Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections

Preoperative bowel preparation was previously strictly done for all patient undergoing colorectal surgeries. With advances in thesurgical techniquesandpatient care, the role of bowel preparation in surgical complications is questioned. In this studywedescribea non-randomized retrospective analysis o...

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Autores principales: Mahmoud Aghaei-Afshar, Farzaneh Mahmoudikordi, Mohammad Rezazadehkermani
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Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2018
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Acceso en línea:https://doaj.org/article/1258e45af623481fad0b5895a43fa397
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spelling oai:doaj.org-article:1258e45af623481fad0b5895a43fa3972021-11-16T07:43:51ZPreoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections2783-2430https://doaj.org/article/1258e45af623481fad0b5895a43fa3972018-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47176_ff289151946af0b4b4a71c0e8a4b8e84.pdfhttps://doaj.org/toc/2783-2430Preoperative bowel preparation was previously strictly done for all patient undergoing colorectal surgeries. With advances in thesurgical techniquesandpatient care, the role of bowel preparation in surgical complications is questioned. In this studywedescribea non-randomized retrospective analysis of 193 patients who underwent left colon and rectal resections in two different hospitals,the preoperative bowel preparation regimens were different in two hospitals. Both regimens contain mechanical preparation withpolyethylene glycol, however, one hospital administered erythromycin and neomycin and the other hospital did not. From 74 patientsreceiving oral antibiotic eight (10.8%) one developedwoundinfection and from 119 patientswhodid not receive oral antibioticthree (2.5%) patient developed wound infection. This difference was statistically significant. Regarding literature review, it is suggestedto omit oral antibiotic from preoperative bowel preparation regimens elective colorectal resections.Mahmoud Aghaei-AfsharFarzaneh MahmoudikordiMohammad RezazadehkermaniShiraz University of Medical SciencesarticleneomycinerythromycincolectomyinfectionMedicineRENIranian Journal of Colorectal Research, Vol 6, Iss 4 (2018)
institution DOAJ
collection DOAJ
language EN
topic neomycin
erythromycin
colectomy
infection
Medicine
R
spellingShingle neomycin
erythromycin
colectomy
infection
Medicine
R
Mahmoud Aghaei-Afshar
Farzaneh Mahmoudikordi
Mohammad Rezazadehkermani
Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
description Preoperative bowel preparation was previously strictly done for all patient undergoing colorectal surgeries. With advances in thesurgical techniquesandpatient care, the role of bowel preparation in surgical complications is questioned. In this studywedescribea non-randomized retrospective analysis of 193 patients who underwent left colon and rectal resections in two different hospitals,the preoperative bowel preparation regimens were different in two hospitals. Both regimens contain mechanical preparation withpolyethylene glycol, however, one hospital administered erythromycin and neomycin and the other hospital did not. From 74 patientsreceiving oral antibiotic eight (10.8%) one developedwoundinfection and from 119 patientswhodid not receive oral antibioticthree (2.5%) patient developed wound infection. This difference was statistically significant. Regarding literature review, it is suggestedto omit oral antibiotic from preoperative bowel preparation regimens elective colorectal resections.
format article
author Mahmoud Aghaei-Afshar
Farzaneh Mahmoudikordi
Mohammad Rezazadehkermani
author_facet Mahmoud Aghaei-Afshar
Farzaneh Mahmoudikordi
Mohammad Rezazadehkermani
author_sort Mahmoud Aghaei-Afshar
title Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
title_short Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
title_full Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
title_fullStr Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
title_full_unstemmed Preoperative Bowel Preparation with Oral Antibiotics Might Increase Wound Infection in Elective Colorectal Resections
title_sort preoperative bowel preparation with oral antibiotics might increase wound infection in elective colorectal resections
publisher Shiraz University of Medical Sciences
publishDate 2018
url https://doaj.org/article/1258e45af623481fad0b5895a43fa397
work_keys_str_mv AT mahmoudaghaeiafshar preoperativebowelpreparationwithoralantibioticsmightincreasewoundinfectioninelectivecolorectalresections
AT farzanehmahmoudikordi preoperativebowelpreparationwithoralantibioticsmightincreasewoundinfectioninelectivecolorectalresections
AT mohammadrezazadehkermani preoperativebowelpreparationwithoralantibioticsmightincreasewoundinfectioninelectivecolorectalresections
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