教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読なし |
表題 | Surgical site infection and validity of staged surgical procedure in emergent/urgent surgery for ulcerative colitis. |
掲載誌名 | 正式名:International surgery 略 称:Int Surg ISSNコード:0020-8868(Print)0020-8868(Linking) |
巻・号・頁 | 98(1),pp.24-32 |
著者・共著者 | Uchino Motoi, Ikeuchi Hiroki, Matsuoka Hiroki, Takahashi Yoshiko, Tomita Naohiro, Takesue Yoshio |
発行年月 | 2013/04 |
概要 | Although restorative proctocolectomy is recognized as a standard procedure for ulcerative colitis, infectious complications after surgery cannot be disregarded. The aim of this study was to define predictors of surgical site infection (SSI) in urgent/emergent surgery for ulcerative colitis. We performed prospective SSI surveillance for 90 consecutive patients. Possible risk factors were analyzed by logistic regression analyses. Incidences of incisional SSI (i-SSI) and organ/space SSI were 31.1% and 6.9%, respectively, and increased significantly with higher wound class (P<0.01). Multivariate analysis showed wound class ≥3 as an independent risk factor for i-SSI. In univariate analysis, although the mucous fistula procedure was a risk factor for i-SSI (odds ratio, 3.45; P<0.01), Hartmann procedure also represented a risk factor for o-SSI (odds ratio, 12.8; P<0.01). Urgent restorative proctocolectomy for patients without high wound class and emergent total colectomy with mucous fistula for patients with high wound class appear to represent feasible options. |
DOI | 10.9738/CC83.1 |
文献番号 | 23438273 |