Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis

KILIÇ, Şeref Selçuk; karnak, ibrahim; çiftçi, arbay özden; şenocak, mehmet emin; Ekinci, Saniye; TANYEL, Feridun Cahit

Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis

Şeref Selçuk KILIÇ, (Ahi Evran Üniversitesi Eğitim ve Araştırma Hastanesi, Kırşehir, Türkiye)

Saniye EKİNCİ, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Ankara, Türkiye)

İbrahim KARNAK, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Ankara, Türkiye)

Arbay Özden ÇİFTÇİ, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Ankara, Türkiye)

Feridun Cahit TANYEL, (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Ankara, Türkiye)

Mehmet Emin ŞENOCAK (Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Ankara, Türkiye)

Journal of Clinical and Analytical Medicine

1 0

Yıl: 2016 Cilt: 7 Sayı: 5 Sayfa Aralığı: 591 - 594 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis

Öz:

Amaç: Perfore apandisit nedeni ile opere edilen çocuklarda, kapalı drenaj sistemi kullanımının Cerrahi Alan Enfeksiyonuna (CAE) etkisi araştırılmıştır.Gereç ve Yöntem: Perfore apandisit nedeni ile 2004-2010 tarihleri arasında opere edilmiş olan hastaların; dosyaları ve bilgisayar kayıtları retrospektif olarak değerlendirilmiştir.Açık drenaj sistemi (Grup I) 70 hastada ve kapalı drenaj sistemi 40 hastada kullanılmıştır. Bulgular: On bir vakada yüzeyel enfeksiyon ve 3 vakada organ/ boşluk enfeksiyonu saptandı. Grup I'de CAE oranı 15,7% ve Grup II'de 7,5% saptandı. Grup I'de antibiyotik tedavi süresi 7,5 ± 3,4 gün ve Grup II'de 6,4 ± 2,2 gün saptandı ve gruplar arası istatistiksel fark yoktu. Hastanede kalış süresi Grup I'de 8,2 ± 3,1 gün ve Grup II'de 6,8 ± 1,9 gün saptandı ve fark istatistiksel olarak anlamlıydı. Tartışma: CAE, hastanede kalış ve antibiyotik tedavi sürelerini artırarak, morbidite ve tedavi maliyetlerini artıran çok önemli bir problemdir. Kapalı sistem ile karşılaştırıldığında açık drenaj sistemi kullanılan perfore apandisit olgularında CAE sıklığının daha yüksek olduğu anlaşılmıştır. Perfore apandisit nedeni ile opere olan hastalarda drenaj sistemi kullanılacak ise kapalı drenaj sistemleri tercih edilmelidir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Drenaj Sistemlerinin Perfore Apandisitli Çocuklarda Cerrahi Alan Enfeksiyonuna Etkisi

Öz:

Aim: Effect of replacing open drainage system to closed drainage system on surgical site infection (SSI) in children operated for perforated appendicitis was evaluated. Material and Method: Hospital files and computer records of perforated appendicitis cases operated in 2004-2010 were evaluated retrospectively. Open drainage systems were used for 70 in cases (group I) and closed systems were used in the others (group II). Results: Eleven of SSI cases had superficial infection and 3 had the organ/space infection. SSI rate was 15.7% for group I and 7.5% for the group II. The antibiotic treatment length was 7.5 ± 3.4 days for group I and 6.4 ± 2.2 days for group II and the difference between groups was not statistically significant. Hospitalization length for group I was 8.2 ± 3.1 days and 6.8 ± 1.9 days for group II and the difference was statistically significant. Discussion: SSI is an important problem increasing morbidity and treatment costs through increasing hospitalization and antibiotic treatment length. Open drainage system used in operation in patients with perforated appendicitis leads an increased frequency of SSI when compared to the closed drainage system. Thus, closed drainage systems should be preferred in when drainage is necessary in operations for perforated appendicitis in children.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KILIÇ Ş, Ekinci S, karnak i, çiftçi a, TANYEL F, şenocak m (2016). Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. , 591 - 594.
Chicago	KILIÇ Şeref Selçuk,Ekinci Saniye,karnak ibrahim,çiftçi arbay özden,TANYEL Feridun Cahit,şenocak mehmet emin Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. (2016): 591 - 594.
MLA	KILIÇ Şeref Selçuk,Ekinci Saniye,karnak ibrahim,çiftçi arbay özden,TANYEL Feridun Cahit,şenocak mehmet emin Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. , 2016, ss.591 - 594.
AMA	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. . 2016; 591 - 594.
Vancouver	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. . 2016; 591 - 594.
IEEE	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m "Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis." , ss.591 - 594, 2016.
ISNAD	KILIÇ, Şeref Selçuk vd. "Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis". (2016), 591-594.

APA	KILIÇ Ş, Ekinci S, karnak i, çiftçi a, TANYEL F, şenocak m (2016). Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. Journal of Clinical and Analytical Medicine, 7(5), 591 - 594.
Chicago	KILIÇ Şeref Selçuk,Ekinci Saniye,karnak ibrahim,çiftçi arbay özden,TANYEL Feridun Cahit,şenocak mehmet emin Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. Journal of Clinical and Analytical Medicine 7, no.5 (2016): 591 - 594.
MLA	KILIÇ Şeref Selçuk,Ekinci Saniye,karnak ibrahim,çiftçi arbay özden,TANYEL Feridun Cahit,şenocak mehmet emin Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. Journal of Clinical and Analytical Medicine, vol.7, no.5, 2016, ss.591 - 594.
AMA	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. Journal of Clinical and Analytical Medicine. 2016; 7(5): 591 - 594.
Vancouver	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis. Journal of Clinical and Analytical Medicine. 2016; 7(5): 591 - 594.
IEEE	KILIÇ Ş,Ekinci S,karnak i,çiftçi a,TANYEL F,şenocak m "Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis." Journal of Clinical and Analytical Medicine, 7, ss.591 - 594, 2016.
ISNAD	KILIÇ, Şeref Selçuk vd. "Drainage Systems' Effect on Surgical Site Infection in Children with Perforated Appendicitis". Journal of Clinical and Analytical Medicine 7/5 (2016), 591-594.