Effect of mechanical bowel preparation with polyethyleneglycol on bacterial contamination and wound infection in patients undergoing elective open colon surgery

被引:27
作者
Fa-Si-Oen, PR
Verwaest, C
Buitenweg, J
Putter, H
de Waard, JW
van de Velde, CJH
Roumen, RMH
机构
[1] Maxima Med Ctr, Dept Surg, NL-5500 MB Veldhoven, Netherlands
[2] Univ Hosp Gasthuisberg, Dept Intens Care Med, B-3000 Louvain, Belgium
[3] Leiden Univ, Dept Med Stat, NL-2300 RA Leiden, Netherlands
[4] Westfries Gasthuis Hosp, Dept Surg, Hoorn, Netherlands
[5] Leiden Univ, Med Ctr, Dept Surg, Leiden, Netherlands
关键词
bowel surgery; colon surgery; mechanical bowel preparation; surgery; wound infection;
D O I
10.1111/j.1469-0691.2004.01012.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Mechanical bowel preparation is common practice in elective colon surgery. In order to verify the effect of mechanical bowel preparation on the colonic flora, this study followed 185 patients undergoing elective open colon surgery, 90 of whom were assigned randomly to receive mechanical bowel preparation with polyethyleneglycol. Swabs of the anastomosis and the subcutis were taken during surgery. Further swabs were taken of any subsequent wound infections. Mechanical bowel preparation did not reduce contamination of the peritoneal cavity or the subcutis during surgery, and there appeared to be more sterile subcutaneous swabs in the control group.
引用
收藏
页码:158 / 160
页数:3
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