Zhu et al reported risk factors for intra-abdominal infection in a patient with Crohn's disease who has undergone bowel resection with re-anastomosis. These can help to identify a patient who may require more aggressive management. The authors are from the Medical School of Nanjing University in China)
Patient selection: Crohn's disease, status post resection and anastomosis
Risk factors for sepsis:
(1) serum CRP > 40 mg/L (OR 3.5)
(2) perioperative corticosteroids (OR 1.8)
(3) therapy with infliximab (OR 3.4)
(4) hypoalbuminemia with serum albumin < 30 g/L (OR 2.4)
(5) upper GI tract involvement (OR 2.1)
Preoperative exclusive enteral nutrition was protective (OR 0.2)
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