Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital
Background: Source control (SC) procedure aiming to control the morbidity and mortality is essential in managing complicated intra-abdominal infection (cIAI). This study aims to review factors influencing the outcome of SC in cIAI cases at Cipto Mangunkusumo Hospital. Methods: CIAI patients undergoi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2019-01-01
|
| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=5;spage=169;epage=174;aulast=Lalisang |
| _version_ | 1797704841087156224 |
|---|---|
| author | Toar Jean Maurice Lalisang Yarman Mazni Wifanto Saditya Jeo Vania Myralda Giamour Marbun |
| author_facet | Toar Jean Maurice Lalisang Yarman Mazni Wifanto Saditya Jeo Vania Myralda Giamour Marbun |
| author_sort | Toar Jean Maurice Lalisang |
| collection | DOAJ |
| description | Background: Source control (SC) procedure aiming to control the morbidity and mortality is essential in managing complicated intra-abdominal infection (cIAI). This study aims to review factors influencing the outcome of SC in cIAI cases at Cipto Mangunkusumo Hospital.
Methods: CIAI patients undergoing SC procedure in 2017 in our hospital were retrospectively reviewed. Prevalence, etiology, demography, types of procedure, and outcomes were the variables subjected to analysis.
Results: There were 110 (11.7%) cIAI cases of 945 abdominal surgeries, comprised of 74 (67.3%) males and 36 (32.7%) females. Median age was 43.9 years, including 24.5% participants aged> 60 years. The most common etiology of mortality in cIAI was postoperative infection (POI) (36.4%), and the most frequently affected organ was lower gastrointestinal tract (GIT) (23.6%), especially colon which contributed to high mortality rates (34.6%). Operative mortality in participants who underwent drainage and debridement was 36% and 16.5%. Klebsiella pneumonia (36%) and Candida spp. (28.6%) infections were found in patients with poor outcome. Overall mortality was 20.9%.
Conclusions: High rates of operative mortality commonly happened in emergency cases, relaparotomy, and cases treated with definitive procedure. Lower GIT cases had the highest frequency of cIAI. POI was the most common indication of SC procedure. Candida spp. and Klebsiella pneumonia infections were the most frequent organisms found with poor outcome. SC surgery was performed in all cIAIs. |
| first_indexed | 2024-03-12T05:27:27Z |
| format | Article |
| id | doaj.art-254de02736944ebbae437db606105a6d |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:27:27Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-254de02736944ebbae437db606105a6d2023-09-03T07:13:02ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2019-01-0152516917410.4103/fjs.fjs_122_18Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University HospitalToar Jean Maurice LalisangYarman MazniWifanto Saditya JeoVania Myralda Giamour MarbunBackground: Source control (SC) procedure aiming to control the morbidity and mortality is essential in managing complicated intra-abdominal infection (cIAI). This study aims to review factors influencing the outcome of SC in cIAI cases at Cipto Mangunkusumo Hospital. Methods: CIAI patients undergoing SC procedure in 2017 in our hospital were retrospectively reviewed. Prevalence, etiology, demography, types of procedure, and outcomes were the variables subjected to analysis. Results: There were 110 (11.7%) cIAI cases of 945 abdominal surgeries, comprised of 74 (67.3%) males and 36 (32.7%) females. Median age was 43.9 years, including 24.5% participants aged> 60 years. The most common etiology of mortality in cIAI was postoperative infection (POI) (36.4%), and the most frequently affected organ was lower gastrointestinal tract (GIT) (23.6%), especially colon which contributed to high mortality rates (34.6%). Operative mortality in participants who underwent drainage and debridement was 36% and 16.5%. Klebsiella pneumonia (36%) and Candida spp. (28.6%) infections were found in patients with poor outcome. Overall mortality was 20.9%. Conclusions: High rates of operative mortality commonly happened in emergency cases, relaparotomy, and cases treated with definitive procedure. Lower GIT cases had the highest frequency of cIAI. POI was the most common indication of SC procedure. Candida spp. and Klebsiella pneumonia infections were the most frequent organisms found with poor outcome. SC surgery was performed in all cIAIs.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=5;spage=169;epage=174;aulast=Lalisangcomplicated intra-abdominal infectionpostoperative infectionsource control |
| spellingShingle | Toar Jean Maurice Lalisang Yarman Mazni Wifanto Saditya Jeo Vania Myralda Giamour Marbun Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital Formosan Journal of Surgery complicated intra-abdominal infection postoperative infection source control |
| title | Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital |
| title_full | Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital |
| title_fullStr | Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital |
| title_full_unstemmed | Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital |
| title_short | Factor influencing outcome of source control in the management of complicated intra-abdominal infection in Cipto Mangunkusumo University Hospital |
| title_sort | factor influencing outcome of source control in the management of complicated intra abdominal infection in cipto mangunkusumo university hospital |
| topic | complicated intra-abdominal infection postoperative infection source control |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=5;spage=169;epage=174;aulast=Lalisang |
| work_keys_str_mv | AT toarjeanmauricelalisang factorinfluencingoutcomeofsourcecontrolinthemanagementofcomplicatedintraabdominalinfectioninciptomangunkusumouniversityhospital AT yarmanmazni factorinfluencingoutcomeofsourcecontrolinthemanagementofcomplicatedintraabdominalinfectioninciptomangunkusumouniversityhospital AT wifantosadityajeo factorinfluencingoutcomeofsourcecontrolinthemanagementofcomplicatedintraabdominalinfectioninciptomangunkusumouniversityhospital AT vaniamyraldagiamourmarbun factorinfluencingoutcomeofsourcecontrolinthemanagementofcomplicatedintraabdominalinfectioninciptomangunkusumouniversityhospital |