Wound infection rates after gastric surgery in a Melbourne hospital.
In four groups of 25 patients in whom perioperative prophylactic antibiotics were not used, the wound infection rates after partial gastrectomy were 40% in gastric cancer, 44% in chronic gastric ulcer, 24% in chronic duodenal ulcer and after trunkal vagotomy and pyloroplasty, the wound infection rate was 12%. In gastric cancer and chronic gastric ulcer, most wound infections were caused by enterobacteria, while in chronic duodenal ulcer almost all infections were caused by Staphylococcus aureus. Appropriate short-term perioperative prophylactic antibiotic use is likely to decrease wound sepsis rate in patients who have a gastric resection in the presence of gastric cancer or gastric ulcer.
D000328:Adult; D000368:Aged; D001315:Australia; D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000601:surgery; D004756:Enterobacteriaceae Infections / Q000453:epidemiology*; D005743:Gastrectomy; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011708:Pylorus / Q000601:surgery; D013203:Staphylococcal Infections / Q000453:epidemiology*; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery; D013276:Stomach Ulcer / Q000601:surgery; D013530:Surgical Wound Infection / Q000453:epidemiology*; D014628:Vagotomy