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Related Experiment Video

Updated: Dec 26, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Temporary Abdominal Closure Is Associated with Increased Risk for Fungal Intra-Abdominal Infections in Trauma

Christina X Zhang1, Rohit R Rasane1, Qiao Zhang2

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Surgical Infections
|March 19, 2020
PubMed
Summary

Fungal intra-abdominal infections (FIAIs) in trauma patients undergoing exploratory laparotomy are linked to worse outcomes. Temporary abdominal closure (TAC) independently increases the risk of developing FIAIs, highlighting the need for clinical vigilance.

Keywords:
fungal infectionsintra-abdominal infectiontemporary abdominal closure

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Area of Science:

  • Infectious Diseases
  • Trauma Surgery
  • Critical Care Medicine

Background:

  • Fungal infections significantly increase morbidity and mortality.
  • Limited research exists on risk factors for post-operative fungal intra-abdominal infections (FIAIs) in trauma patients.
  • Understanding these risk factors is crucial for improving clinical outcomes.

Purpose of the Study:

  • To evaluate potential risk factors for acquiring post-operative FIAIs in trauma patients.
  • To assess the impact of FIAIs on clinical outcomes after exploratory laparotomy.
  • To identify independent predictors of FIAIs in this patient population.

Main Methods:

  • Retrospective analysis of trauma patients (2005-2018) who underwent exploratory laparotomy and developed intra-abdominal infection (IAI).
  • Data abstracted included demographics, comorbidities, culture results, antimicrobial use, Injury Severity Scores (ISS), and outcomes.
  • Multivariable logistic regression was used to determine independent predictors of FIAIs.

Main Results:

  • Of 105 patients with IAI, 40 (38%) had FIAI. Common pathogens included yeast and Candida species.
  • FIAI patients had higher ISS, longer hospital and ICU stays, and a five-fold greater mortality rate compared to bacterial IAI (BIAI) patients.
  • Temporary abdominal closure (TAC) was identified as an independent risk factor for FIAIs (OR 6.16, p=0.02).

Conclusions:

  • Post-operative FIAIs in trauma patients undergoing exploratory laparotomy are associated with increased morbidity and mortality.
  • Temporary abdominal closure (TAC) is an independent risk factor for developing FIAIs.
  • Clinicians should maintain a high suspicion for fungal infections in trauma patients with post-operative IAI after exploratory laparotomy using TAC.