Open AccessCurrent status of postoperative infections after digestive surgery in Japan: The Japan Postoperative Infectious Complications Survey in 2015
Author(s) -
Niitsuma Toru,
Kusachi Shinya,
Takesue Yoshio,
Mikamo Hiroshige,
Asai Koji,
Watanabe Manabu
Publication year - 2019
Publication title -
annals of gastroenterological surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.308
H-Index - 15
ISSN - 2475-0328
DOI - 10.1002/ags3.12236
Subject(s) - medicine , antibiotics , urinary system , diarrhea , digestive tract , surgery , microbiology and biotechnology , biology
Abstract Aim To survey postoperative infections ( PI ) after digestive surgery. Methods This survey, conducted by the Japan Society of Surgical Infection, included patients undergoing digestive surgery at 28 centers between September 2015 and March 2016. Data collected included patient background characteristics, type of surgery, contamination status, and type of PI , including surgical site infection ( SSI ), remote infection ( RI ), and antimicrobial‐resistant ( AMR ) bacterial infections and colonization. Results Postoperative infections occurred in 10.7% of 6582 patients who underwent digestive surgery (6.8% for endoscopic surgery and 18.7% for open surgery). SSI and RI , including respiratory tract infection, urinary tract infection, antibiotic‐associated diarrhea, drain infection, and catheter‐related bloodstream infection, occurred in 8.9% and 3.7% of patients, respectively. Among all PI , 13.2% were overlapping infections. The most common overlapping infections were incisional and organ/space SSI , which occurred in 4.2% of patients. AMR bacterial infections occurred in 1.2% of patients after digestive surgery and comprised 11.5% of all PI . Rate of AMR bacterial colonization after digestive surgery was only 0.3%. Conclusion Periodic surveillance of PI , including AMR bacteria, is necessary for a detailed evaluation of nosocomial infections.