Tímarit hjúkrunarfræðinga - 2019, Blaðsíða 113

ritrýnd grein scientific paper
tímarit hjúkrunarfræðinga • 3. tbl. 95. árg. 2019 113
Aim: Colorectal cancer is the third most common cancer in ice -
land for both men and women. Surgery is the main treatment for
colorectal cancer with the aim to cure. infection rate can be used
to evaluate the quality of perioperative nursing care. The aim of
this study was to explore the rate of postoperative infections after
surgery for colorectal cancer in the Landspitali national university
hospital in iceland which was unknown.
Method: This was a descriptive, prospective study. The occurrence
of infections in all patients who underwent surgery for colorectal
cancer from March 15 to September 15 2015 within 30 days post-
operatively were explored. Participants were 70 patients. informa-
tion was obtained by interviews with the subjects and from patient
records. all symptoms of infection that required treatment during
the 30 day postoperative period were defined as complications.
The Clavien-Dindo system, which classifies complications accord-
ing to the treatment needed, was used.
Results: Postoperative infection occured in 44.3% (31/70). urinary
tract infections were most frequent (24.5%), followed by intraab-
dominal infections (18.6%), surgical site infections (14.3%) and
sepsis (8.6%). Other infections that occurred where oral infection,
pneumonia, stomatitis and vancomycin-resistant enterococci
(VrE) infection. Mortality caused by infection was 1,4%.
Conclusion: Postoperative infection rate after surgery for colorec-
tal cancer was high compared to other countries. use of proce-
dures related to urinary catheters deserves special attention. The
study results indicate the importance of having prospective reg-
istry for infections to evaluate quality of surgery and nursing care.
Keywords: Perioperative nursing, surgery, infection, colorectal.
Correspondent: birgirol@landspitali.is
English Summary
Olafsson, B. O., Thoroddsen, a.
Postoperative infection after surgery for colorectal cancer