Invasive Candida Infection after Upper Gastrointestinal Tract Surgery for Gastric Cancer.

IF 1.6 Q4 ONCOLOGY
International Journal of Surgical Oncology Pub Date : 2017-01-01 Epub Date: 2017-11-06 DOI:10.1155/2017/6058567
Evgeni Brotfain, Gilbert Sebbag, Michael Friger, Boris Kirshtein, Abraham Borer, Leonid Koyfman, Dmitry Frank, Yoav Bichovsky, Jochanan G Peiser, Moti Klein
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引用次数: 7

Abstract

Upper gastrointestinal tract (GIT) surgical procedures are more likely to cause nosocomial Candida peritonitis than lower GIT procedures and they thus constitute an independent risk factor for mortality. Because of the severity of postsurgical fungal infections complications, intensivists and surgeons need to be extremely aware of their clinical importance in critically ill postsurgical intensive care unit (ICU) patients. We analyzed the clinical and microbiological data of 149 oncologic patients who were hospitalized in the ICU at Soroka Medical Center between January 2010 and January 2015 after undergoing upper GIT surgery for gastric cancer. Invasive fungal infections related to secondary peritonitis following oncologic upper GIT surgery had a higher mortality rate than patients with nonfungal postoperative infectious complications. The presence of gastroesophageal junction leakage and advanced age were found to be independent risk factors for invasive fungal infection after oncologic upper GIT surgery.

胃癌上消化道手术后侵袭性念珠菌感染。
上消化道(GIT)手术比下消化道手术更容易引起院内念珠菌性腹膜炎,因此它们构成了死亡的独立危险因素。由于术后真菌感染并发症的严重性,重症监护医师和外科医生需要非常清楚其在重症监护病房(ICU)患者中的临床重要性。我们分析了2010年1月至2015年1月在Soroka医疗中心ICU住院的149例肿瘤患者的临床和微生物学资料,这些患者接受了上消化道手术治疗胃癌。肿瘤上消化道手术后继发腹膜炎相关的侵袭性真菌感染的死亡率高于非真菌术后感染并发症的患者。发现胃食管交界部渗漏和高龄是肿瘤上消化道手术后侵袭性真菌感染的独立危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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