Kirby, A, Burnside, G, Bretsztajn, L et al. (1 more author) (2015) Postoperative infections following colorectal surgery in an English teaching hospital. Infectious Diseases, 47 (11). 829 - 833. ISSN 2374-4235
Abstract
A retrospective case note review of postoperative infections within 30 days of colorectal surgery was completed. Surgical site infections (SSIs) were identified in 22% of patients (84/378), with other infections, e.g. urinary tract infections, identified in 18.3% of patients. SSIs, urinary and respiratory tract infections were all associated with increased durations of hospital admission compared with non-infected patients. Consideration should be given to postoperative surveillance for all infections, using antibiotic consumption as an objective outcome measure. Nine percent of patients developed an organ space SSI. Organ space SSIs were associated with the longest additional duration of hospital admission (15.5 days) and were the only infection associated with an increase in mortality at 1 year; 37% (13/35) mortality with an organ space SSI vs 4% (8/225) without an infection (odds ratio = 16, 95% confidence interval = 6, 43). Further research to prevent and treat organ space SSIs should be prioritized.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Keywords: | Co-amoxiclav, mortality, prophylaxis, surgical site infection, surveillance |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > Institute of Molecular Medicine (LIMM) (Leeds) > Section of Molecular Gastroenterology (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Trans Anaesthetics & Surgical Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 02 Sep 2015 13:21 |
Last Modified: | 02 Sep 2015 13:21 |
Published Version: | http://dx.doi.org/10.3109/23744235.2015.1055584 |
Status: | Published |
Publisher: | Taylor & Francis |
Identification Number: | 10.3109/23744235.2015.1055584 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:89362 |