論文

査読有り
2019年5月

Current status of postoperative infections after digestive surgery in Japan: The Japan Postoperative Infectious Complications Survey in 2015.

Annals of gastroenterological surgery
  • Toru Niitsuma
  • ,
  • Shinya Kusachi
  • ,
  • Yoshio Takesue
  • ,
  • Hiroshige Mikamo
  • ,
  • Koji Asai
  • ,
  • Manabu Watanabe

3
3
開始ページ
276
終了ページ
284
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1002/ags3.12236

Aim: To survey postoperative infections (PI) after digestive surgery. Methods: This survey, conducted by the Japan Society of Surgical Infection, included patients undergoing digestive surgery at 28 centers between September 2015 and March 2016. Data collected included patient background characteristics, type of surgery, contamination status, and type of PI, including surgical site infection (SSI), remote infection (RI), and antimicrobial-resistant (AMR) bacterial infections and colonization. Results: Postoperative infections occurred in 10.7% of 6582 patients who underwent digestive surgery (6.8% for endoscopic surgery and 18.7% for open surgery). SSI and RI, including respiratory tract infection, urinary tract infection, antibiotic-associated diarrhea, drain infection, and catheter-related bloodstream infection, occurred in 8.9% and 3.7% of patients, respectively. Among all PI, 13.2% were overlapping infections. The most common overlapping infections were incisional and organ/space SSI, which occurred in 4.2% of patients. AMR bacterial infections occurred in 1.2% of patients after digestive surgery and comprised 11.5% of all PI. Rate of AMR bacterial colonization after digestive surgery was only 0.3%. Conclusion: Periodic surveillance of PI, including AMR bacteria, is necessary for a detailed evaluation of nosocomial infections.

リンク情報
DOI
https://doi.org/10.1002/ags3.12236
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31131356
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6524110
ID情報
  • DOI : 10.1002/ags3.12236
  • PubMed ID : 31131356
  • PubMed Central 記事ID : PMC6524110

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