The Prevention of Surgical Site Infection in Elective Colon Surgery

Table 7

A summary of the prospective randomized trials of no mechanical bowel preparation versus patients receiving mechanical bowel preparation in elective colon surgery 2000–2010. Some reports include all surgical site infections (*), whereas others include only surgical incision infections (**). Only one article concludes that there is a statistically significant difference in infection rates, which is higher in mechanically cleansed patients.

Author (Year)	No mechanical preparation		With mechanical preparation		Statistical significance
	No. of patients	Infections	No. of patients	Infections
Miettinen et al. (2000)* [88]	129	20 (8%)	136	13 (10%)	Not significant
Bucher et al. (2005)* [91]	75	6 (8%)	78	17 (22%)	𝑃<0.03 higher with mechanical preparation
Fa-Si-Oen et al. (2005)* [90]	125	13 (10%)	125	16 (13%)	Not significant
Ram et al. (2005)** [89]	165	10 (6%)	164	16 (10%)	Not significant
Zmora et al. (2006)* [92]	129	17 (13%)	120	15 (12%)	Not significant
Jung et al. (2007)* [94]	657	106 (16%)	686	103 (15%)	Not significant
Contant et al. (2007)** [93]	684	96 (14%)	670	90 (13%)	Not significant
Pena-Soria et al. (2008)* [95]	64	11 (17%)	65	19 (29%)	Not significant
Van’t Sant et al. (2010)** [96]	213	36 (17%)	236	39 (16%)	Not significant