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Indian J Cancer. 2018 Apr-Jun;55(2):154-156. doi: 10.4103/ijc.IJC_534_17.

Superficial incisional surgical site infections in emergency surgery in cancer patients: A tertiary cancer care center experience.

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1
Department of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India.

Abstract

OBJECTIVE:

The objective of this study is to review the superficial incisional surgical site infections (SISSIs) in emergency surgery in cancer patients.

MATERIAL AND METHODS:

The microbiological culture and sensitivity reports of patients undergoing emergency surgery for cancer of 1 year (April 2016 to March 2017) were analyzed along with the clinical factors associated with it from a surgeon's perspective.

RESULTS:

Of the 308 patients who underwent surgery, SISSI rate was 11.7%. The most common organism was Escherichia coli (27%) followed by enterococci (21%). Prolongation of hospital stay was average 2 days. Mortality rate among SISSI patients was 7.9%. Concordance among ongoing antibiotic and culture was 72%.

CONCLUSION:

Regular review of the current microbial spectrum and its antibiotic spectrum is required, especially in immunocompromized cancer patients.

KEYWORDS:

Cancer; emergency; superficial incisional surgical site infections

PMID:
30604727
DOI:
10.4103/ijc.IJC_534_17
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