Surgical Site Infection in Colorectal Surgery

A Study in Antibiotic Duration

Mark Dornfeld, Jenna K. Lovely, Marianne Huebner, David Larson

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: Despite distant historical studies that demonstrated the adequacy of preoperative antibiotic prophylaxis, current surgical practice continues to use antibiotics for postoperative coverage up to 24 hours. OBJECTIVE: The aim of this study was to evaluate a change in antibiotic prophylaxis duration and its effect on surgical site infection in a high-volume modern colorectal practice. DESIGN: A case-controlled series retrospectively reviewed outcomes through a prospective validated data base. SETTING: The study was conducted at Mayo Clinic, Rochester, Minnesota. PATIENTS: A total of 965 patients were evaluated. Our study analyzed patient outcomes related to surgical site infection comparing cohort 1 (2012-2013), which had the same antibiotic coverage preoperatively up to 24 hours postoperatively, and cohort 2 (2014-2015), which eliminated postoperative doses and relied solely on pre-and intraoperative dosing duration. MAIN OUTCOME MEASURES: The primary outcomes of this study are superficial and deep surgical site infection. RESULTS: There were no differences identified for superficial or deep surgical site infection rates between cohorts. Before the change in antibiotic dosing duration (2012-2013), 28 of 493 patients (5.7%) vs after the practice change (2014-2015), 25 of 472 patients (5.3%) were reported to have superficial or deep surgical site infection (p = 0.794). LIMITATIONS: This study is limited by its retrospective design within a single institution. CONCLUSION: These equivalent results present an opportunity for surgeons to reconsider optimal antibiotic duration and minimize unnecessary antibiotic dosing. See Video Abstract at http://links.lww.com/DCR/A322.

Original languageEnglish (US)
Pages (from-to)971-978
Number of pages8
JournalDiseases of the Colon and Rectum
Volume60
Issue number9
DOIs
StatePublished - Sep 1 2017

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Surgical Wound Infection
Colorectal Surgery
Anti-Bacterial Agents
Antibiotic Prophylaxis
Outcome Assessment (Health Care)
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ASJC Scopus subject areas

  • Gastroenterology

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Surgical Site Infection in Colorectal Surgery : A Study in Antibiotic Duration. / Dornfeld, Mark; Lovely, Jenna K.; Huebner, Marianne; Larson, David.

In: Diseases of the Colon and Rectum, Vol. 60, No. 9, 01.09.2017, p. 971-978.

Research output: Contribution to journalArticle

Dornfeld, Mark ; Lovely, Jenna K. ; Huebner, Marianne ; Larson, David. / Surgical Site Infection in Colorectal Surgery : A Study in Antibiotic Duration. In: Diseases of the Colon and Rectum. 2017 ; Vol. 60, No. 9. pp. 971-978.
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