Journal articles: 'Surgical wound infections'

1

Barry, Carey L. "Surgical Wound Infections." Physician Assistant Clinics 6, no. 2 (April 2021): 295–307. http://dx.doi.org/10.1016/j.cpha.2020.11.003.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Neville, Holly L., and Kevin P. Lally. "Pediatric surgical wound infections." Seminars in Pediatric Infectious Diseases 12, no. 2 (April 2001): 124–29. http://dx.doi.org/10.1053/spid.2001.22786.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

Turtiainen, J., and T. Hakala. "Surgical wound infections after peripheral vascular surgery." Scandinavian Journal of Surgery 103, no. 4 (April 15, 2014): 226–31. http://dx.doi.org/10.1177/1457496913514384.

Full text

Abstract:

Surgical wound infection is one of the most common complications after peripheral vascular surgery. It increases the affected patient’s risk for major amputation as well as mortality. Furthermore, surgical wound infection is an additional cost. Wound infections after vascular surgery are of multifactorial nature and generally result from the interplay of patient- and procedure-related factors. The use of systemic antibiotic prophylaxis may be the most important method in preventing surgical wound infections. In this review article, we report the current literature of surgical wound infections after peripheral vascular surgery.

APA, Harvard, Vancouver, ISO, and other styles

4

Gottrup, Finn. "Prevention of Surgical-Wound Infections." New England Journal of Medicine 342, no. 3 (January 20, 2000): 202–4. http://dx.doi.org/10.1056/nejm200001203420310.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Micheal, S. E. "P179 Nosocomial surgical wound infections." Blood Reviews 21 (August 2007): S142. http://dx.doi.org/10.1016/s0268-960x(07)70259-x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Surahio, Abdul Rashid, Altaf Ahmed Talpur, Abdul Salam `Memon, Afzal Junejo, and Abdul Aziz Laghari. "SURGICAL SITE INFECTIONS;." Professional Medical Journal 24, no. 01 (January 18, 2017): 57–63. http://dx.doi.org/10.29309/tpmj/2017.24.01.409.

Full text

Abstract:

Background: Wound infection has been a major problem in the surgical fieldsince long time. Significant improvements in sterilization, preoperative preparation of patient forsurgery, surgical techniques & prophylactic usage of preoperative antibiotics have not been ableto eradicate wound infections. Development of wound infection increases the hospital stay, costof treatment & increase morbidity & mortality associated with surgery. Objectives: To assesstype of organism responsible for postoperative wound infection & its drug sensitivity patterns atPublic & private sector hospitals of Hyderabad. Study Design: Prospective, descriptive study.Setting: Public & Private Sector Hospitals of Hyderabad, Pakistan. Period: June 2013 to May2014. Materials & Method: All patients of either sex above the age of 13 years who underwentsurgery & developed wound infection were included in the study. Samples to assess culture &sensitivity pattern of organism were taken from infected wounds. Subject’s data was collectedon preformed proforma for age, sex, diagnosis, co morbid illness, type of surgery, presence orabsence of wound infection, grade of infection, and culture & sensitivity pattern of organismisolated. Results: During this 1 year period total of 424 patients of different pathologies relatedto General surgery were finally included in analysis. Mean age was 27.35 years with 61.08%were male and 38.91% female. Inguinoscrotal operations were the commonest proceduresperformed in 113(26.65%) patients followed by Appendicectomy in 102(24.06%) patients.Surgical site infection was noticed in 54(12.74%) patients with 47(13.27%) had this of grade II& above. It includes 23(22.55%) patients of Appendicectomy followed by 09(33.33%) patientsof Laparotomy. 47(13.27%) samples were sent for Culture & sensitivity with 41(11.58%) ofthem showed positive yield. E. coli noticed as commonest organism isolated in 26(63.41%)patients followed by Staphylococcus Aureus in 08(19.51%). Most sensitive antibiotics againstnoted were Meropenem & Pipracillin with Tazobactum which showed sensitivity to E.coli in25(96.15%) patients & 24(92.31%) patients respectively while their sensitivity against S.Aureus was 07(87.5%) & 06(75%) patients respectively. Vancomycin was found sensitiveagainst Staphylococcus Aureus in 07(87.5%) patients. Sensitivity of Ampicillin to most ofthese organisms was found significantly low. Conclusion: Wound infection is responsible forsignificant morbidity in developing world with the frequency of 15.53% in this study. It puts upsignificant economic burden on the hospitals.

APA, Harvard, Vancouver, ISO, and other styles

7

Byval’tsev, V. A., I. A. Stepanov, V. E. Borisov, A. A. Kalinin, I. V. Pleshko, E. G. Belykh, and M. A. Aliev. "Surgical site infections in spinal neurosurgery." Kazan medical journal 98, no. 5 (October 15, 2017): 796–803. http://dx.doi.org/10.17750/kmj2017-796.

Full text

Abstract:

The review presents current data on the problem of surgical site infections in spinal neurosurgery. Infectious complications are the most common cause of unsatisfactory results of surgical treatment and prolonged hospital stay of patients after spinal surgery. Clinical and economic analysis shows that each case of infection at the site of surgical intervention causes additional 7.3 days of hospital stay in the postoperative period and $3152 extra costs per patient. According to the world literature, the incidence of wound infection in spinal neurosurgery varies from 0.7 to 11.9%. The main risk factors for this complication are long period from the moment of hospitalization to the operation, significant blood loss and long duration of surgical intervention. In the article, special role in the development of wound infection is given to the malnutrition syndrome. Patients suffering from this syndrome are considered to be at high risk of surgical site infections developing. Insufficient amounts of protein and energy substances are the cause of disturbed reparative processes in the wound and decreased level of immune defense. Diagnosis of wound infection is based on a comprehensive analysis of clinical and laboratory-instrumental research methods. The review presents current data on the pathogens of surgical site infections, regimens of antibiotic prophylaxis and effective methods of treatment (local and systemic antibiotic therapy, vacuum-assisted closure, flow-washing drainage, hyperbaric oxygenation). Undoubtedly, early diagnosis and correctly chosen management of a patient allows to reverse signs of wound infection and to avoid unfavorable clinical outcomes after surgical interventions on the spine.

APA, Harvard, Vancouver, ISO, and other styles

8

Gil-Egea, M. J., M. T. Pi-Sunyer, A. Verdaguer, F. Sanz, A. Sitges-Serra, and L. Torre Eleizegui. "Surgical Wound Infections: Prospective Study of 4,468 Clean Wounds." Infection Control 8, no. 7 (July 1987): 277–80. http://dx.doi.org/10.1017/s0195941700066236.

Full text

Abstract:

AbstractA prospective four-year study on the infection rate of clean operative wounds is presented. From January 1982 to June 1985, a nurse epidemiologist and a medical team assessed 4,468 operative procedures, from the day of surgery to the patients' discharge from the hospital. The infection rate was 3.2%. A higher incidence of wound infection was detected in patients requiring emergency operations (5.1%), in drained wounds (5.4%), and in patients with conditions thought to predispose to infection, such as advanced cancer, hepatic cirrhosis, diabetes, nephrotic syndrome, previous splenectomy, and treatment with immunosuppressive drugs (7.8%). Age over 65 did not influence infection rates. There were up to tenfold differences in infection indices between surgeons performing the same clean procedures. The continued monitoring of clean wound infection rates allowed the early detection and control of infection outbreaks. Providing periodic information on infection rates to the different surgical services was associated with decreasing infection rates over time.

APA, Harvard, Vancouver, ISO, and other styles

9

Belkin, Nathan L. "Laminar airflow and surgical wound infections." AORN Journal 68, no. 2 (August 1998): 273–75. http://dx.doi.org/10.1016/s0001-2092(06)62520-9.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Ler, Zeljko, Branko Vujovic, and Sead Jazic. "Epidemic of Surgical Wound Infections in Wartime Sarajevo." Prehospital and Disaster Medicine 9, S1 (June 1994): S35—S37. http://dx.doi.org/10.1017/s1049023x00041169.

Full text

Abstract:

AbstractBackground:An epidemic of surgical wound infections observed at the State Hospital of Sarajevo during June-September 1992 is reported.Methods:A cross-sectional survey of 138 surgical patients with wound infection treated by the Department of Surgery of the State Hospital of Sarajevo was performed in mid-September and again in mid-November 1992. A preliminary evaluation of the bactericidal effectiveness of a new antiseptic preparation called DI-ASEPT also was done.Results:The frequency of wound infection was 24.4% in September and 19.2% in November. Pseudomonas species was the primary etiologic agent in this epidemic. DI-ASEPT was as effective as povidone-iodine in producing wound asepsis.Conclusions:Because of limited resources large numbers of casualties, and an extremely adverse environment as a result of war that has affected hygienic conditions at the State Hospital of Sarajevo, a high frequency of contaminated or dirty operations were performed. This was the primary reason for the observed increase in wound infections. After hygienic conditions were restored, the epidemic of wound infections was terminated.

APA, Harvard, Vancouver, ISO, and other styles

11

Polk, Hiram C., and A. Britton Christmas. "Prophylactic Antibiotics in Surgery and Surgical Wound Infections." American Surgeon 66, no. 2 (February 2000): 105–11. http://dx.doi.org/10.1177/000313480006600203.

Full text

Abstract:

Wound infection remains a considerable cause of morbidity and mortality among surgical patients, despite the relative success of prophylactic antibiotics. In modern efforts to control healthcare costs while improving the quality of patient care, we must not overlook the basic principles of wound infections and their appropriate treatment. Predisposing factors for the development of surgical wound infection include the creation of a surgical wound, the presence of bacteria, and a susceptible host. The selection of an appropriate antimicrobial drug depends on the identification of the most likely pathogens associated with a given procedure, as well as the expected antibiotic susceptibility of those pathogens. Ideally, a prophylactic antibiotic should achieve high peak tissue concentration at the site of the wound before the first incision and should be maintained until the time of closure. Currently, the administration of prophylactic antibiotics is indicated for contaminated and clean-contaminated wounds. Despite the proven effectiveness of antibiotic prophylaxis, many researchers would argue that contemporary dosing regimens should be reevaluated. The debates concerning the dosage and timing of ideal prophylactic administration are likely to continue.

APA, Harvard, Vancouver, ISO, and other styles

12

Vaska, Patricia L. "Sternal Wound Infections." AACN Advanced Critical Care 4, no. 3 (August 1, 1993): 475–83. http://dx.doi.org/10.4037/15597768-1993-3003.

Full text

Abstract:

Sternal wound infections are a major cause of morbidity and mortality in patients undergoing cardiac surgery. They occur in 1% to 3% of patients who undergo open-heart surgery and carry a 20% to 40% mortality rate. Sternal infections can range from minor, superficial infections to open mediastinitis with invasion of the sternum, heart, and great vessels. Staphylococcus species arc responsible for the majority of sternal infections, but environmental sources can cause infections by other organisms. The common signs and symptoms of mediastinitis are fever, leukocytosis, sternal instability, drainage, and pain. Several risk factors exist for sternal wound infection, with bilateral internal mammary artery bypass grafting in diabetic patients being the most common. Treatment entails surgical debridement with cither closed irrigation, open-wound packing, or muscle or omental flap procedures, as well as antibiotic therapy. Some simple procedures help limit the development of sternal infections in certain patients

APA, Harvard, Vancouver, ISO, and other styles

13

Starnoni, Marta, Massimo Pinelli, and Giorgio De Santis. "Surgical Wound Infections in Plastic Surgery." Plastic and Reconstructive Surgery - Global Open 7, no. 4 (April 2019): e2202. http://dx.doi.org/10.1097/gox.0000000000002202.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Sessler, Daniel I., and Ozan Akça. "Nonpharmacological Prevention of Surgical Wound Infections." Clinical Infectious Diseases 35, no. 11 (December 2002): 1397–404. http://dx.doi.org/10.1086/344275.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Saenz Gonzalez, M. C., N. Rodrigo Sanchez, and R. Gonzalez Celador. "Epidemiological study of surgical wound infections." European Journal of Epidemiology 2, no. 4 (December 1986): 312–15. http://dx.doi.org/10.1007/bf00419496.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Barrett, Christopher D., Arthur Celestin, Emily Fish, Charity C. Glass, Mariam F. Eskander, Rudy Murillo, Georgi Gospodinov, Alok Gupta, and Carl J. Hauser. "Surgical wound assessment by sonography in the prediction of surgical wound infections." Journal of Trauma and Acute Care Surgery 80, no. 2 (February 2016): 229–36. http://dx.doi.org/10.1097/ta.0000000000000908.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Poulsen, K. B., and M. Meyer. "Infection registration underestimates the risk of surgical wound infections." Journal of Hospital Infection 33, no. 3 (July 1996): 207–15. http://dx.doi.org/10.1016/s0195-6701(96)90004-3.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Helito, Camilo Partezani, Daniel Kamura Bueno, Pedro Nogueira Giglio, Marcelo Batista Bonadio, José Ricardo Pécora, and Marco Kawamura Demange. "NEGATIVE-PRESSURE WOUND THERAPY IN THE TREATMENT OF COMPLEX INJURIES AFTER TOTAL KNEE ARTHROPLASTY." Acta Ortopédica Brasileira 25, no. 2 (April 2017): 85–88. http://dx.doi.org/10.1590/1413-785220172502169053.

Full text

Abstract:

ABSTRACT Objective: To present an experience with negative-pressure wound therapy (NPWT) in the treatment of surgical wounds in patients treated for infections after total knee arthroplasty (TKA) with or without dehiscence and prophylaxis in wounds considered at risk of healing problems. Methods: We prospectively evaluated patients with TKA infection with or without surgical wound dehiscence and patients with risk factors for infection or surgical wound complications treated with Pico(r) device for NPWT in addition to standard treatment of infection or dehiscence in our institution. We considered as an initial favorable outcome the resolution of the infectious process and the closure of the surgical wound dehiscences in the treated cases and the good progression of the wound without complicating events in the prophylactic cases. Results: We evaluated 10 patients who used Pico(r) in our service. All patients had a favorable outcome according to established criteria. No complications were identified regarding the use of the NPWT device. The mean follow-up of the patients after the use of the device was 10.5 months. Conclusion: The NPWT can be safely used in wound infections and complications following TKA with promising results. Long-term randomized prospective studies should be conducted to prove its effectiveness. Level of Evidence IV, Case Series.

APA, Harvard, Vancouver, ISO, and other styles

19

Diaz, Jose J., Jeffrey Guy, Marshall B. Berkes, Oscar Guillamondegui, and Richard S. Miller. "Acellular Dermal Allograft for Ventral Hernia Repair in the Compromised Surgical Field." American Surgeon 72, no. 12 (December 2006): 1181–88. http://dx.doi.org/10.1177/000313480607201207.

Full text

Abstract:

A ventral hernia and a contaminated surgical field are a difficult surgical combination. We hypothesize that acellular human dermis (AHD) can be a suitable biological tissue alternative in the repair of a ventral hernia. The study involved a retrospective review of the use of AHD in the repair of ventral hernia from 2001–2004. Inclusion criteria included a ventral hernia repair in a clean-contaminated (CC) or contaminated-dirty (CD) surgical field. The primary outcome of the study was wound infection and mesh removal. Patients were stratified into CC and CD, and management of a wound infection [medically managed (MM) or surgically managed (SM)]. Seventy-five patients met the study criteria. The most common comorbidity was hypertension (45.3%). There was one death in the study (from multiple organ dysfunction syndrome). The overall wound infection rate was 33.3 per cent: 11 MM (14.7%) and 14 SM (18.7%). The average length of stay was 16.7 days (±20.8) with a mean follow-up of 275 (±209) days. Subgroup analysis: CC (n = 64) had 9 wound infections that were MM (14.1%) and 12 wound infections that were SM (18.8%); CD (n = 11) had 2 wound infections that were MM (18.2%) and 2 wound infections that were SM (18.2%). Five of 14 SM (35.7%) wound infections required removal of the mesh. Wound infection in the contaminated surgical field occurred 33.3 per cent of the time. Some (18.7%) of the cases required SM management, and 35.7 per cent of these required removal of the AHD.

APA, Harvard, Vancouver, ISO, and other styles

20

Horan, Teresa C., Robert P. Gaynes, William J. Martone, William R. Jarvis, and T. Grace Emori. "CDC Definitions of Nosocomial Surgical Site Infections, 1992: A Modification of CDC Definitions of Surgical Wound Infections." Infection Control & Hospital Epidemiology 13, no. 10 (October 1992): 606–8. http://dx.doi.org/10.1017/s0195941700015241.

Full text

Abstract:

In 1988, the Centers for Disease Control (CDC) published definitions of nosocomial infections However, because of journalistic style and space constraints, these definitions lacked some of the detail provided to National Nosocomial Infections Surveillance (NNIS) System hospitals in the NNIS Manual (unpublished). After the NNIS System hospitals had had considerable experience with the definitions and in response to a request for review by The Surgical Wound Infection Task Force, a group composed of members of The Society for Hospital Epidemiology of America, the Association for Practitioners in Infection Control, the Surgical Infection Society, and the CDC, we slightly modified the definition of surgical wound infection and changed the name to surgical site infection (SSI).

APA, Harvard, Vancouver, ISO, and other styles

21

Collier, Caryl, Donald P. Miller, and Marguerite Borst. "Community Hospital Surgeon-Specific Infection Rates." Infection Control 8, no. 6 (June 1987): 249–54. http://dx.doi.org/10.1017/s0195941700066133.

Full text

Abstract:

AbstractA one-year prospective study of surgeon-specific nosocomial infection rates was done in two community hospitals. Hospital A (93 beds) and Hospital B (158 beds) have nearly identical surgical staffs. Unified criteria for the diagnosis of infections, methods of data collection, and coding were used. Data were processed with an IBM 370 computer using Statistical Analysis System (SAS). Each surgeon received semiannual reports of 1) overall infection rate by site, 2) number of surgical wound infections by wound class and type of procedure, 3) pathogens for each deep and incisional infection, and 4) quarterly wound infection rates by wound class. Analysis of reports revealed high Class I surgical wound infection rates for both general and orthopedic surgeons. One person in each group had inordinately high infection rates. These data serve as an objective incentive to reduce surgical wound infections, identify individual problems, and suggest surgical privileges be evaluated by performance.

APA, Harvard, Vancouver, ISO, and other styles

22

Beck-Sague, Consuelo M., Wang H. Chong, Connie Roy, Roger Anderson, and William R. Jarvis. "Outbreak of Surgical Wound Infections Associated With Total Hip Arthroplasty." Infection Control & Hospital Epidemiology 13, no. 9 (September 1992): 526–34. http://dx.doi.org/10.1086/646592.

Full text

Abstract:

AbstractObjectives:Describe an outbreak of surgical wound infections associated with total hip arthroplasty; identify risk factors for surgical wound infection during the pre-outbreak and outbreak periods.Setting:A 100-bed hospital. From May 1 to September 30, 1988, 7 of 15 patients who underwent total hip arthroplasty developed surgical wound infections from Staphylococcus aureus (5), Enterobacter cloacae (1), b-hemolytic streptococci (1), enterococci (1), coagulase-negative staphylococci (1), and Escherichia coli (1) (attack rate = 46.7%).Design:Retrospective cohort studies comparing surgical wound infection rates by patient-and procedure-related risk factors during the pre-outbreak and outbreak periods were conducted. Drop plate quantitative air culturing was conducted in 10 consecutive total hip artbroplasties in the subsequent 6 months.Results:Rates of surgical wound infection were significantly higher for arthroplasties in which no intraoperative prophylactic antimicrobials were given (44% versus 8%, relative risk [RR] = 5.4, p= .01), or in which the posterior approach (20% versus 3%, RR= 6.7, p = .04) or a specific prosthesis (39% versus 5%, RR=6.3, p = 0.01) was used. The surgical wound infection rate was highest when one circulating nurse, Nurse A, assisted (47% versus 4%, RR= 12.8, p<.001). Logistic regression analysis identified use of the posterior approach (RR= 1.8, p= .04) and Nurse A's participation (RR= 5.0, p <.001) as independent risk factors for surgical wound infection. Interviews of the nursing supervisor indicated that Nurse A had recurrent dermatitis on her bands. During 6 months following Nurse A's reassignment, the rate declined significantly (from 7/15 to 0/10, p=.01). Drop plate culturing yielded 2 to 10 colonies per plate of organisms that did not match outbreak organisms.Conclusions:Outbreaks associated with personnel generally involve only 1 species. In this outbreak, Nurse A (possibly because of her dermatitis), technique, the posterior approach, and/or other undetermined factors were the primary predictors of surgical wound infection.

APA, Harvard, Vancouver, ISO, and other styles

23

Reimer, K., C. Gleed, and L. E. Nicolle. "The Impact of Postdischarge Infection on Surgical Wound Infection Rates." Infection Control 8, no. 6 (June 1987): 237–40. http://dx.doi.org/10.1017/s0195941700066108.

Full text

Abstract:

AbstractWe undertook a study of postdischarge infections to assess the reliability of a surgical wound surveillance program in a 930-bed teaching hospital. During a six-month period, a subset of operations performed each day was randomly selected and patients interviewed by telephone one month postsurgery using a standard set of questions. The infection rate for all patients contacted directly postdischarge was 5.4%, whereas the surgical wound infection rate determined for all procedures through the standard hospital program was 1.5%. For day-surgery patients, who are not routinely followed in the hospital surveillance program, 8 (7.8%) of 103 patients contacted had infection. Thus, the overall surgical infection rate determined in this study was over three times higher than that calculated using standard surveillance. A reliable method for identifying postdischarge wound infections is necessary to ensure accurate surgical wound infection rates.

APA, Harvard, Vancouver, ISO, and other styles

24

Devi, Sundari Lakshmi, and D. V. K. Durga. "Surgical site infections post cesarean section." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 6 (May 26, 2018): 2486. http://dx.doi.org/10.18203/2320-1770.ijrcog20182373.

Full text

Abstract:

Background: Surgical site infections are among the most common hospital acquired infections. They make upto 14-16% of inpatient infections. Objective of present study was to evaluate the risk factors associated with surgical site infections and the bacteria causing wound infections in obstetric operations and the antibiotic sensitivity and resistance pattern of the pathogens isolated.Methods: 100 women with wound infection during hospital stay or within 30 days following surgery. Pus samples were collected from the wound site with help of sterile swabs under aseptic precautions and immediately transported to microbiology laboratory for culture and sensitivity.Results: Most of the patients belonged to the age group of 21-25 years, contributing to 55% of the cases. Majority of the women are from rural areas (71%). 57% of the cases were unbooked. 90% of the SSI were seen in emergency surgeries. Anaemia (48%) was the most common medical risk factor followed by hypertensive disorders 25%. The risk of post operative infection has been shown to be proportional to volume of blood loss during cesarean section and duration of surgery. Staphylococcus aureus to be predominant organism of wound infection of which 21% were MRSA followed by Klebsiella and E.coli. The gram negative isolates were 100% resistant to ampicillin followed by 22.5% to third generation cephalosporins and aminoglycosides.Conclusions: Proper assessment of risk factors that predispose to SSI is critical for the development of strategies for reducing the incidence of SSI and for identifying high risk patients requiring intensive postoperative surveillance.

APA, Harvard, Vancouver, ISO, and other styles

25

Malik, Ajaz Ahmad, Shams Ul Bari, Sajjid H. Bhat, and M. Inam Zaroo. "Surgical Perspective of Wound Site Infection at a Tertiary Care Hospital." JMS SKIMS 21, no. 1 (December 1, 2018): 17–23. http://dx.doi.org/10.33883/jms.v21i1.329.

Full text

Abstract:

Background: Surgical wound infection is a common postoperative complication and causes significant postoperative morbidity and mortality, prolongs hospital stay, and adds to hospital costs. Aims and objectives: This study was designed and carried out in the Department of General surgery SKIMS Srinagar in order to find infection rate after clean and clean-contaminated surgery in our hospital, to study the clinical profile of patients with surgical site infections (SSI), to find out the common organisms involved in different wound infections and to study the risk factors for postoperative wound Infections. Methods: This study was carried out prospectively in the Department of General and Minimal Access Surgery SKIMS, Srinagar from February 2012 to January 2014 on 117 cases that underwent clean and clean-contaminated surgery. Results: In our study, the frequency of Surgical Site Infection was 13%. The incidence amongst clean surgical cases was 6.5% and amongst clean-contaminated cases 19.3%. Conclusion: Despite prophylactic use of broad-spectrum antibiotics and the availability of modern surgical and sterilization techniques, postoperative wound infection still remains a major contributory factor of morbidity in patients who underwent surgical procedures. JMS 2018;21(1):17-23

APA, Harvard, Vancouver, ISO, and other styles

26

Koetje, Jan H., Karsten D. Ottink, Iris Feenstra, and Wilbert M. Fritschy. "Negative Pressure Incision Management System in the Prevention of Groin Wound Infection in Vascular Surgery Patients." Surgery Research and Practice 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/303560.

Full text

Abstract:

Objectives. Groin wounds following vascular surgery are highly susceptible to healing disturbances, with reported site infections reaching 30%. Negative pressure incision management systems (NPIMS) are believed to positively influence the prevention of surgical wound-healing disturbances (WHD) and surgical site infections (SSI). NPIMS placed directly after closure of the surgical wound is thought to result in fewer infections; we analysed its effect on postoperative wound infections in patients after vascular surgery via the groin.Methods. From May 2012 to March 2013 we included 90 surgical patients; 40 received a NPIMS. All patients with WHDs were labelled and subanalysed for surgical site infection in case of positive microbiological culture. These infections were graded according to Szilagyi. Number of WHDs and SSIs were compared across cohorts.Results. Patient and perioperative characteristics were equal, except for a significantly higher number of emergency procedures among non-NPIMS patients. We found no significant differences in number of WHDs, SSIs, or Szilagyi grades between the two cohorts.Conclusion. The equal number of SSIs across cohorts showed that NPIMS could not reduce the number of surgical site infections after vascular groin surgery.

APA, Harvard, Vancouver, ISO, and other styles

27

Papadakis, Marios. "Wound irrigation for preventing surgical site infections." World Journal of Methodology 11, no. 4 (July 20, 2021): 222–27. http://dx.doi.org/10.5662/wjm.v11.i4.222.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Giacometti, A., O. Cirioni, A. M. Schimizzi, M. S. Del Prete, F. Barchiesi, M. M. D'Errico, E. Petrelli, and G. Scalise. "Epidemiology and Microbiology of Surgical Wound Infections." Journal of Clinical Microbiology 38, no. 2 (2000): 918–22. http://dx.doi.org/10.1128/jcm.38.2.918-922.2000.

Full text

Abstract:

This study included 676 surgery patients with signs and symptoms indicative of wound infections, who presented over the course of 6 years. Bacterial pathogens were isolated from 614 individuals. A single etiologic agent was identified in 271 patients, multiple agents were found in 343, and no agent was identified in 62. A high preponderance of aerobic bacteria was observed. Among the common pathogens wereStaphylococcus aureus (191 patients, 28.2%),Pseudomonas aeruginosa (170 patients, 25.2%),Escherichia coli (53 patients, 7.8%), Staphylococcus epidermidis (48 patients, 7.1%), and Enterococcus faecalis (38 patients, 5.6%).

APA, Harvard, Vancouver, ISO, and other styles

29

Garibaldi, R. A., D. Cushing, and T. Lerer. "Predictors of intraoperative-acquired surgical wound infections." Journal of Hospital Infection 18 (June 1991): 289–98. http://dx.doi.org/10.1016/0195-6701(91)90035-7.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Brown, Richard B., Shirley Bradley, Elena Opitz, Donna Cipriani, Richard Ploczarka, and Michael Sands. "Surgical wound infections documented after hospital discharge." American Journal of Infection Control 15, no. 2 (April 1987): 54–58. http://dx.doi.org/10.1016/0196-6553(87)90002-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

31

Mead, Philip B. "Decreasing the Incidence of Surgical Wound Infections." Archives of Surgery 121, no. 4 (April 1, 1986): 458. http://dx.doi.org/10.1001/archsurg.1986.01400040096015.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

Jayathilake, Anuradha, Jayaweera Arachchige Asela Sampath Jayaweera, Wikum Widuranga Kumbukgolla, and Sudheera Herath. "Influence of early postoperative showering in undressed surgical wound for better clinical outcome." Journal of Perioperative Practice 30, no. 6 (September 16, 2019): 163–69. http://dx.doi.org/10.1177/1750458919868903.

Full text

Abstract:

Surgeons instruct the patients to avoid postoperative bathing and dress the wounds until the sutures are removed. All wounds were sutured at the end of surgery and kept undressed. Participants received a tap water body bath where the water covered the wound after 24h of surgery. The control group were asked not to wet the dressed surgical site until wound inspection on days 3 and 5. The patients were followed up in the surgery clinic on days 14 and 30 after surgery, when age, sex and type of surgery-matched controls’ surgical site infection was significantly high in clean/contaminated and contaminated appendicectomy, breast lump excision, inguinal herniotomy and tendon repair surgeries. In contaminated appendicectomy, clean/contaminated and contaminated herniotomies postsurgical infections other than surgical site infection were significantly low in test groups. Early mobilisation, keeping the surgical wounds moist and providing a clean environment are suitable to minimise the surgical wound and other associated infections.

APA, Harvard, Vancouver, ISO, and other styles

33

Arunkumar, C., and R. Chinnapan. "A clinical study of risk factors and the management of surgical site infections in general surgical cases at tertiary care center: A two-year observational study." Albanian Journal of Trauma and Emergency Surgery 6, no. 1 (January 20, 2022): 915–21. http://dx.doi.org/10.32391/ajtes.v6i1.248.

Full text

Abstract:

Background: Surgical site infections penetrate to depths in tissues and cause simple superficial infections to sepsis. The aim of this study is to identify the incidence rate of surgical site infections and their risk factors at the surgical section of a tertiary care center. Material and Methods: This retrospective observational study included 245 patients. The CDC class-wise breakup of would infection and the risk factors were recorded. Results: The Incidence of surgical site infections was 11.4%. <20year aged patients showed 0% incidence, and > 60-year aged patients showed 22.7% incidence. Malignancy observed as 31.3% incidence than without malignancy (10%) risk factor (p = 0.024). Among the origin, Lumbar sympathectomies and Breast surgery for malignancy showed the highest incidence (43.8%), followed by Genitourinary tract surgeries with 22.9%. Wound infection was more in an emergency (15.4%) than elective procedures (10.4%). The incidence rate increases from 7.9% (<1 hr) to 14.7% (1-2 hrs) regarding the duration of Surgery. The association of wound class with wound infection showed 13% (clean), 3.3% (clean-contaminated), 17.9% (contaminated) the incidence of the study. The antibiotics usage shows a strong association with wound infection (p=0.015). The most common bacteria isolated were Staphylococcus and Streptococcus, Escherichia and Klebsiella species (60% both), followed by Pseudomonas, Citrobacter, and others. Conclusion: The factors which showed a strong association with wound infection were increasing age, surgical procedure, site of operation, presence of malignancy, urinary tract infection, lower respiratory tract infections, and exposure to antibiotics. Combination of clinical and microbiological means was the common mode of detection rather than individually.

APA, Harvard, Vancouver, ISO, and other styles

34

Newsom, William. "Wound Infection." Infection Control & Hospital Epidemiology 7, S2 (February 1986): 109–10. http://dx.doi.org/10.1017/s0195941700065590.

Full text

Abstract:

Any consideration of infection following clean surgery, particularly cardiothoracic must include both exogenous and endogenous sources. The MRC Study on Hip Surgery presents a particular challenge. Although uncontrolled antibiotic prophylaxis reduced the infection rate almost as well as a laminar flow operating theater, further analysis of the data correlated the incidence of infection with the theater air counts and more significantly considered the sources of Staphylococcus aureus infections. Data on swabs from patient and theater staff at the time of surgery were available for 14 of the 28 patients who subsequently developed deep infections with S. aureus. Overall 25% of patients and 33% of staff were carriers. Bacteriophage typing revealed that 2 patients, 2 surgeons and 7 theater staff carried the infecting type at the time of the surgery. In two instances there was no correlation and in the last a member of the surgical staff on leave at the time carried the relevant strain. This at least provides a clue that exogenous infection can be important, and justifies attempts to clean the environment as well as the patient.

APA, Harvard, Vancouver, ISO, and other styles

35

Zoutman, Dick, Shirley McDonald, and Dilini Vethanayagan. "Total and Attributable Costs of Surgical-Wound Infections at a Canadian Tertiary-Care Center." Infection Control & Hospital Epidemiology 19, no. 4 (April 1998): 254–59. http://dx.doi.org/10.1017/s0195941700087348.

Full text

Abstract:

ABSTRACTOBJECTIVE: To determine the total and attributable costs of surgical-wound infections in a Canadian teaching hospital.DESIGN: Retrospective incidence series study with chart review and examination of resource utilization attributable to wound infection. The charts of inpatients with wound infections were examined using the Appropriateness Evaluation Protocol (AEP), a validated chart review instrument designed to determine appropriateness of care, modified for wound infections.SETTING: A university referral center in Canada.PATIENTS: Medical records were abstracted from patients with wound infections who underwent an inpatient clean or clean-contaminated procedure during 1991.MEASUREMENTS: During the wound-infection treatment period, the hospital costs associated with providing care were tabulated for all inpatient days and for outpatient and emergency visits. Costs taken into account included nursing salary and benefits, nonphysician professional services, operating room time, laboratory, pharmacy, supplies, ancillary tests, and hotel costs.RESULTS: We identified 108 wound infections. Twenty-two patients required 28 surgical procedures related to a wound infection. Inpatient days totalled 1,116, costing $394,337. Fifty-five emergency and 42 clinic visits occurred, costing $27,193. By applying the AEP to the inpatient days, 833 days, or 10.2 days per case, were directly attributable to the wound infection. The hospital costs for inpatient care attributable to wound infections were $321,533 in total, or $3,937 per infection. Costs were distributed as follows: nursing, 51%; hotel, 14%; pharmacy, 10%; laboratory, 9%; emergency and outpatient clinic, 6%; professional services, 5%; operating room, 3%; and ancillary tests, 2%.CONCLUSIONS: Wound infections contribute markedly to extra days of hospitalization and related costs. The AEP method is applied easily to determine attributable days of care and costs of wound infections, which are necessary to calculate the cost-benefit of infection control programs.

APA, Harvard, Vancouver, ISO, and other styles

36

Gaffar, Sheema, John K. Birknes, and Kenji M. Cunnion. "Trichophytonas a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy." Case Reports in Pediatrics 2018 (December 20, 2018): 1–3. http://dx.doi.org/10.1155/2018/3483685.

Full text

Abstract:

Fungal infections are rare causes of acute surgical wound infections, butCandidais not an infrequent etiology in chronic wound infections.Trichophytonspecies is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case ofTrichophyton tonsuranscausing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grewTrichophytonfungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics.

APA, Harvard, Vancouver, ISO, and other styles

37

Zaleski, Kathleen J, Tadeusz Kolodka, Colette Cywes-Bentley, Rachel M. McLoughlin, Mary L. Delaney, Bernard T. Charlton, Wendy Johnson, and Arthur O. Tzianabos. "Hyaluronic Acid Binding Peptides Prevent Experimental Staphylococcal Wound Infection." Antimicrobial Agents and Chemotherapy 50, no. 11 (November 2006): 3856–60. http://dx.doi.org/10.1128/aac.00082-06.

Full text

Abstract:

ABSTRACT Staphylococcus aureus is a major cause of surgical wound infections. The development of mechanisms of antimicrobial resistance by this and other bacterial pathogens has prompted the search for new approaches to treat infectious diseases. Hyaluronic acid binding peptides have been shown to modulate cellular trafficking during host responses and were assessed for their ability to treat and possibly prevent experimental surgical wound infections caused by S. aureus. Treatment with these peptides was highly efficacious in reducing the number of S. aureus cells at the wound site and ameliorated the inflammatory host response associated with these infections. These data suggest a novel approach for the treatment and prophylaxis of staphylococcal wound infections in the clinical setting.

APA, Harvard, Vancouver, ISO, and other styles

38

Akın, Merve, Serdar Topaloğlu, Hakan Özel, Fatih M. Avşar, Tezcan Akın, Erdal Polat, Erdem Karabulut, and Süleyman Hengirmen. "Awareness and wound assesment decrease surgical site infections." Turkish Journal of Surgery 37, no. 2 (June 1, 2021): 133–41. http://dx.doi.org/10.47717/turkjsurg.2021.5059.

Full text

Abstract:

Objective: Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine prac- ticality of SSI risk assessment methods (SENIC and NNIS) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure and evaluation of the contribution of wound assesment to the reduction of wound infection. Material and Methods: Patients were followed with a prospective data chart through four year. Correlation of SENIC and NNIS together with ASEPSIS were performed. Results: During the study period, 275 SSI occurred. SSIs were determined within the 21 days-period after operations. Correlation between SENIC with ASEPSIS (rs= 0.41, p< 0.001) was found better than that for NNIS with ASEPSIS (rs= 0.37, p< 0.001). Type of operation (emergency vs. elective), body mass index, operation class and American Society of Anesthesiologists scores were found independently predictive factors for SSI. The forth year SSI rate was found to be significantly lower than the other years (p< 0.001). Conclusion: This study indicates weak but significant correlation between preoperative risk assessment methods for SSI and ASEPSIS method. In addi- tion, surgical wound assesment and awarness of the wound infection rates, have decreased the SSI rates over the years.

APA, Harvard, Vancouver, ISO, and other styles

39

King, Debbie. "Community nurses’ wound audit – a proxy measure for surgical site infections?" Journal of Infection Prevention 12, no. 6 (August 1, 2011): 238–40. http://dx.doi.org/10.1177/1757177411412989.

Full text

Abstract:

Surveillance of surgical site infections is an important element of infection prevention programmes. With the changing landscape of health care and patients being discharged earlier from hospital after surgery, understanding the true impact of infection is challenging. This short paper describes how one trust tried to tackle this problem by identifying the value of community nurses’ wound caseload audit as a proxy measure for surgical site infections.

APA, Harvard, Vancouver, ISO, and other styles

40

Saeed, Sadaf, Sara Muhammad Amin, Irshad Ahmed, Zaib Un Nisa, Jamshed Bashir, and Muhammad Anwar. "Incidence of Surgical Site Infections and its Associated Factors: A Cross Sectional Study." Pakistan Journal of Medical and Health Sciences 16, no. 2 (February 26, 2022): 1028–30. http://dx.doi.org/10.53350/pjmhs221621028.

Full text

Abstract:

Aim: To determine the incidence of surgical site infections and its associated factors Study design: Cross sectional study Place and duration: This study was conducted at Bolan Medical Complex Hospital Quetta Pakistan from January 2020 to February 2021. Methodology: Patients who underwent general surgical procedures were included in the study. Pus or purulent discharge from the incision, together with pain, any two cardinal symptoms of inflammation were used to assess surgical site infections. For data entry and analysis, SPSS version 21 was utilized. A P-value of less than 0.05 was considered statistically significant. Results: Following the operation, 240 people were included in the current study. The average age of the study participants was 39.33 ± 2.74 years. Infections at the surgical site were found in 9.16 % (n=22) of the patients. As participants' age increases, the surgical site infection rate rises significantly. Diabetes was found to be substantially linked to surgical site infection (P < 0.001). According to wound categorization, infection rates were higher in filthy wounds, 22.22 % versus clean wounds, 3.57%, and this difference was statistically significant (P<0.0001). Conclusion: In this study, 9.16% patients were diagnosed with surgery site infection. Age, diabetes, type, duration of surgery, kind of wound, hospital stay and presence of drain were all risk factors for surgery site infection. Keywords: Diabetes, Infection, Surgical Site infections, operation

APA, Harvard, Vancouver, ISO, and other styles

41

Kaptan, Hulagu, Furkan Yuzbasi, Fatih Özturk, and Haluk Vayvada. "Deep Brain Stimulation Hardware Infections: A Case Series." Open Access Macedonian Journal of Medical Sciences 8, no. C (September 15, 2020): 172–76. http://dx.doi.org/10.3889/oamjms.2020.5530.

Full text

Abstract:

BACKGROUND: The device-related infections and erosion of the surgical wound site are special circumstances among complications of deep brain stimulation (DBS). AIM: We aimed to discuss different aspects of hardware infections and contribute to the literature by presenting our treatment methods on four patients. MATERIAL AND METHODS: This study was carried out in the Department of Neurosurgery, School of Medicine Hospital, Dokuz Eylul University. Four DBS cases were included in the study, and a retrospective study was performed. RESULTS: Electrode placement to bilateral subthalamic nuclei was performed due to Parkinson’s Disease to all four patients. One of the patients was undergone surgical wound site revision 6 times and device removal at last due to device-related infection and erosion of the surgical wound site. The second patient was undergone surgical wound site revision for 2 times and device removal at last due to device-related infection and erosion of the surgical wound site. The third patient had a collection subcutaneously, where the pulse generator was placed. The collection was aspirated. The fourth patient was undergone surgical wound site revision and device removal at last due to device-related infection and erosion of the surgical wound site. All four patients were given IV antibiotics. CONCLUSION: For the treatment of DBS device-related infections, a long-term IV antibiotherapy is a suitable option before the decision of device removal.

APA, Harvard, Vancouver, ISO, and other styles

42

Niederstätter, Ines Maria, Jennifer Lynn Schiefer, and Paul Christian Fuchs. "Surgical Strategies to Promote Cutaneous Healing." Medical Sciences 9, no. 2 (June 16, 2021): 45. http://dx.doi.org/10.3390/medsci9020045.

Full text

Abstract:

Usually, cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure easily. The goal of this repair process is to restore the integrity of the body surface by creating a resilient and stable scar. Surgical practice and strategies have an impact on the course of wound healing and the later appearance of the scar. By considering elementary surgical principles, such as the appropriate suture material, suture technique, and timing, optimal conditions for wound healing can be created. Wounds can be differentiated into clean wounds, clean–contaminated wounds, contaminated, and infected/dirty wounds, based on the degree of colonization or infection. Furthermore, a distinction is made between acute and chronic wounds. The latter are wounds that persist for longer than 4–6 weeks. Care should be taken to avoid surgical site infections in the management of wounds by maintaining sterile working conditions, using antimicrobial working techniques, and implementing the principles of preoperative antibiotics. Successful wound closure is influenced by wound debridement. Wound debridement removes necrotic tissue, senescent and non-migratory cells, bacteria, and foreign bodies that impede wound healing. Additionally, the reconstructive ladder is a viable and partially overlapping treatment algorithm in plastic surgery to achieve successful wound closure.

APA, Harvard, Vancouver, ISO, and other styles

43

Hippensteel, K. J., Jeffrey Johnson, Jeremy McCormick, and Sandra Klein. "A Comparison of Wound Complications With Surgical Treatment of Achilles Tendon Conditions Using 2 Surgical Approaches." Foot & Ankle Orthopaedics 4, no. 1 (January 1, 2019): 247301141881400. http://dx.doi.org/10.1177/2473011418814004.

Full text

Abstract:

Background: Wound complications are a concern with the open treatment of Achilles tendon conditions. The location of the incision may impact the risk of wound complications because of its relationship to the blood supply to the skin. There is no consensus as to the safest incision location. The purpose of this study was to evaluate and compare the rates of sural nerve injury and wound complications including superficial or deep infections and wound dehiscence between posterior midline and posteromedial surgical incision locations. Methods: 125 patients with Achilles tendon rupture or Achilles tendinopathy were treated with open surgery through a longitudinal posterior midline or posteromedial incision. An L-shaped incision was used in the posteromedial group for cases of insertional repair. Postoperative complications including sural nerve injuries, superficial wound complications, superficial infections, deep wound infections, return to the operating room, and need for soft tissue coverage were recorded and rates were compared between the groups. Results: No significant differences were detected between the posteromedial and posterior incision groups in rates of sural nerve injuries, superficial infection, or deep wound infection. The posterior incision group had significantly fewer wound complications. The wound complications in the posteromedial group primarily occurred when an L-shaped incision was used for insertional repair. No patients in either group required debridement or soft tissue/flap coverage. Conclusion: The posterior incision location had significantly fewer wound complications. The use of an L-shaped incision was likely responsible for the wound complications in this group rather than the location of the incision. The use of a medial incision was not found to decrease the rate of sural nerve injury. Level of Evidence: Level III.

APA, Harvard, Vancouver, ISO, and other styles

44

Yadav, Rohit Prasad, Bashudev Baskota, Rabin Ratna Ranjitkar, and Sandesh Dahal. "Surgical Site Infections due to Non-Tuberculous Mycobacteria." Journal of Nepal Medical Association 56, no. 211 (June 30, 2018): 696–700. http://dx.doi.org/10.31729/jnma.3668.

Full text

Abstract:

Introduction: Non-tuberculous Mycobacteria are increasingly recognized, nowadays as an important pathogen in delayed surgical site infection in post operative cases. We here in describe cases of surgical site infection caused by Non-tuberculous Mycobacteria, seen in two centers in Jhapa. The aim of the study was to increase awareness of this atypical mycobacterial infection, prompt diagnosis, and treatment that may ultimately provide better care to patients. Methods: Forty four patients underwent different kinds of operations in two different private hospitals in Jhapa district of Nepal. All patients were presented with painful, draining subcutaneous nodules at the infection sites. Repeated aspiration of abscess, incision and drainage of the wound were done and specimen was sent for microbiological and histopathological examination. All patients were treated with repeated wound debridement and tab. Clarithromycin and inj. Tobramycin for 45days. Results: Mycobacterium Chelone were isolated from the purulent drainage obtained from wounds by routine microbiological techniques. Of the forty four cases, thirty of them had acid fast bacilli stain positive, two had acid fast bacilli culture positive. All the patients except two cases were treated with injection Tobramycin and Clarithromycin for six weeks. Conclusions: There should be high level of clinical suspicion for patients presenting with delayed post- operative wound infections for the diagnosis of non-tubercular mycobacreria as causative agents. These infections not only cause physical but also emotional distress that affects both the patients and the surgeon. Emphasis should be given on good sterilization technique to avoid such infections.

APA, Harvard, Vancouver, ISO, and other styles

45

Gegouskov, Vassil, Georgi Manchev, Valya Goranovska, and Dimitar Stoykov. "Negative Pressure Wound Therapy Becomes the Treatment of Choice of Deep Sternal Wound Infection." Heart Surgery Forum 25, no. 4 (August 21, 2022): E601—E607. http://dx.doi.org/10.1532/hsf.4791.

Full text

Abstract:

Background: Sternal wound infection, especially deep sternal wound infection, is a serious complication after open heart surgery. It leads to a marked increase in hospital stay, financial expenses, and mortality. Treatment is primarily surgical and may be divided into conventional treatment methods and negative pressure wound therapy. Materials and methods: Between 2010 and 2021, 77 patients presenting back after cardiac surgery with deep sternal wound infection were treated surgically. Conventional treatment methods were utilized in 45 patients and included wound revision with primary closure, continuous wound irrigation, and open treatment with secondary closure. Negative-pressure wound therapy (NPWT) was applied in 32 patients. The two treatment arms were compared by two primary outcomes – rate of recurrent infection and hospital mortality. Predictors of mortality and infectious recurrence were identified using multivariate logistic regression. Results: Recurrent infection occurred in 18.2% of cases and mortality was 13% in the whole group. NPWT was more successful in preventing recurrent infection OR: 5.4 (95% CI: 1.1-27.5; P = 0.044) than conventional treatment and more than moderate left ventricular systolic dysfunction (EF<40%) predisposed to infectious recurrence - OR: 4.7 (95% CI: 1.05-22.1; P = 0.049). Recurrent infection itself was the strongest predictor of mortality in the multivariate model OR: 0.14 (95% CI: 0.03 - 0.58; P = 0.007). Conclusion: NPWT as an initial method of wound preconditioning followed by definitive wound closure effectively reduces the rate of infectious recurrence and patient mortality. It may become the modality of first choice when dealing with complicated incisional infections following heart surgery.

APA, Harvard, Vancouver, ISO, and other styles

46

Purwaningsih, Utami, and Kris Linggardini. "Tingkat Pengetahuan Ibu Tentang Perawatan Luka Dan Kejadian Infeksi Daerah Operasi Di RSUD Banyumas." Adi Husada Nursing Journal 6, no. 2 (January 24, 2021): 75. http://dx.doi.org/10.37036/ahnj.v6i2.167.

Full text

Abstract:

Surgical Site Infection is infections that occur after surgery. Control of the incidence of nosocomial infection is part of the parameters of good health services at the hospital. One in 10 mothers who give birth by cesarean has an infection. The level of patient knowledge about how to care for wounds is an important factor in decreasing the incidence of wound infection in the surgical area in SC patients. Objective: knowing the relationship between levels of knowledge of post-operative SC patients about wound care and the incidence of surgical site wound infections. Method: The design used descriptive correlative and cross sectional approach. The sample were 76 respondents. The data were collected in December 2019 by using a knowledge level questionnaire and a form of signs of infection from Morison 2004. Data analysis using chi square). The results showed that there was a relationship between knowledge and the incidence of infection in the area of operation (p value 0.001). Keywords: nosocomial, surgical site infection (SSI), section caesarea (SC)

APA, Harvard, Vancouver, ISO, and other styles

47

Coughlin, Maryanne K. "Wound Infections After Hysterectomy: Opportunities for Practice Improvement." AORN Journal 69, no. 1 (January 1999): 265–66. http://dx.doi.org/10.1016/s0001-2092(06)62777-4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Ma, N., S. Gogos, and A. Moaveni. "INTRA-WOUND ANTIBIOTIC POWDER TO REDUCE DEEP SURGICAL SITE INFECTIONS IN LOWER LIMB AND PELVIC TRAUMA." Orthopaedic Proceedings 105-B, SUPP_3 (February 2023): 36. http://dx.doi.org/10.1302/1358-992x.2023.3.036.

Full text

Abstract:

Surgical site infections following orthopaedic surgery are a serious complication associated with increased morbidity and mortality. Intra-wound antibiotic powder may be able to provide infection prophylaxis locally with less systemic adverse effects, and promising results have been reported in systematic reviews of its use in spine surgery. This study aims to analyse the efficacy and adverse effect profile of intra-wound antibiotics in reducing surgical site infections in orthopaedic surgery for traumatic pelvic and lower limb fractures.A systematic review was conducted for studies reporting on the incidence of surgical site infections following administration of intra-wound antibiotic powder in pelvic and lower limb trauma surgery. Randomised controlled trials, cohort and case-control studies were included. A meta-analysis was conducted for deep surgical site infections.Seven studies were included in the systematic review including six retrospective case-control studies and one randomised controlled trial. Results of the meta-analysis suggest a potential 23% reduction in the odds of developing a deep surgical site infection in patients treated with intra-operative antibiotic powder compared with those managed with intravenous antibiotics alone (OR 0.77, 95% CI 0.52 – 1.13), although the results did not reach statistical significance.Notable selective bias against intra-wound antibiotics and suboptimal study design were found in the retrospective studies, however the randomised controlled trial reported a significant reduction in deep surgical site infections with intra-wound vancomycin powder. There were no reports of systemic adverse outcomes and minimal risk of wound complications with the use of intra-wound antibiotics.This review suggests the use of intra-wound antibiotic powder in pelvic and lower limb trauma surgery may reduce the incidence of deep surgical site infections. Further powered studies including randomised controlled trials are required to confirm the results highlighted in this study.

APA, Harvard, Vancouver, ISO, and other styles

49

Hollenbeak, Christopher S., Judith R. Lave, Timothy Zeddies, Yanfen Pei, Constance E. Roland, and Eugene F. Sun. "Factors Associated With Risk of Surgical Wound Infections." American Journal of Medical Quality 21, no. 6_suppl (November 2006): 29S—34S. http://dx.doi.org/10.1177/1062860606294602.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Javed, Ammar A., Jonathan Teinor, Michael Wright, Ding Ding, Richard A. Burkhart, John Hundt, John L. Cameron, et al. "Negative Pressure Wound Therapy for Surgical-site Infections." Annals of Surgery 269, no. 6 (June 2019): 1034–40. http://dx.doi.org/10.1097/sla.0000000000003056.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Surgical wound infections'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles