Correspondence |

Stratification of Patients Who Underwent Colorectal Surgery: Determining the Risk of Surgical Site Infection Related to Postoperative Hyperglycemia

Nikolaos P. Karidis, MD; Leonidas Lekakos, MD; Dimitrios Dimitroulis, PhD
Arch Surg. 2011;146(3):369. doi:10.1001/archsurg.2011.17.
Text Size: A A A
Published online


Ata et al1 have unveiled an interesting association between postoperative hyperglycemia and surgical site infection (SSI) that may significantly influence surgical practice in terms of the patient's health and the cost of care. There have been studies of diabetic and nondiabetic patients who underwent cardiac surgery and of patients in intensive care units, and these studies have implemented perioperative antibiotic prophylaxis, which has been documented to dramatically reduce the incidence of postoperative SSI. With special regard to the subgroup of patients who underwent colorectal surgery, a combined oral and intravenous antibiotic regimen seems to be more effective than an oral or intravenous prophylaxis regimen alone, achieving a risk reduction of at least 75%.2 Moreover, the risk of SSI in patients who underwent colorectal surgery varies depending on the type of colorectal surgery (ie, right colon, left colon, or rectal surgery) and the level of colon resection and anastomosis, with left colon surgery and rectal surgery exhibiting higher rates of SSI owing to their different microbial flora.3 A significant reduction in SSI rates has also been shown for patients who underwent laparoscopic colorectal procedures compared with patients who underwent open surgery.4

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





March 1, 2011
Ashar Ata, MBBS, MPH; Steven C. Stain, MD
Arch Surg. 2011;146(3):370. doi:10.1001/archsurg.2011.19.
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles