Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children
Introduction: Appendicitis can be classified as non-perforated and perforated; based on such classification, the reported organ-space surgical site infection (OS-SSI) rate is 0.8% and 18%, respectively. Objective: To establish the prevalence of OS-SSI in patients with perforated appendicitis treated...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Universidad Nacional de Colombia
2019-10-01
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| Series: | Revista de la Facultad de Medicina |
| Subjects: | |
| Online Access: | https://revistas.unal.edu.co/index.php/revfacmed/article/view/64434 |
| _version_ | 1819050515684655104 |
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| author | Diana Alejandra Holguín-Sanabria Miguel Ángel Perilla-López Sergio Castañeda-Espinosa Paula Jaimes-de La Hoz Silvia Aragón Juan Javier Valero Iván Darío Molina Fernando Fierro-Ávila |
| author_facet | Diana Alejandra Holguín-Sanabria Miguel Ángel Perilla-López Sergio Castañeda-Espinosa Paula Jaimes-de La Hoz Silvia Aragón Juan Javier Valero Iván Darío Molina Fernando Fierro-Ávila |
| author_sort | Diana Alejandra Holguín-Sanabria |
| collection | DOAJ |
| description | Introduction: Appendicitis can be classified as non-perforated and perforated; based on such classification, the reported organ-space surgical site infection (OS-SSI) rate is 0.8% and 18%, respectively.
Objective: To establish the prevalence of OS-SSI in patients with perforated appendicitis treated in a pediatric hospital in 2012.
Materials and methods: Retrospective, observational and descriptive study conducted at Fundación Hospital Pediátrico La Misericordia, with a random sample of 200 patients, of which 160 met the inclusion criteria.
Results: 20 patients (12.5%) presented with OS-SSI and all of them received antibiotic treatment; 70% did not require abscess drainage. Patients ≥8 years of age had 5 times more abscesses than younger ones (17.6% vs. 3.4%). OS-SSI was found in 33% of patients with free fecalith and in 50% of the patients who required postoperative management at the ICU vs. 9.5% of the patients who received management in the intermediate care unit and the inpatient hospital floors. The total rate of surgical site infection was 24.3% (11.8% superficial, 0% deep and 12.5% organ-space).
Conclusions: The prevalence of OS-SSI found here is lower than what has been reported in the literature. Being 8 years or older and having free fecalith are risk factors to develop this type of infection. The higher frequency of OS-SSI in patients treated at the ICU during the post-operative period observed here suggests that this condition may be associated with septic shock. |
| first_indexed | 2024-12-21T11:49:17Z |
| format | Article |
| id | doaj.art-dcb101ef3e8148e2838a2e7383067fed |
| institution | Directory Open Access Journal |
| issn | 0120-0011 2357-3848 |
| language | English |
| last_indexed | 2024-12-21T11:49:17Z |
| publishDate | 2019-10-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Revista de la Facultad de Medicina |
| spelling | doaj.art-dcb101ef3e8148e2838a2e7383067fed2022-12-21T19:05:06ZengUniversidad Nacional de ColombiaRevista de la Facultad de Medicina0120-00112357-38482019-10-0167445145510.15446/revfacmed.v67n4.6443452336Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in childrenDiana Alejandra Holguín-Sanabria0Miguel Ángel Perilla-López1Sergio Castañeda-Espinosa2Paula Jaimes-de La Hoz3Silvia Aragón4Juan Javier Valero5Iván Darío Molina6Fernando Fierro-Ávila7Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Universidad Nacional de Colombia - Faculty of Medicine - Department of Surgery - Pediatric Surgery Unit - Bogotá D.C. - Colombia. | Fundación Hospital Pediátrico La Misericordia - Bogotá D.C. - Colombia.Introduction: Appendicitis can be classified as non-perforated and perforated; based on such classification, the reported organ-space surgical site infection (OS-SSI) rate is 0.8% and 18%, respectively. Objective: To establish the prevalence of OS-SSI in patients with perforated appendicitis treated in a pediatric hospital in 2012. Materials and methods: Retrospective, observational and descriptive study conducted at Fundación Hospital Pediátrico La Misericordia, with a random sample of 200 patients, of which 160 met the inclusion criteria. Results: 20 patients (12.5%) presented with OS-SSI and all of them received antibiotic treatment; 70% did not require abscess drainage. Patients ≥8 years of age had 5 times more abscesses than younger ones (17.6% vs. 3.4%). OS-SSI was found in 33% of patients with free fecalith and in 50% of the patients who required postoperative management at the ICU vs. 9.5% of the patients who received management in the intermediate care unit and the inpatient hospital floors. The total rate of surgical site infection was 24.3% (11.8% superficial, 0% deep and 12.5% organ-space). Conclusions: The prevalence of OS-SSI found here is lower than what has been reported in the literature. Being 8 years or older and having free fecalith are risk factors to develop this type of infection. The higher frequency of OS-SSI in patients treated at the ICU during the post-operative period observed here suggests that this condition may be associated with septic shock.https://revistas.unal.edu.co/index.php/revfacmed/article/view/64434appendectomyappendicitissurgical site infectionabdominal abscess |
| spellingShingle | Diana Alejandra Holguín-Sanabria Miguel Ángel Perilla-López Sergio Castañeda-Espinosa Paula Jaimes-de La Hoz Silvia Aragón Juan Javier Valero Iván Darío Molina Fernando Fierro-Ávila Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children Revista de la Facultad de Medicina appendectomy appendicitis surgical site infection abdominal abscess |
| title | Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children |
| title_full | Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children |
| title_fullStr | Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children |
| title_full_unstemmed | Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children |
| title_short | Prevalence of organ-space surgical site infections after appendectomy for ruptured appendix in children |
| title_sort | prevalence of organ space surgical site infections after appendectomy for ruptured appendix in children |
| topic | appendectomy appendicitis surgical site infection abdominal abscess |
| url | https://revistas.unal.edu.co/index.php/revfacmed/article/view/64434 |
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