How has the COVID-19 pandemic affected gastrointestinal surgery for malignancies and surgical infections?
How has the COVID-19 pandemic affected gastrointestinal surgery for malignancies and surgical infections?
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COVID-19大流行如何影响胃肠道手术治疗恶性肿瘤和手术感染？
DOI：
10.18999/nagjms.83.4.715
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发表时间：
2021-11
影响因子：
0.9
通讯作者：
Ueno H
中科院分区：
文献类型：
--
作者：
Ishibashi Y;Tsujimoto H;Sugasawa H;Mochizuki S;Okamoto K;Kajiwara Y;Shinto E;Takahata R;Kobayashi M;Fujikura Y;Hase K;Kishi Y;Ueno H
2019冠状病毒病（COVID-19）大流行影响了感染控制及预防措施。我们调查了COVID-19大流行对因恶性肿瘤接受胃肠道手术的患者术后感染和感染控制措施的影响。我们回顾性评估了2019年2月至5月（对照组）和2020年（大流行组）患者的临床病理特征，酒精洗手液使用频率，术后并发症频率和微生物发现的变化。病理III或IV期患者的手术切除在大流行组中比在对照组中更频繁地进行（P = 0.02）。大流行组的总住院时间和术前住院时间显著缩短（分别为P = 0.01和P = 0.008）。疫情期间，患者使用洗手液的平均次数为14. 9 ± 3. 0次╱天，而二零一九年为9. 6 ± 3. 0次╱天（p<0. 0001）。在大流行期间，浅表手术部位感染和感染性结肠炎的发生率较低（分别为P = 0.04和P = 0.0002）。大流行组肠杆菌、嗜血杆菌和念珠菌的检出率较对照组显著降低（P < 0.05，P < 0.05，P = 0.02）。此外，在大流行组中观察到来自引流培养物的链球菌显著减少（P < 0.05）。在COVID-19大流行期间，在酒精类洗手液使用增加的情况下，观察到医院感染减少。
The coronavirus disease 2019 (COVID-19) pandemic has affected infection control and prevention measures. We investigated the impact of the COVID-19 pandemic on postoperative infections and infection control measures in patients underwent gastrointestinal surgery for malignancies. We retrospectively evaluated changes in clinicopathological features, frequency of alcohol-based hand sanitizer use, frequency of postoperative complications, and microbial findings among our patients in February–May in 2019 (Control group) and 2020 (Pandemic group), respectively. Surgical resection in pathological stage III or IV patients was more frequently performed in the Pandemic group than in the Control group (P = 0.02). The total length of hospitalization and preoperative hospitalization was significantly shorter in the Pandemic group (P = 0.01 and P = 0.008, respectively). During the pandemic, hand sanitizer was used by a patients for an average of 14.9±3.0 times/day during the pandemic as opposed to 9.6±3.0 times/day in 2019 (p<0.0001). Superficial surgical site infection and infectious colitis occurred less frequently during the pandemic (P = 0.04 and P = 0.0002, respectively). In Pandemic group, Enterobacter, Haemophilus, and Candida were significantly decreased in microbiological cultures (P < 0.05, P < 0.05, P = 0.02, respectively) compared with Control group. Furthermore, a significant decrease in Streptococcus from drainage cultures was observed in the Pandemic group (P < 0.05). During the COVID-19 pandemic, a decrease in nosocomial infections was observed in the presence of an increase in alcohol-based hand sanitizer use.
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