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Risk Factors of Surgical Site Infection after Hepatic Resection

Published online by Cambridge University Press:  10 May 2016

Tian Yang
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Ping-An Tu
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Han Zhang
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Jun-Hua Lu
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Yi-Nan Shen
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Shou-Xin Yuan
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Wan Yee Lau
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China Faculty of Medicine, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China
Eric C. H. Lai
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China Faculty of Medicine, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China
Chong-De Lu
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Meng-Chao Wu
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Jie-Wei Li*
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
Feng Shen*
Affiliation:
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China
*
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China ([email protected])
Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China ([email protected])

Abstract

A study of 7,388 consecutive patients after hepatic resection between 2011 and 2012 identified hepatolithiasis, cirrhosis, and intraoperative blood transfusion as the only independent risk factors of both incisional and organ/space surgical site infection (SSI). Patients with these conditions should be cared for with caution to lower SSI rates.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

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Footnotes

a.

These authors contributed equally to this work

References

1. Cescon, M, Vetrone, G, Grazi, GL, et al. Trends in perioperative outcome after hepatic resection: analysis of 1500 consecutive unselected cases over 20 years. Ann Surg 2009;249:9951002.CrossRefGoogle ScholarPubMed
2. Taketomi, A, Kitagawa, D, Itoh, S, et al. Trends in morbidity and mortality after hepatic resection for hepatocellular carcinoma: an institute's experience with 625 patients. J Am Coll Surg 2007; 204:580587.CrossRefGoogle ScholarPubMed
3. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004;32:470485.CrossRefGoogle Scholar
4. Togo, S, Matsuo, K, Tanaka, K, et al. Perioperative infection control and its effectiveness in hepatectomy patients. J Gastroenterol Hepatol 2007;22:19421948.CrossRefGoogle ScholarPubMed
5. Okabayashi, T, Nishimori, I, Yamashita, K, et al. Risk factors and predictors for surgical site infection after hepatic resection. J Hosp Infect 2009;73:4753.CrossRefGoogle ScholarPubMed
6. Kobayashi, S, Gotohda, N, Nakagohri, T, Takahashi, S, Konishi, M, Kinoshita, T. Risk factors of surgical site infection after hepatectomy for liver cancers. World J Surg 2009;33:312317.CrossRefGoogle ScholarPubMed
7. Uchiyama, K, Ueno, M, Ozawa, S, et al. Risk factors for postoperative infectious complications after hepatectomy. J Hepatobiliary Pancreat Sci 2011;18:6773.CrossRefGoogle ScholarPubMed
8. Shiba, H, Ishii, Y, Ishida, Y, et al. Assessment of blood-products use as predictor of pulmonary complications and surgical-site infection after hepatectomy for hepatocellular carcinoma. J Hepatobiliary Pancreat Surg 2009;16:6974.CrossRefGoogle ScholarPubMed
9. Yang, T, Lau, WY, Lai, EC, et al. Hepatectomy for bilateral primary hepatolithiasis: a cohort study. Ann Surg 2010;251:8490.CrossRefGoogle ScholarPubMed
10. Tabrizian, P, Jibara, G, Shrager, B, Schwartz, ME, Roayaie, S. Hepatic resection for primary hepatolithiasis: a single-center Western experience. J Am Coll Surg 2012;215:622626.CrossRefGoogle ScholarPubMed
11. Chen, DW, Tung-Ping, PR, Liu, CL, Fan, ST, Wong, J. Immediate and long-term outcomes of hepatectomy for hepatolithiasis. Surgery 2004;135:386393.CrossRefGoogle ScholarPubMed
12. Yang, T, Zhang, J, Lu, JH, et al. A new staging system for resectable hepatocellular carcinoma: comparison with six existing staging systems in a large Chinese cohort. J Cancer Res Clin Oncol 2011; 137:739750.CrossRefGoogle Scholar
13. Edwards, JR, Peterson, KD, Mu, Y, et al. National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37:783805.CrossRefGoogle ScholarPubMed
14. Fan, ST, Lai, EC, Wong, J. Hepatic resection for hepatolithiasis. Arch Surg 1993;128:10701074.CrossRefGoogle ScholarPubMed
15. Arikawa, T, Kurokawa, T, Ohwa, Y, et al. Risk factors for surgical site infection after hepatectomy for hepatocellular carcinoma. Hepatogastroenterology 2011;58:143146.Google ScholarPubMed
16. Sadamori, H, Yagi, T, Shinoura, S, et al. Risk factors for organ/space surgical site infection after hepatectomy for hepatocellular carcinoma in 359 recent cases. J Hepatobiliary Pancreat Sci 2013; 20:186196.CrossRefGoogle ScholarPubMed
17. Schindl, MJ, Millar, AM, Redhead, DN, et al. The adaptive response of the reticuloendothelial system to major liver resection in humans. Ann Surg 2006;243:507514.CrossRefGoogle ScholarPubMed
18. Fernandez, J, Gustot, T. Management of bacterial infections in cirrhosis. J Hepatol 2012;56(suppl):SlS12.CrossRefGoogle ScholarPubMed
19. Olsen, MA, Lefta, M, Dietz, JR, et al. Risk factors for surgical site infection after major breast operation. J Am Coll Surg 2008;207: 326335.CrossRefGoogle ScholarPubMed
20. Talbot, TR, D'Agata, EM, Brinsko, V, Lee, B, Speroff, T, Schaffner, W. Perioperative blood transfusion is predictive of poststernotomy surgical site infection: marker for morbidity or true immunosuppressant. Clin Infect Dis 2004;38:13781382.CrossRefGoogle ScholarPubMed