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ORIGINAL ARTICLE Antibiotic Choice Is Independently Associated With Risk of Surgical Site Infection After Colectomy A Population-Based Cohort Study ∗ ∗ ∗ Samantha Hendren, MD, MPH, Danielle Fritze, MD, Mousumi Banerjee, PhD,† James Kubus, MS, ∗ ∗ Robert K. Cleary, MD,‡ Michael J. Englesbe, MD, and Darrell A. Campbell, Jr, MD patients who undergo colorectal surgery annually in the United States, Objective: To determine which perioperative care practices are associated 1–4 with SSI rates exceeding 25% in some series. In addition to the with decreased risk of surgical site infection (SSI) after colectomy surgery. added morbidity for patients, this represents a mean of 9 additional Background: Optimization of perioperative care has been a common strategy days of hospitalization and $18,000 per episode—a $315 million for improving surgical safety, but the relationship between process measure 4,5 annual cost to the health care system. To date, efforts to reduce compliance and surgical complication rates is controversial. postoperative complications have focused primarily on the perioper- Methods: This is a retrospective cohort study performed within the Michi- ative process measures. One prominent example is the Surgical Care gan Surgical Quality Collaborative (MSQC), an organization of hospitals that Improvement Project (SCIP), which promotes the
Annals of Surgery – Wolters Kluwer Health
Published: Mar 1, 2013
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