Continuous follow-up of surgical site infections for 30 days after colorectal surgery
Continuous follow-up of surgical site infections for 30 days after colorectal surgery
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DOI：
10.1007/s00268-008-9536-6
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发表时间：
2008-06-01
影响因子：
2.6
通讯作者：
Kusunoki, Masato
中科院分区：
文献类型：
--
作者：
Kobayashi, Minako;Mohri, Yasuhiko;Kusunoki, Masato
背景手术部位感染（SSI）延长住院时间，增加医疗费用，并偶尔导致死亡。我们的目的是澄清我们自己的数据与国家医院感染监测（NNIS）数据之间SSI发生率的差异。方法2003年1月至2006年12月，我们前瞻性地收集了Mie大学医学院择期结肠直肠癌切除术患者的监测资料。结果共纳入355例择期结肠切除术，其中结肠手术144例，直肠手术211例。患者年龄中位数为57.4岁。在60例患者中发现ssi。累计SSI发生率为16.9%。术后SSI平均发病时间为8.7天（范围3 ~ 20天）。19例患者（19/30:31.7%）在手术后6天内发生SSI。术后6天内发生SSI的发生率为5.4%。结论：尽管按照CDC指南进行了围手术期管理，仍有17%的ssi发生。我们报告的SSI发生率远高于NNIS数据。然而，手术后6天内的SSI发生率与NNIS数据相似。我们的数据与NNIS范围的数据之间的SSI发生率差异可能是由于不同的严格监测时期造成的。
Background Surgical site infection (SSI) prolongs hospital stay, increases medical costs, and occasionally leads to mortality. Our goal was to clarify the differences in SSI incidence between our own data and the National Nosocomial Infections Surveillance (NNIS) data.Methods From January 2003 to December 2006, we prospectively collected surveillance data from patients who were undergoing elective colorectal resection at the Mie University Graduate School of Medicine.Results Three hundred fifty-five elective colorectal resections (144 colon surgeries, 211 rectal surgeries) were included. The median patient age was 57.4 years. SSIs were identified in 60 patients. Cumulative SSI incidence was 16.9%. The average SSI onset was 8.7 days (range = 3-20 days) after operation. Nineteen patients (19/30:31.7%) developed SSI within 6 days of the operation. The incidence of SSI occurring within 6 days after the operation was 5.4%.Conclusion Seventeen percent of SSIs occurred despite the use of perioperative management according to the CDC guidelines. We reported a much higher SSI incidence than that in the NNIS data. However, the SSI incidence within 6 days of surgery was similar to that of the NNIS data. The difference in SSI incidence between our data and that of the NNIS range may result from the different strict surveillance periods.