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Article

Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study

by
Rahel Maria Strobel
1,*,
Amelie Baehr
1,
Ralf Hammerich
2,
Daniel Schulze
3,
Kai Siegfried Lehmann
1,
Johannes Christian Lauscher
1,
Katharina Beyer
1,
Susanne Dorothea Otto
1 and
Claudia Seifarth
1
1
Department of General and Visceral Surgery, Campus Benjamin Franklin, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Hindenburgdamm 30, 12203 Berlin, Germany
2
Department of Clinical Quality and Risk Management, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
3
Department of Biometry and Clinical Epidemiology, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(3), 650; https://doi.org/10.3390/jcm13030650
Submission received: 18 December 2023 / Revised: 12 January 2024 / Accepted: 20 January 2024 / Published: 23 January 2024
(This article belongs to the Section General Surgery)
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Abstract

(1) Background: Surgical site infections (SSIs) are a relevant problem with a 25% incidence rate after elective laparotomy due to inflammatory bowel disease (IBD). The aim of this study was to evaluate whether stricter hygienic measures during the COVID-19 pandemic influenced the rate of SSI. (2) Methods: This is a monocentric, retrospective cohort study comparing the rate of SSI in patients with bowel resection due to IBD during COVID-19 (1 March 2020–15 December 2021) to a cohort pre-COVID-19 (1 February 2015–25 May 2018). (3) Results: The rate of SSI in IBD patients with bowel resection was 25.8% during the COVID-19 pandemic compared to 31.8% pre-COVID-19 (OR 0.94; 95% CI 0.40–2.20; p = 0.881). There were seventeen (17.5%) superficial and four (4.1%) deep incisional and organ/space SSIs, respectively, during the COVID-19 pandemic (p = 0.216). There were more postoperative intra-abdominal abscesses during COVID-19 (7.2% vs. 0.9%; p = 0.021). The strictness of hygienic measures (mild, medium, strict) had no influence on the rate of SSI (p = 0.553). (4) Conclusions: Hygienic regulations in hospitals during COVID-19 did not significantly reduce the rate of SSI in patients with bowel resection due to IBD. A ban on surgery, whereby only emergency surgery was allowed, was likely to delay surgery and exacerbate the disease, which probably contributed to more SSIs and postoperative complications.
Keywords: COVID-19; surgical site infection; inflammatory bowel disease; postoperative complication COVID-19; surgical site infection; inflammatory bowel disease; postoperative complication

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MDPI and ACS Style

Strobel, R.M.; Baehr, A.; Hammerich, R.; Schulze, D.; Lehmann, K.S.; Lauscher, J.C.; Beyer, K.; Otto, S.D.; Seifarth, C. Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study. J. Clin. Med. 2024, 13, 650. https://doi.org/10.3390/jcm13030650

AMA Style

Strobel RM, Baehr A, Hammerich R, Schulze D, Lehmann KS, Lauscher JC, Beyer K, Otto SD, Seifarth C. Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study. Journal of Clinical Medicine. 2024; 13(3):650. https://doi.org/10.3390/jcm13030650

Chicago/Turabian Style

Strobel, Rahel Maria, Amelie Baehr, Ralf Hammerich, Daniel Schulze, Kai Siegfried Lehmann, Johannes Christian Lauscher, Katharina Beyer, Susanne Dorothea Otto, and Claudia Seifarth. 2024. "Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study" Journal of Clinical Medicine 13, no. 3: 650. https://doi.org/10.3390/jcm13030650

APA Style

Strobel, R. M., Baehr, A., Hammerich, R., Schulze, D., Lehmann, K. S., Lauscher, J. C., Beyer, K., Otto, S. D., & Seifarth, C. (2024). Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study. Journal of Clinical Medicine, 13(3), 650. https://doi.org/10.3390/jcm13030650

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