Long-term steroid use and surgical site infection after emergency abdominal surgery

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  • Kinoshita Keiichiro
    Department of General Internal Medicine, Tenri Hospital
  • Akebo Hiroyuki
    Department of General Internal Medicine, Tenri Hospital
  • Sada Ryuichi
    Department of General Internal Medicine, Tenri Hospital Department of Transformative Protection to Infectious Disease, Osaka University Graduate School of Medicine
  • Nakano Kenzo
    Department of Gastroenterological Surgery, Tenri Hospital Department of Gastroenterological Surgery and Oncology, Medical Research Institute, Kitano Hospital
  • Machimoto Takafumi
    Department of Gastroenterological Surgery, Tenri Hospital
  • Hatta Kazuhiro
    Department of General Internal Medicine, Tenri Hospital

Bibliographic Information

Other Title
  • 腹部緊急手術における長期ステロイド使用と手術部位感染症の関係
  • フクブ キンキュウ シュジュツ ニ オケル チョウキ ステロイド シヨウ ト シュジュツ ブイ カンセンショウ ノ カンケイ

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Abstract

<p> Background: Long-term steroid users have an increased risk of surgical site infection (SSI), but few studies have focused on emergency surgery. We investigated the incidence of SSI in long-term steroid users after emergency abdominal surgery. Methods: A single-center retrospective study was conducted. Among patients who underwent emergency surgery in the gastroenterology department, we compared the incidence of SSIs in long-term steroid users over the past five years with that in non-steroid users over the past year. Results: Thirty-five steroid-users and 227 non-steroid users were included in the analysis. Six (17.1%) patients in the steroid group and 14 (6.2%) in non-steroid group developed SSI, with a significantly higher incidence in the steroid group (P = 0.035). Four of the six SSI patients in the steroid group showed gastrointestinal perforation. Conclusion: After emergency abdominal surgery, the incidence of SSI was significantly higher in the steroid group. </p>

Journal

  • Tenri Medical Bulletin

    Tenri Medical Bulletin 26 (2), 76-82, 2023-12-25

    Tenri Foundation, Tenri Institute of Medical Research

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