| Prophylaxis and management of wound infections after elective colorectal surgery: a survey of the American Society of Colon and Rectal Surgeons membership. | |
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MedLine Citation:
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PMID: 20473578 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Postoperative wound infections are a widespread and costly problem, especially in colorectal surgery. Despite their prevalence, there are few data regarding appropriate management and prevention strategies. MATERIALS AND METHODS: In order to assess current attitudes and practices about this subject, and as a guide to designing a randomized trial to gather evidence in order to support data-driven protocol development, an e-mail survey was sent to the membership of the American Society of Colorectal Surgeons to assess current attitudes and practices pertaining to prevention and management of wound infections. RESULTS: Most respondents estimated that the wound infection rate in their own patients was much lower than commonly reported in the literature. Use of evidence-based perioperative strategies for reducing wound infection, such as the use of a wound protector, hyperoxygenation, and implementation of the Surgical Care Improvement Project guidelines, were far from universal. Management strategies varied widely, without apparent rational basis. CONCLUSION: Based on the practices and beliefs in the surgical community, it is our hope that a multi-institutional study can be carried out to objectify best practices in both the effective and cost-effective management of this common condition and to reduce the wide variation in the treatment of surgical site infections. |
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Authors:
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Katharine W Markell; Ben M Hunt; Paul D Charron; Rodney J Kratz; Jeffrey Nelson; John T Isler; Scott R Steele; Richard P Billingham |
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Publication Detail:
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Type: Journal Article Date: 2010-05-15 |
Journal Detail:
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Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 14 ISSN: 1873-4626 ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-14 Completed Date: 2010-10-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1090-8 Citation Subset: IM |
Affiliation:
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Swedish Colon & Rectal Clinic, 1101 Madison, Seattle, WA 98104, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Colon / surgery* Data Collection Health Knowledge, Attitudes, Practice Humans Rectum / surgery* Societies, Medical Surgical Procedures, Elective Surgical Wound Infection / epidemiology, prevention & control*, therapy* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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