Abstract
Pediatric abdominal surgery is a high-risk procedure. The most common abdominal condition that requires surgery in children is appendicitis. Cases of gangrenous or perforated appendicitis have significant rates of postoperative complications. At the same time, colorectal surgery is considered one of the most at-risk procedures for infectious complications given the potential for gross contamination of the operative site with the abundant flora of the colon. In this chapter, the epidemiology of infections complicating appendectomy, colorectal procedures, and abdominal surgeries in general is reviewed. Clinical manifestations, diagnosis, and management are outlined with respect to surgical wound and operative site infections. Lastly, measures to prevent abdominal surgical site infections are discussed.
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References
Feng C, Sighwa F, Cameron D, Glass C, Rangel S. Rates and burden of surgical site infections associated with pediatric colorectal surgery: insight from the national surgery quality improvement program. J Pediatr Surg. 2016;51:970–4.
Boomer LA, Cooper JN, Anandalwar S, et al. Delaying appendectomy does not lead to higher rates of surgical site infections: a multi-institutional analysis of children with appendicitis. Ann Surg. 2016;264(1):164–8.
Serres SK, Cameron DB, Glass CC, et al. Time to appendectomy and risk of complicated appendicitis and adverse outcomes in children. JAMA Pediatr. 2017;171(8):740–6.
Saito JM, Chen LE, Hall BL, et al. Risk-adjusted hospital outcomes for children’s surgery. Pediatrics. 2013;132(3):e677–88.
Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013;70(3):195–283.
Pessaux P, Msika S, Atalla D, Hay JM, Flamant Y. French Association for Surgical R. Risk factors for postoperative infectious complications in noncolorectal abdominal surgery: a multivariate analysis based on a prospective multicenter study of 4718 patients. Arch Surg. 2003;138(3):314–24.
den Hoed PT, Boelhouwer RU, Veen HF, Hop WC, Bruining HA. Infections and bacteriological data after laparoscopic and open gallbladder surgery. J Hosp Infect. 1998;39(1):27–37.
Center for Disease control and Prevention. Surgical Site Infection (SSI) event. In: National healthcare safety network patient safety component manual. Atlanta; 2018. www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf. Accessed 22 Jan 2018.
Solomkin JS, Mazuski JE, Bradley JS, et al. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the surgical infection society and the Infectious Diseases Society of America. Clin Infect Dis. 2010;50(2):133–64.
Wesson D. Acute appendicitis in children: management. In: Singer J, editor. UpToDate. 2018. www.uptodate.com/contents/acute-appendicitis-in-children-management. Accessed 23 Jan 2018.
Stone HH. Bacterial flora of appendicitis in children. J Pediatr Surg. 1976;11(1):37–42.
Fallon SC, Hassan SF, Larimer EL, et al. Modification of an evidence-based protocol for advanced appendicitis in children. J Surg Res. 2013;185(1):273–7.
Andersen BR, Kallehave FL, Andersen HK. Antibiotics versus placebo for prevention of postoperative infection after appendicectomy. Cochrane Database Syst Rev. 2005;(3):CD001439.
Lee SL, Islam S, Cassidy LD, et al. Antibiotics and appendicitis in the pediatric population: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review. J Pediatr Surg. 2010;45(11):2181–5.
Nadler EP, Gaines BA, Therapeutic Agents Committee of the Surgical Infection Society. The surgical infection society guidelines on antimicrobial therapy for children with appendicitis. Surg Infect. 2008;9(1):75–83.
Foster C, Marquez L, Buckingham SC. Bacteroides, fusobacterium, prevotella and porphyromonas. In: Cherry JD, Demmler-Harison G, Kaplan S, Steinbach WJ, Hotez PJ, editors. Feigin and Cherry’s textbook of pediatric infectious diseases, vol. 1. Philadelphia: Elsevier; 2018. p. 1316–23.
Khoshbin A, So JP, Aleem IS, et al. Antibiotic prophylaxis to prevent surgical site infections in children: a prospective cohort study. Ann Surg. 2015;262(2):397–402.
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(8):784–91.
Rangel SJ, Islam S, St Peter SD, et al. Prevention of infectious complications after elective colorectal surgery in children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee comprehensive review. J Pediatr Surg. 2015;50(1):192–200.
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Marquez, L. (2019). Infections Complicating Abdominal Surgery Procedures. In: McNeil, J., Campbell, J., Crews, J. (eds) Healthcare-Associated Infections in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-98122-2_8
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DOI: https://doi.org/10.1007/978-3-319-98122-2_8
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