Possible Risk Factors Related to Mortality in Intensive Care Patients after Gastroenterologic Surgery and Microorganisms Responsible for Infection
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 11
Abstract
Abstract: In this study, we aimed to investigate frequency of infections, infectious agents, treatment applied, and effects of these on mortality in patients who followed up in general surgery intensive care unit (ICU) after gastroenterologic surgery.Study data were obtained from a retrospective review of records of patients undergoing gastroenterologic surgery and followed up in general surgery ICU between January 2015 and December 2017. A total of 325 patients were included in the study, 54.2% male and 45.8% female. 36.6% of the patients were operated urgently, 63.4% were operated electively. Infection was developed in 31.3% of patients who were operated. Of the 103 patients who were infected, 88 abdominal infection, 4 genitourinary infection, 10 respiratory system infections were identified, whereas one patient's focus of infection could not be identified. The most frequently isolated gram (+) agent was Enterococcus species (64.7%), the most frequently isolated gram (-) agent was Escherichia coli (42.1%) and the most common fungal agent was Candida albicans. Twenty-four percent of infected patients were treated with monotherapy, while the rest received multiple antimicrobial agents. 4.6% (n=15) of the patients died in ICU and 1.5% (n=5) of them were infected. Age, urgent operation, operation due to colorectal or gastroduodenal and small bowel diseases, presence of comorbid diseases are effective parameters in the development of mortality in patients followed in ICU after gastroenterologic surgery. The most frequently detected agent in infectious disease is gram-negative bacteria. The results of this study support the fact that infections are not an independent risk factor in the development of mortality nowadays.
Authors and Affiliations
Arif Emre, Selçuk Nazik, Mehmet Sertkaya, Ahmet Necati Şanli
Keywords
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