodsFrom 2009 to 2010, perioperative clinicopathological data were collected from patients who had undergone surgery for UC within the research period, for up to 6 consecutive months in 13 hospitals in Japan. The primary outcome was the development of SSI.ResultsA total of 195 patients with UC who underwent colorectal surgery were enrolled. SSI was diagnosed in 38 (19.5 %) patients, in the form of incisional infection in 23 (11.8 %), organ/space infection in 16 (8.2 %), and both in 1 (0.5 %). There were no significant risk factors associated with an increased risk of development of incisional SSI. An American Society of Anesthesiologists physical status of ≥ 3 was indicated as the only significant risk factor for organ/space SSI (P = 0.02) compared with other factors, such as a neutrophil count of >100 × 102/mm3, albumin level of <3.5 g/dl, perioperative packed red blood cell transfusion, fair or poor colonic cleanliness, and therapeutic use of antibiotics.ConclusionPoor general physical status was the significant independent risk factor for organ/space SSI in patients with UC in Japan. More... »

PAGES

1072-1078

Journal

TITLE

Surgery Today

ISSUE

6

VOLUME

44

Author Affiliations

  • Department of Gastrointestinal and Pediatric Surgery, Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174 Edobashi, 514-8507, Tsu, Mie, Japan
  • Department of Lower Gastroenterological Surgery, Hyogo College of Medicine, Nishinomiya, Japan
  • Inflammatory Bowel Disease Center, Hyogo College of Medicine, Nishinomiya, Japan
  • Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan
  • Department of Colorectal Surgery, Tohoku Rosai Hospital, Sendai, Japan
  • Division of Molecular and Surgical Pathophysiology, Graduate School of Medicine, Tohoku University, Sendai, Japan
  • Department of Surgery, Chikushi Hospital, Fukuoka University, Chikushino, Japan
  • Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
  • Department of Surgery II, Tokyo Women’s Medical University, Tokyo, Japan
  • Department of Surgery, National Defense Medical College, Tokorozawa, Japan
  • IBD Center, Sapporo Kosei General Hospital, Sapporo, Japan
  • Department of Gastroenterology, Wakakusa First Hospital, Osaka, Japan
  • Department of Surgery, Osaka University Graduate School of Medicine, Suita, Japan
  • Department of Surgery, Fujita Health University, School of Medicine, Toyoake, Japan
  • Department of Innovative Surgery and Surgical Techniques Development, Mie University Graduate School of Medicine, Tsu, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00595-013-0809-9

    DOI

    http://dx.doi.org/10.1007/s00595-013-0809-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1042154242

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24337501


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