アブストラクト
Japanese
| Title | 大腸手術における周術期感染管理 |
|---|---|
| Subtitle | 特集 : 周術期感染管理マニュアル 総説 |
| Authors | 毛利靖彦1)2), 山本晃1), 尾嶋英紀1), 大毛宏喜2), 森兼啓太2), 真弓俊彦2), 種本和雄2), 久保正二2), 小野聡2), 佐々木淳一2), 岡本好司2), 草地信也2), 北川雄光2) |
| Authors (kana) | |
| Organization | 1)三重県立総合医療センター外科, 2)日本外科感染症学会周術期管理マニュアル委員会 |
| Journal | 日本外科感染症学会雑誌 |
| Volume | 20 |
| Number | 2 |
| Page | 106-112 |
| Year/Month | 2023 / |
| Article | 報告 |
| Publisher | 日本外科感染症学会 |
| Abstract | 「要旨」 : 大腸手術は, 消化器手術の中でも手術部位感染の頻度が高い術式である. 大腸手術における周術期感染対策について, 当院で主に施行している術前, 術中, 術後対策について概要を述べる. 術前に必要な処置としては, 抗菌薬投与, 術前腸管処置, 術中処置としては, 術野消毒, 創縁保護器具の使用, 手術器具の交換について最近のエビデンスを加えて概説する. |
| Practice | 臨床医学:外科系 |
| Keywords | 大腸手術, 周術期感染, 手術部位感染, 予防対策 |
English
| Title | Perioperative management for prevention of surgical infection in colorectal surgery |
|---|---|
| Subtitle | |
| Authors | Yasuhiko Mohri1)2), Akira Yamamoto1), Eiki Ojima1), Hiroki Ohge2), Keita Morikane2), Toshihiko Mayumi2), Kazuo Tanemoto2), Shoji Kubo2), Satoshi Ono2), Junichi Sasaki2), Koji Okamoto2), Shinya Kusachi2), Yuko Kitagawa2) |
| Authors (kana) | |
| Organization | 1)Department of Surgery, Mie Prefectural General Medical Center, 2)Committee of Perioperative Infection Control Manual, Japan Society of Surgical Infection |
| Journal | Journal of Japan Society for Surgical Infection |
| Volume | 20 |
| Number | 2 |
| Page | 106-112 |
| Year/Month | 2023 / |
| Article | Report |
| Publisher | Japan Society for Surgical Infection |
| Abstract | Colorectal procedure is one of the most frequent occurrences of surgical site infections in gastrointestinal surgeries. We show the perioperative management for prevention of surgical infection. In other words, we explain about perioperative oral care, preoperative bowel preparation, antimicrobial prophylaxis, antiseptic of surgical field, and instrument change. |
| Practice | Clinical surgery |
| Keywords |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Nichols RL, Holmes JW:Prophylaxis in bowel surgery. Curr Clin Top Infect Dis 1995;15:76-96
- 2) Bentrem DJ, Cohen ME, Hynes DM, et al:Identification of specific quality improvement opportunities for the elderly undergoing gastrointestinal surgery. Arch Surg 2009;144:1013-1020
- 3) Bilimoria KY, Cohen ME, Ingraham AM, et al:Effect of postdischarge morbidity and mortality on comparisons of hospital surgical quality. Ann Surg 2010;252:183-190
- 4) Marubashi S, Takahashi A, Kakeji Y, et al:Surgical outcomes in gastroenterological surgery in Japan:Report of the National Clinical Database 2011-2019. Ann Gastroenterol Surg 2021;5:639-658
- 5) 厚生労働省院内感染対策サーベイランス事業(JANIS).https://janis.mhlw.go.jp/report/ssi.html
残りの42件を表示する
- 6) Kashimura N, Kusachi S, Konishi T, et al:Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan. Surg Today 2012;42:639-645
- 7) Fukuda H:Patient-related risk factors for surgical site infection following eight types of gastrointestinal surgery. J Hosp Infect 2016;93:347-354
- 8) Xu Z, Qu H, Gong Z, et al:Risk factors for surgical site infection in patients undergoing colorectal surgery:A meta-analysis of observational studies. PLoS One 2021;16:e0259107
- 9) Ishimaru M, Matsui H, Ono S, et al:Preoperative oral care and effect on postoperative complications after major cancer surgery. Br J Surg 2018;105:1688-1696
- 10) Nobuhara H, Matsugu Y, Soutome S, et al:Perioperative oral care can prevent surgical site infection after colorectal cancer surgery:A multicenter, retrospective study of 1,926 cases analyzed by propensity score matching. Surgery 2022;172:530-536
- 11) Nichols RL, Condon RE:Preoperative preparation of the colon. Surg Gynecol Obstet 1971;132:323-337
- 12) Kumar AS, Kelleher DC, Sigle GW:Bowel Preparation before Elective Surgery. Clin Colon Rectal Surg 2013;26:146-152
- 13) Toh JWT, Phan K, Hitos K, et al:Association of Mechanical Bowel Preparation and Oral Antibiotics Before Elective Colorectal Surgery With Surgical Site Infection:A Network Meta-analysis. JAMA Netw Open 2018;1:e183226
- 14) Bellows CF, Mills KT, Kelly TN, et al:Combination of oral non-absorbable and intravenous antibiotics versus intravenous antibiotics alone in the prevention of surgical site infections after colorectal surgery:a meta-analysis of randomized controlled trials. Tech Coloproctol 2011;15:385-395
- 15) Dahabreh IJ, Steele DW, Shah N, et al:Oral Mechanical Bowel Preparation for Colorectal Surgery. AHRQ Comparative Effectiveness Review No.128. Rockville:Agency for Healthcare Research and Quality, 2014
- 16) McSorley ST, Steele CW, McMahon AJ:Meta-analysis of oral antibiotics, in combination with preoperative intravenous antibiotics and mechanical bowel preparation the day before surgery, compared with intravenous antibiotics and mechanical bowel preparation alone to reduce surgical-site infections in elective colorectal surgery. BJS Open 2018;2:185-194
- 17) 日本外科感染症学会 消化器外科SSI予防のための周術期管理ガイドライン作成委員会:消化器外科SSI予防のための周術期管理ガイドライン2018. 東京,診断と治療社,2018
- 18) 炭山嘉伸,横山隆:消化器外科手術における抗生剤の使用法をめぐって.日消外会誌 1994;27:2358-2367
- 19) Practice guidelines for preoperative fasting and the use of pharmacological agents to reduce the risk of pulmonary aspiration:application to healthy patients undergoing elective procedures:a report by the American Society of Anesthesiologists task force on preoperative fasting. Anesthesiology 1999;90:896-905
- 20) Nygren J, Thorell A, Ljungqvist O:Preoperative oral carbohydrate nutrition:an update. Curr Opin Clin Nutr Metab Care 2001;4:255-259
- 21) Hausel J, Nygren J, Lagerkranser M, et al:A carbohydrate-Rich Drink Reduces Preoperative Discomfort in Elective Surgery Patients. Anesth Analg 2001;93:1344-1350
- 22) Helminen H, Viitanen H, Sajanti J:Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol 2009;26:123-127
- 23) Can MF, Yagci G, Dag B, et al:Preoperative administration of oral carbohydrate-rich solutions:Comparison of glucometabolic responses and tolerability between patients with and without insulin resistance. Nutrition 2009;25:72-77
- 24) Svanfeldt M, Thorell A, Hausel J, et al:Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on postoperative whole-body protein and glucose kinetics. Br J Surg 2007;94:1342-1350
- 25) Mangram AJ, Horan TC, Pearson ML, et al:Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20:250-278
- 26) Berrios-Torres SI, Umscheid CA, Bratzler DW, et al:Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg 2017;152:784-791
- 27) Fujita S, Saito N, Yamada T, et al:Randomized, multicenter trial of antibiotic prophylaxis in elective colorectal surgery:single dose vs 3 doses of a second-generation cephalosporin without metronidazole and oral antibiotics. Arch Surg 2007;142:657-661
- 28) Suzuki T, Sadahiro S, Tanaka A, et al:Usefulness of Preoperative Mechanical Bowel Preparation in Patients with Colon Cancer who Undergo Elective Surgery:A Prospective Randomized Trial Using Oral Antibiotics. Dig Surg 2020;37:192-198
- 29) Sebben JE:Surgical antiseptics. J Am Acad Dermatol 1983;9:759-765
- 30) 清水正樹,奥住捷子,八代純子,ほか:尿および糞便検体からの分離菌に対する消毒薬のin vitro有効性.薬理と治療 2003;31:429-433
- 31) Hagi A, Iwata K, Nii T, et al:Bactericidal effects and mechanism of action of olanexidine gluconate, a new antiseptic. Antimicrob Agents Chemother 2015;59:4551-4559
- 32) Inoue Y, Hagi A, Nii T, et al:Novel antiseptic compound OPB-2045G shows potent bactericidal actibity against methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus both in vitro and in vivo:a pilot study in animals. J Med Microbiol 2015;64:32-36
- 33) WHO:GLOBAL GUIDELINES FOR THE PREVENTION OF SURGICAL SITE INFECTION. 2016 https://apps.who.int/iris/bitstream/handle/10665/250680/9789241549882-eng.pdf?sequence=8
- 34) Obara H, Takeuchi M, Kawakubo H, et al:Aqueous olanexidine versus aqueous povidone-iodine for surgical skin antisepsis on the incidence of surgical site infections after clean-contaminated surgery:a multicentre, prospective, blinded-endpoint, randomised controlled trial. Lancet Infect Dis 2020;20:1281-1289
- 35) 佐藤直樹,加藤伸彦,大沢修子,ほか:手袋のバリアー性は術中に破綻する.日手術医会誌 2005;26:248-251
- 36) Hubner NO, Goerdt AM, Stanislawski N, et al:Bacterial migration through punctured surgical gloves under real surgical conditions. BMC Infect Dis 2010;10:192
- 37) Lancaster C, Duff P:Single versus double-gloving for obstetric and gynecologic procedures. Am J Obstet Gynecol 2007;196:e36-e37
- 38) Malhotra M, Sharma JB, Wadhwa L, et al:Prospective study of glove perforation in obstetrical and gynecological operation:are we safe enough? J Obstet Gynaecol Res 2004;30:319-322
- 39) Cavaliere D, Popivanov G, Cassini D, et al:Is a drain necessary after anterior resection of the rectum? A systematic review and meta-analysis. Int J Colorectal Dis 2019;34:973-981
- 40) Rondelli F, Bugiantella W, Vedovati MC, et al:To drain or not to drain extraperitoneal colorectal anastomosis? A systematic review and meta-analysis. Colorectal Dis 2014;16:O35-O42
- 41) Denost Q, Rouanet P, Faucheron JL, et al:To Drain or Not to Drain Infraperitoneal Anastomosis After Rectal Excision for Cancer:The GRECCAR 5 Randomized Trial. Ann Surg 2017;265:474-480
- 42) Ortiz H, Armendariz P, Kreisler E, et al:Influence of rescrubbing before laparotomy closure on abdominal wound infection after colorectal cancer surgery:results of a multicenter randomized clinical trial. Arch Surg 2012;147:614-620
- 43) Ghuman A, Chan T, Karimuddin AA, et al:Surgical Site Infection Rates Following Implementation of a Colorectal Closure Bundle in Elective Colorectal Surgeries. Dis Colon Rectum 2015;58:1078-1082
- 44) Ban KA, Minei JP, Laronga C, et al:American College of Surgeons and Surgical Infection Society:Surgical Site Infection Guidelines, 2016 Update. J Am Coll Surg 2017;224:59-74
- 45) van 't Riet M, Steyerberg EW, Nellensteyn J, et al:Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg 2002;89:1350-1356
- 46) 竹末芳生,中嶋一彦,一木薫,ほか:手術創とドレーン管理.レジデントノート 2006;8:1256-1261
- 47) Mulvihill SJ, Pallegrini CA:Postoperative care. In;Way LW ed. Current Surgical Diagnosis and Treatment. 10th ed. Connecticut:Appleton & Lange, 1994;15-23

