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Undernutriton and surgical site infection

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Author(s): Weimann, Arved

Journal: GMS Krankenhaushygiene Interdisziplinär
ISSN 1863-5245

Volume: 2;
Issue: 2;
Start page: Doc56;
Date: 2007;
Original page

Keywords: undernutrition | malnutrition | surgical site infection | nutritional support | enteral nutrition | parenteral nutrition | immunonutrition

ABSTRACT
There is strong evidence for the impact of nutritional status and nutritional intervention on surgical morbidity with special regard to surgical site infectious complications. Aiming on the decrease of length of hospital stay in surgery, the identification of nutritional risk patients and candidates for preoperative nutritional support has to be realized in an outpatient setting. This has to be established by improvement of health care networking. Whenever possible, nutritional support should be administered via the oral/enteral route. In case of patients undergoing major cancer surgery immune enhancement by special drink solutions and enteral diets have proven to be beneficial. with a high level of evidence. Related to the local rate of infectious complications advantages for cost-benefit ratio may be expected.
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