Effect of postoperative hypoalbuminemia and supplement of human serum albumin on the development of surgical site infection following spinal fusion surgery: a retrospective study

2020 ◽  
Vol 29 (7) ◽  
pp. 1483-1489 ◽  
Author(s):  
Fu Zhang ◽  
Xiaonan Liu ◽  
Zhiwen Tan ◽  
Jianjun Li ◽  
Dianwa Fu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Human Serum Albumin ◽  
Serum Albumin ◽  
Surgical Site Infection ◽  
Human Serum ◽  
Spinal Fusion ◽  
Site Infection ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery

Seasonal Variations in the Risk of Reoperation for Surgical Site Infection Following Elective Spinal Fusion Surgery

Spine ◽  
2017 ◽  
Vol 42 (14) ◽  
pp. 1068-1079 ◽  
Author(s):  
Junichi Ohya ◽  
Hirotaka Chikuda ◽  
Takeshi Oichi ◽  
So Kato ◽  
Hiroki Matsui ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Spinal Fusion ◽  
Seasonal Variations ◽  
Site Infection ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery

Does using outpatient room air for bleomycin foam preparation increase the risk of infection?

2020 ◽  
Vol 35 (8) ◽  
pp. 583-588
Author(s):  
Hao Zhang ◽  
Ming Pei Xu ◽  
Zuo Qing Dong ◽  
Shao Hua Liu ◽  
Ai Jun Yang
Keyword(s):  
Retrospective Study ◽  
Human Serum Albumin ◽  
Serum Albumin ◽  
Human Serum ◽  
Clinical Evaluation ◽  
Outpatient Treatment ◽  
T Test ◽  
Operating Theatre ◽  
Risk Of Infection ◽  
Colony Forming Units

Objective To evaluate whether the risk of infections is increased with the use of air from outpatient rooms to prepare bleomycin foam. Methods Settling plates were adopted to collect bacteria from outpatient room air, operating theatre air, human serum albumin, bleomycin solution and bleomycin foam prepared with both outpatient room and operating theatre air. The plates were placed in an incubator at 37°C for 48 h, and the number of bacterial colonies was recorded using colony-forming units. The results were analysed by the t-test. A retrospective study was then performed to evaluate the outpatient safety of bleomycin foam. Results The number of colony-forming units in the bleomycin foam produced using both operating and outpatient room air was very low, with no statistic difference. No infection cases were reported in clinical evaluation. Conclusion Using the air from outpatient treatment rooms for bleomycin foam preparation does not increase the risk of infections.

Risk Factors for Spinal Surgical-Site Infections in a Community Hospital: A Case–Control Study

2003 ◽  
Vol 24 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Anucha Apisarnthanarak ◽  
Marilyn Jones ◽  
Brian M. Waterman ◽  
Cathy M. Carroll ◽  
Robert Bernardi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Case Control Study ◽  
Community Hospital ◽  
Surgical Site Infections ◽  
Case Control ◽  
Site Infection ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Control Study

AbstractObjective:To characterize risk factors for surgical-site infection after spinal surgery.Design:A case–control study.Setting:A 113-bed community hospital.Method:From January 1998 through June 2000, the incidence of surgical-site infection in patients undergoing laminectomy, spinal fusion surgery, or both increased at community hospital. A We compared 13 patients who acquired surgical-site infections after laminectomy, spinal fusion surgery, or both with 47 patients who were operated on during the same time period but did not acquire a surgical-site infection. Information collected included demographics, risk factors, personnel involved in the operations, length of hospital stay, and hospital costs.Results:Of 13 case-patients, 9 (69%) were obese, 9 (69%) had spinal compression, 5 (38.5%) had a history of tobacco use, and 4 (31%) had diabetes. Oxacillin-sensitive Staphylococcus aureus (6 of 13; 46%) was the most common organism isolated. Significant risk factors for postoperative spinal surgical-site infection were dural tear during the surgical procedure and the use of glue to cement the dural patch (3 of 13 [23%] vs 1 of 47 [2.1%] ; P = .02) and American Society of Anesthesiologists risk class of 3 or more (6 of 13 [46.2%] vs 7 of 47 [15%]; P = .02). Case-patients were more likely to have prolonged length of stay (median, 16 vs 4 days; P < .001). The average excess length of stay was 11 days and the excess cost per case was $12,477.Conclusion:Dural tear and the use of glue should be evaluated as potential risk factors for spinal surgical-site infection. Systematic observation for potential lapses in sterile technique and surgical processes that may increase the risk of infection may help prevent spinal surgical-site infection.

II. Lokalisation der Placenta mit 113Inm- Human-Serum-Albumin

1969 ◽  
Vol 08 (01) ◽  
pp. 15-21 ◽  
Author(s):  
K. E. Scheer ◽  
J. Heep ◽  
W. Maier-Borst ◽  
W. J. Lorenz ◽  
H. Sinn ◽  
...  
Keyword(s):  
Human Serum Albumin ◽  
Serum Albumin ◽  
Human Serum ◽  
Vena Cava ◽  
Placenta Praevia ◽  
Wird Eine

ZusammenfassungNach tierexperimentellen Voruntersuchungen wurde die Placentographie mit trägerfreiem 113Inm -HSA als klinische Methode eingeführt. Vor Amniocentesen und bei Verdacht auf Placenta praevia werden Placentographien geschrieben. Den Schwangeren wird eine Aktivität von 500 μCi in die Cubitalvene injiziert. Die der Aktivität entsprechende Indiummenge ist kleiner als 0,1 ng. Die fetale Strahlenbelastung liegt unter lOmrad. Bei Anwendung von 113Inm-HSA entfällt eine Blockade der mütterlichen und fetalen Schilddrüsen. Die genaue Abgrenzung einer Placenta praevia wird nicht durch eine Blasenaktivität beeinträchtigt.Es wurden bisher 19 Placentalokalisationen durchgeführt. In allen Fällen konnte der Placentasitz eindeutig festgestellt werden. Bedingt durch die lange Liegezeit beim Aufnehmen eines Szintigramms kam es in zwei Fällen zu einem Vena-Cava-Kompressions-Syndrom. Zur Verhinderung dieser klinischen Zwischenfälle werden inzwischen Placentographien mit der Anger-Kamera aufgenommen. Mit Hilfe des divergierenden Kollimators konnte der gesamte Abdominalbereich erfaßt werden. Die Aufnahmezeit konnte auf 7 — 10 Minuten verkürzt werden. Die intravenöse injizierte Aktivität betrug bei dieser Methode ebenfalls 500 μCi. Der diagnostische Aussagewert der Kamerabilder ist szintigraphischen Aufnahmen gleichwertig.

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