[Do abuse of nicotine and alcohol have an effect on the incidence of postoperative bacterial infections?].
In a prospective study we evaluated patients with the diagnosis of 1. groin hernia (n1 = 57), 2. gall bladder stones (n2 = 80) and 3. carcinoma of the colon (n3 = 76). The whole group included 213 patients who underwent clean, clean-contaminated or contaminated operations. All wound infections and post-operative bacterial infections like pneumonia or urinal infection were registered. The patients were asked for risk factors at the time of hospitalisation. 7.1% of all patients admitted an intake of alcohol of more than 60 g/day and 15.6% of the patients smoked more than 20 cigarettes a day. We found a four times higher risk to get a postoperative infection for patients with an intake of more than 60 g alcohol a day. The rate of infection for smokers of more than 20 cigarettes a day is two times higher than for non smokers or persons who smoke less than 20 cigarettes a day.
Stopinski
J
J
1re Clinique chirurgicale, Darmstadt, Allemagne.
Staib
I
I
Weissbach
M
M
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology*; D002769:Cholelithiasis / Q000601:surgery*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery; D000431:Ethanol / Q000009:adverse effects*; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000382:microbiology*; D014945:Wound Healing
D000431:Ethanol
L'abus de nicotine et d'alcool ont-ils une influence sur l'apparition des infections bactériennes post-opératoires?