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Colorectal surgery surgical site infection prevention practices in British Columbia
- Source :
- Canadian Journal of Surgery
- Publication Year :
- 2021
- Publisher :
- CMA Joule Inc., 2021.
-
Abstract
- Summary Surgical site infections (SSI) pose significant morbidity after colorectal surgery. We sought to document current practices in colorectal surgery SSI prevention in British Columbia (BC). Reporting the current provincial landscape on SSI prevention helps to understand the foundation upon which improvements can take place. We surveyed all BC surgeons performing elective colon and rectal resections, and 97 surveys were completed (60% response rate). Eighty-six per cent of respondent hospitals tracked SSI rates. The reported superficial SSI was less than 5% and the anastomotic leak/organ space rate was less than 10%. All respondents gave preoperative prophylactic antibiotics, with 24% continuing antibiotics postoperatively; 62% are using oral antibiotics (OAB) and mechanical bowel preparation (MBP) and 29% use MBP without OAB. Areas for improvement include OAB with MBP and discontinuing prophylactic antibiotics postoperatively, as recommended by the World Health Organization.
- Subjects :
- medicine.medical_specialty
Discussions in Surgery
Colon
medicine.drug_class
Antibiotics
Anastomotic Leak
Anastomosis
World health
Preoperative Care
Surgical site
medicine
Humans
Surgical Wound Infection
Rectal resection
Practice Patterns, Physicians'
Digestive System Surgical Procedures
Surgeons
Response rate (survey)
British Columbia
business.industry
General surgery
Rectum
Antibiotic Prophylaxis
Colorectal surgery
Anti-Bacterial Agents
Elective Surgical Procedures
Health Care Surveys
Surgery
business
Colorectal Surgery
Surgical site infection
Negative-Pressure Wound Therapy
Subjects
Details
- ISSN :
- 14882310 and 0008428X
- Volume :
- 64
- Database :
- OpenAIRE
- Journal :
- Canadian Journal of Surgery
- Accession number :
- edsair.doi.dedup.....759539353dc2641e8e416c8e906f5db1