Factors affecting surgical site infection rate after elective gastric cancer surgery.
نویسندگان
چکیده
OBJECTIVE Surgical site infection (SSI) is a common complication after surgery and is an indicator of quality of care. Risk factors for SSI are studied thoroughly for most types of gastrointestinal surgeries and especially colorectal surgeries, but accumulated data is still lacking for gastric surgeries. We studied the parameters affecting SSI rate after gastric cancer surgery. MATERIAL AND METHODS Consecutive patients, who underwent elective gastric cancer surgery between June and December 2013, were included. Descriptive parameters, laboratory values and past medical histories were recorded prospectively. All patients were followed for 1 month. Recorded parameters were compared between the SSI (+) and SSI (-) groups. RESULTS Fifty-two patients (mean age: 58.87±9.25 [31-80]; 67% male) were included. SSI incidence was 19%. ASA score ≥3 (p<0.001), postoperative weight gain (p<0.001), smoking (p=0.014) and body mass index (BMI) ≥30 (p=0.025) were related with a higher SSI incidence. Also patients in the SSI (+) group had a higher preoperative serum C-reactive protein level (p=0.014). CONCLUSION We assume that decreasing BMI to <30, stopping smoking at least 3 weeks before the operation, and preventing postoperative weight gain by avoiding excessive intravenous hydration will all help decrease SSI rate after gastric surgery.
منابع مشابه
Assessment of surgical site infection risk factors at Imam Reza hospital, Mashhad, Iran between 2006 and 2011
Background :The present study was conducted to establish the patterns and risk factors of surgical site infections in our institution between 2006 and 2011. Methods: This was a retrospective cross-sectional study. The surgical site infection (SSI) was identified based on the presence of ICD-10-CM diagnostic code in hospital discharge records. By using a standardized data collection form pre...
متن کاملPrevalence of Surgical Site Infection after Orthopedic Surgery and Some Related Factors at the Selected Hospitals of Isfahan University of Medical Sciences
Introduction: Among wound infections of surgeries, those related to orthopedic surgeries are important and prevalent. The implantable instruments have been used in these surgeries that increase the risk of infection. The current study aimed to determine the incidence of wound infection in orthopedic surgeries and some of its effective factors in selected hospitals of Isfahan University of Medic...
متن کاملطول عمر بعد از عود بیماران مبتلا به سرطان معدهی جراحی شده و عوامل مؤثر بر آن
Background and Aim: Like other cancers, gastric cancer is due to uncontrolled growth of tissues. Although there are different therapy methods to treat it, such as surgery, radiation therapy, chemotherapy, and multimodality therapy, relapse and death may occur. Reports show that in Iran gastric cancer is the first cause of death among deaths due to cancers. The purpose of this study was to deter...
متن کامل[Risk factors related to surgical site infection in elective surgery].
BACKGROUND The risk factors for surgical site infections in surgery should be measured and monitored from admission to 30 days after the surgical procedure, because 30% of Surgical Site Infection is detected when the patient was discharged. AIM Calculate the Relative Risk of associated factors to surgical site infections in adult with elective surgery. METHODS Patients were classified accor...
متن کاملEfficacy of Single-Dose Antimicrobial Prophylaxis for Preventing Surgical Site Infection in Radical Gastrectomy for Gastric Carcinoma
PURPOSE Information regarding antimicrobial prophylaxis (AMP) for gastric cancer surgery is limited. The present study investigated the efficacy of single-dose AMP for the prevention of surgical site infection (SSI) in patients undergoing gastrectomy for gastric carcinoma. MATERIALS AND METHODS Between 2011 and 2013, 1,330 gastric carcinoma surgery patients were divided into two AMP administr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Ulusal cerrahi dergisi
دوره 32 3 شماره
صفحات -
تاریخ انتشار 2016