在紧急和选择性结直肠手术后,手术部位感染的差异越来越大
Kevin Sun1, Chen Chia Wang1, Timothy M Geiger2
1Vanderbilt University School of Medicine, Nashville, Tennessee.
The Journal of surgical research
|August 8, 2025
概括
在选择性和紧急结直肠手术之间,手术部位感染率有所不同. 紧急病例显示整体或深层感染没有改善,尽管微创手术的使用增加.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 传染病流行病学 传染病流行病学
- 手术结果研究研究.
背景情况:
- 手术部位感染 (SSI) 是结直肠手术后的一个主要并发症,增加了患者的病率和医疗保健成本.
- 在SSI率的趋势,特别是微创手术 (MIS) 的影响,需要在选择性和紧急环境中进行持续的调查.
研究的目的:
- 为了分析SSI发生率的时间趋势,选择性与紧急结直肠手术后.
- 调查MIS的采用是否在选修和紧急程序中对SSI费率产生了不同的影响.
主要方法:
- 在2011年至2021年期间,使用国家外科质量改善计划 (NSQIP) 数据库对229,167名接受集体切除术的患者进行了回顾性分析.
- 加入点回归被用来计算SSI费率的每年百分比变化,用于可选和紧急情况.
- 分分析检查了不同SSI类型 (表面,深层,器官空间) 和MIS的利用趋势.
主要成果:
- 选择性结肠直肠手术显示,整体SSI率显著下降,而紧急手术显示没有显著变化.
- 表面和深层SSI率在选择性病例中比紧急病例更显著下降.
- 在紧急手术中,器官空间SSI的增加率更高,尽管在这些情况下,MIS的采用率更高. 无论是选修或紧急MIS都没有显示出显著的SSI趋势改善.
结论:
- 在选择性和紧急结直肠手术之间,SSI率的差异越来越大.
- 紧急结肠直肠手术患者经历停滞或恶化的SSI结果,包括器官空间感染的增加,无论MIS利用率增加.
- 需要进一步的策略来缓解紧急结直肠手术中的SSI.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
175
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
175
Inflammatory Bowel Disease V: Surgical Management
213
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
213
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.4K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.4K


