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KMID : 1147420220070020072
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Journal of Surgical Infection
2022 Volume.7 No. 2 p.72 ~ p.98
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The Evidence-Based Practice Guidelines for Prevention of Surgical Site Infection: Enhanced Nutritional Support
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Hong Young-Ki
Jung Yoon-Bin
Bae Sung-Uk
Jang Ji-Young
Noh Gyoung-Tae
Kim Sung-Huhn
Choi Jong-Rim
Seon Yong-Won
Kim Hye-Jin
Chang Chong-Bum
Oh Bo-Young
Park Kyoung-Sik
Baik Yong-Hae
Kim Chan-Young
Park Ji-Won
Kim Chang-Hyun
Jung Jae-Hung
Park Youn-Young
Lee Hyung-Soon
Kim Young-Seok
Kim Hyun-Jung
Lee Suk-Hwan
Um Jun-Won
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Abstract
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Nutritional support in surgical patients alters the immune system, which affects postoperative outcomes such as surgical site infection. Malnourished patients are more susceptible to infection after surgery, which can lead to delayed recovery, prolonged hospital stay, and increased morbidity and mortality. However, there is little evidence about the optimal timing and dosage of enhanced nutritional support in surgical patients. On behalf of the Korean Surgical Infection Society, the practice guidelines committee collected data on enhanced nutritional support in surgical patients. Through a systematic literature review of the evidence, the practice guidelines committee suggests considering the administration of oral or enteral multiple nutrient-enhanced nutritional formulas to prevent SSI in underweight patients who undergo major surgical operations (Conditional recommendation, low quality of evidence).
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KEYWORD
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Surgical site infection, Nutritional status, Enteral nutrition, Nutrition therapy, Practice guideline
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