Conclusion Based on the current literature , there is insufficient evidence to indicate that the use of MBP leads to a significant difference in the risk of developing infectious complications in pediatric colorectal surgery
Objectives To evaluate whether the application of mechanical bowel preparation ( MBP ) before colorectal surgery reduces the risk of developing infectious complications in children .
Combination of Oral Antibiotics and Mechanical Bowel Preparation Reduces Surgical Site Infection in Colorectal Surgery.
BACKGROUND Surgical site infections ( SSI ) are a common complication after colorectal surgery . An infection prevention bundle ( IPB ) was implemented to improve outcomes . STUDY DESIGN A st and ardized IPB that included the administration of oral antibiotics with a mechanical bowel preparation , preoperative shower with chlorhexidine , hair removal and skin preparation in holding , antibiotic wound irrigation , and a " clean-closure " protocol was implemented in January 2013 . Data from the American College of Surgeons NSQIP were analyzed at a single academic institution to compare pre-IPB and post-IPB SSI rates . In January 2014 , a prospect i ve data base was implemented to determine compliance with individual IPB elements and their effect on outcomes . RESULTS For the 24 months pre-IPB , the overall SSI rate was 19.7 % . During the 30 months after IPB implementation , the SSI rate decreased to 8.2 % ( p < 0.0001 ) . A subset of 307 patients was identified in both NSQIP and our prospect i ve compliance data bases . Elements of IPB associated with decreased SSI rates included preoperative shower with chlorhexidine ( 4.6 % vs 16.2 % ; p = 0.005 ) , oral antibiotics ( 3.4 % vs 15.4 % ; p < 0.001 ) , and mechanical bowel preparation ( 4.4 % vs 14.3 % ; p = 0.008 ) . Patients who received a full bowel preparation of both oral antibiotics and a mechanical bowel preparation had a 2.7 % SSI rate compared with 15.8 % for all others ( p < 0.001 ) . On multivariate analysis , full bowel preparation was independently associated with significantly fewer SSI ( adjusted odds ratio 0.2 ; 95 % CI 0.1 to 0.9 ; p = 0.006 ) . CONCLUSIONS Implementation of an IPB was successful in decreasing SSI rates in colorectal surgery patients . The combination of oral antibiotics with a mechanical bowel preparation was the strongest predictor of decreased SSI
Conclusion Based on the current literature , there is insufficient evidence to indicate that the use of MBP leads to a significant difference in the risk of developing infectious complications in pediatric colorectal surgery
Objectives To evaluate whether the application of mechanical bowel preparation ( MBP ) before colorectal surgery reduces the risk of developing infectious complications in children .