Post-Operative Infection Following Hand Surgery

1995 ◽  
Vol 20 (5) ◽  
pp. 685-690 ◽  
Author(s):  
A. J. PLATT ◽  
R. E. PAGE
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Hand Surgery ◽  
Fold Increase ◽  
Antibiotic Use ◽  
Postal Questionnaire ◽  
British Society ◽  
Antibiotic Administration ◽  
Clinical Criteria ◽  
Operative Wound

An audit was designed to analyse the risk factors for developing post-operative wound infection following hand surgery. 249 consecutive patients were prospectively entered into the study. 236 (95%) patients were available for follow-up. Infection was diagnosed by clinical criteria. There was an infection rate of 10.7% in elective operations and 9.7% in emergency operations. There was no significant reduction in infection rate in the elective group with the use of antibiotics ( P=0.5). In the emergency group of patients peri-operative antibiotic administration was associated with an 8.5-fold reduction in infection rate ( P=0.014). The presence of a dirty wound was associated with a 13.4-fold increase in post-operative wound infection rate ( P=0.002). A postal questionnaire of members of the British Society for Surgery of the Hand revealed a wide variation in antibiotic usage. Guidelines for antibiotic use in patients undergoing hand surgery are presented.

scholarly journals Distribution and Determinant of Post-Operative Wound Infection among Patients underwent Routine Abdominal Surgery

2019 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Md Mafiur Rahman ◽  
SM Shafiul Azam Chaudhury ◽  
Md Atiqul Islam ◽  
Mohammad Khurshidul Alam ◽  
ABM Mir Mubinul Islam ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Operation Theatre ◽  
Medical College ◽  
Abdominal Operations ◽  
Contaminated Wound ◽  
Clean Contaminated ◽  
Operative Wound

Background: Post-operative wound infection may occur after routine abdominal surgery. Objective: The purpose of the present study was to see the distribution and determinants of post-operative wound infection among the patients underwent routine abdominal surgery. Methodology: This non-randomized clinical trial was conducted in the different surgical units of the Department of Surgery at Sir Sallimullah Medical College & Mitford Hospital, Dhaka, Bangladesh during January 2001 to December 2002 for a period of two (02) years. In the operation theatre, after anaesthesia skin was cleaned with Povidone iodine USP 5% w/w or Spirit (70% methylated spirit in water) or Chlorhexidine. During post-operative period dressing were left undisturbed unless it was felt necessary. Unusual pain in and around the wound was considered to be an indication of infection. A swab was taken from any discharge and was sent for bacteriological examination. Result: In this study, 50 patients were admitted as routine cases and undergone routine abdominal operations in general operation theatre. Out of 50 patients undergone routine abdominal surgery, 5 developed wound infection post operatively. Overall infection rate was 10.0%. In routine abdominal operations, infection was 9.09% in upper midline or extended midline incision, 33.33% in lower midline, 6.25% right subcostal/Kocher's. In routine abdominal operations, the rate of infection in clean contaminated wound was 11.11%, contaminated wound was 33.33%. Wound infection rate was 20.0% cases in patients with malnutrition, 14.28% cases in obesity and 16.66% cases in diabetes mellitus. Conclusion: In conclusion post-operative wound infection is common in routine surgical operation. Bangladesh Journal of Infectious Diseases, June 2019;6(1):16-21

Antibiotic prophylaxis in clean neck dissections

2004 ◽  
Vol 118 (3) ◽  
pp. 213-216 ◽  
Author(s):  
Huseyin Seven ◽  
Ibrahim Sayin ◽  
Suat Turgut
Keyword(s):  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Prophylactic Antibiotic ◽  
Antibiotic Use ◽  
Outcome Variable ◽  
Control Group ◽  
Study Group ◽  
Antibiotic Regimen ◽  
The Difference ◽  
Operative Wound

This study was designed to evaluate the effects of a prophylactic antibiotic regimen on the incidence of wound infection after clean neck dissections. A prospective series of 57 patients undergoing clean neck dissections with the use of perioperative ampicillin-sulbactam for 24 hours was compared with an historical control group of 51 patients undergoing clean neck dissections with no perioperative antibiotic use. The outcome variable was the incidence of post-operative wound infection. The two groups were similar for factors reported to influence the rate of post-operative wound infection. Wound infection occurred in one patient (1.7 per cent) in the study group and in seven patients (13.3 per cent) in the control group, the difference was statistically significant (p = 0.02). These data suggest that the use of a perioperative antibiotic for 24 hours in patients undergoing clean neck dissection results in significant reduction in the incidence of post-operative wound infection.

Techniques Known to Prevent Post-Operative Wound Infection

1982 ◽  
Vol 3 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Ronald Lee Nichols
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Postoperative Infection ◽  
Prophylactic Antibiotics ◽  
The Other ◽  
Hair Removal ◽  
Duration Of Operation ◽  
Postoperative Infection Rate ◽  
Preoperative Hair Removal ◽  
Operative Wound

AbstractThe most important factors in controlling postsurgical sepsis are appropriate surgical judgment and technique. Efficacious prophylactic antibiotics, when indicated, also significantly reduce the postoperative infection rate. Among the other techniques often heralded as important adjunctive measures, only duration of preoperative hospitalization, preoperative bathing, use of electrocautery, preoperative hair removal, use of prophylactic drains, and duration of operation are of proven significance.

scholarly journals Antibiotic Prophylaxis in Elective Hand Surgery

2017 ◽  
Vol 45 (02) ◽  
pp. 089-093 ◽  
Author(s):  
Carolina Vasconcelos ◽  
Marta Serra ◽  
Rúben Nogueira ◽  
Leonor Carmo
Keyword(s):  
Retrospective Study ◽  
Surgical Site Infection ◽  
Antibiotic Prophylaxis ◽  
Infection Rate ◽  
Prophylactic Antibiotic ◽  
Hand Surgery ◽  
Diabetic Patients ◽  
Antibiotic Administration ◽  
Site Infection ◽  
Related Data

Purpose Antibiotic prophylaxis decreases the rate of surgical site infection in a broad spectrum of surgical procedures. However, in patients undergoing elective hand surgery, there is evidence of lower efficacy, and its use might be related to the development of antimicrobial resistance. The side effects and higher health-related costs must also be taken into consideration. Our aim was to assess the efficacy of antibiotic prophylaxis in these procedures. Material and methods A retrospective study was conducted including all patients who underwent clean, elective hand surgery lasting less than 30 minutes from January 1st 2014 to December 31st 2015 at our hospital. The demographic and surgery-related data were analyzed using the Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY, US) software, version 23.0. Results A total of 346 patients matched the study's inclusion criteria. The infection rate was of 1%, and it was not influenced by gender, age or diabetes mellitus. Antibiotic prophylaxis was administered in 52% of the cases, and it had no effect on the decrease in the infection rate, even in the group of diabetic patients. Conclusions Despite the inherent limitations of any retrospective study, our data analysis supports the fact that prophylactic antibiotic administration does not reduce the incidence of surgical site infection in clean, elective hand surgery that lasts less than 30 minutes, even in patients at risk.

scholarly journals TO FIND THE INCIDENCE OF POST OPERATIVE WOUND INFECTION IN UNCOMPLICATED ACUTE APPENDICITIS CASES USING SINGLE DOSE PREOPERATIVE ANTIBIOTIC

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Vishal Prashar ◽  
Shamsher Singh
Keyword(s):  
Single Dose ◽  
Acute Appendicitis ◽  
Wound Infection ◽  
Open Appendectomy ◽  
Antibiotic Use ◽  
Uncomplicated Appendicitis ◽  
Group A ◽  
Group B ◽  
Uncomplicated Acute Appendicitis ◽  
Operative Wound

Background: The current practice in our hospital after appendectomy for uncomplicated acute appendicitis is continuation of antibiotics post operatively for 3- 5 days. No study regarding the duration of antibiotic use after appendectomy for acute uncomplicated appendicitis has been done in this institution before. Methods: This randomized control prospective study was conducted in IGMC SHIMLA from August 2017 to July 2018. Cases of uncomplicated acute appendicitis undergoing emergency open appendectomy were included in this study. Results: Out of 50 patients in group A, 5 (10%) developed wound infection. Out of 50 patients in group B, 4 (8%) patients developed wound infection. Over all incidence of wound infection was 9%. Conclusion: Frequency of post operative wound infection is generally very low in uncomplicated appendicitis and single dose pre operative antibiotics are effective in preventing post operative wound infection. Keywords: Uncomplicated appendicitis, SSI, Wound.

scholarly journals Timing of Debridement and Infection Rates in Open Fractures of the Hand

Hand ◽  
2016 ◽  
Vol 12 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Constantinos Ketonis ◽  
Joseph Dwyer ◽  
Asif M. Ilyas
Keyword(s):  
Infection Rate ◽  
Meta Analysis ◽  
Hand Surgery ◽  
Open Fractures ◽  
Treatment Modalities ◽  
Antibiotic Administration ◽  
Infection Rates ◽  
Hand Fractures ◽  
Operative Debridement ◽  
Hand Fracture

Background: Literature on open fracture infections has focused primarily on long bones, with limited guidelines available for open hand fractures. In this study, we systematically review the available hand surgery literature to determine infection rates and the effect of debridement timing and antibiotic administration. Methods: Searches of the MEDLINE, EMBASE, and Cochrane computerized literature databases and manual bibliography searches were performed. Descriptive/quantitative data were extracted, and a meta-analysis of different patient cohorts and treatment modalities was performed to compare infection rates. Results: The initial search yielded 61 references. Twelve articles (4 prospective, 8 retrospective) on open hand fractures were included (1669 open fractures). There were 77 total infections (4.6%): 61 (4.4%) of 1391 patients received preoperative antibiotics and 16 (9.4%) of 171 patients did not receive antibiotics. In 7 studies (1106 open fractures), superficial infections (requiring oral antibiotics only) accounted for 86%, whereas deep infections (requiring operative debridement) accounted for 14%. Debridement within 6 hours of injury (2 studies, 188 fractures) resulted in a 4.2% infection rate, whereas debridement within 12 hours of injury (1 study, 193 fractures) resulted in a 3.6% infection rate. Two studies found no correlation of infection and timing to debridement. Conclusions: Overall, the infection rate after open hand fracture remains relatively low. Correlation does exist between the administration of antibiotics and infection, but the majority of infections can be treated with antibiotics alone. Timing of debridement, has not been shown to alter infection rates.

#61: Antibiotic Use for Community-Acquired Pneumonia Among Hospitalized Children in Japan

2021 ◽  
Vol 10 (Supplement_1) ◽  
pp. S13-S13
Author(s):  
Chiaki Tao-Kidoguchi ◽  
Eiki Ogawa ◽  
Kensuke Shoji ◽  
Isao Miyairi
Keyword(s):  
Physician Behavior ◽  
Point Of Care ◽  
Descriptive Analysis ◽  
Antibiotic Use ◽  
Community Acquired Pneumonia ◽  
Clinical Criteria ◽  
Focus Of Infection ◽  
Tract Infections ◽  
Short Courses ◽  
Viral Etiologies

Abstract Background Judicious use of antimicrobials is the cornerstone of action against antimicrobial resistance. Respiratory tract infections account for over 80% of pediatric antibiotic use in Japan. Antibiotics are generally used empirically for most hospitalized patients with pneumonia although it is becoming clearer that viral etiologies account for approximately 70% of these cases. Defining the characteristics of patients who are managed with a short course of antibiotics and subsequently do well, may lead to setting clinical criteria for early termination of antibiotics. Methods We performed a retrospective descriptive analysis. Medical charts of patients aged 3 months to 18 years, who were admitted with a diagnosis of pneumonia, bronchitis, bronchiolitis, or asthma to the Department of Interdisciplinary medicine at the National Center for Child Health and Development from March 2018 through February 2019 were reviewed. Those who had respiratory symptoms and were started on antibiotics within 48 hours of hospitalization were included. Those who had a focus of infection elsewhere or were immunocompromised were excluded. Results Of the 556 candidates, 80 patients met the criteria. The median age was 1.5 years which included 42.5% (34/80) with comorbidities. Underlying conditions included 9 with trisomy 21, and 8 with perinatal issues. Rapid antigen testing was performed and 7 patients with RSV, 5 patients with influenza, 1 patient with human metapneumovirus were identified. The average duration of antibiotic therapy was 7.2 days (range 2–14 days). There were no statistical differences in the characteristics of patients who received antibiotics for more or less than 5 days. The positivity of the rapid antigen test tended to be higher in those who received antibiotics for a shorter period (25% vs. 15%). There were no differences in the rate of readmission or complications between the two groups. Conclusion We were unable to identify a clear characteristic of patients who received short courses of antibiotics for pneumonia. The trend observed for those who had a point of care testing may suggest that the use of a multiplex PCR testing covering a greater number of pathogens would influence physician behavior in antibiotic use.

7th Congress of the European Federation of Societies for Hand Therapy 22-25 May 2002, Amsterdam

2002 ◽  
Vol 7 (3) ◽  
pp. 85-99
Keyword(s):  
Hand Surgery ◽  
British Society ◽  
European Federation ◽  
Kind Permission ◽  
Hand Therapy

Reprinted with kind permission from the British Society for Surgery of the Hand. Abstracts first published in The Journal of Hand Surgery Vol. 27b Supplement 1, April 2002.

A Prospective Trial of Prophylactic Povidone Iodine in Lacerations of the Hand

1985 ◽  
Vol 10 (3) ◽  
pp. 370-374
Author(s):  
A. H. N. ROBERTS ◽  
F. E. V. ROBERTS ◽  
R. I. HALL ◽  
I. H. THOMAS
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Adverse Reactions ◽  
Healing Rate ◽  
Povidone Iodine ◽  
Prospective Trial ◽  
Control Group ◽  
Iodine Treatment ◽  
Pain Patients

A series of 418 patients with lacerations of the hands were allocated randomly to a control group or to a group where the injury was treated with povidone iodine before suture. The incidence of infected and imperfectly healed wounds was determined seven days later. As well as the effect of povidone iodine on infection, thirteen other factors were also analysed. The overall infection rate of 5.0% and the 38.5% imperfect healing rate were not significantly affected by povidone iodine treatment, although both were reduced. The figures of four other trials were combined with this trial and this showed a significant effect of povidone iodine treatment. There were no adverse reactions to povidone iodine. It is therefore recommended that hand lacerations should be treated with povidone iodine prior to suture. Other factors found to be significantly important in wound infection or imperfect healing were the condition of the dressing, the part of the hand injured and pain. Patients should be strongly advised to keep their dressing clean and dry.

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