Wound infection rate and irrigation pressure of two potential new wound irrigation devices: The port and the cap

1998 ◽  
Vol 16 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Jeffrey W Morse ◽  
Thomas Babson ◽  
Chris Camasso ◽  
Anneke C Bush ◽  
Philip A Blythe
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Wound Irrigation

Wound Infection Rate in Dermatologic Surgery

1988 ◽  
Vol 14 (5) ◽  
pp. 525-528 ◽  
Author(s):  
DUANE C. WHITAKER ◽  
DONALD J. GRANDE ◽  
SALLY S. JOHNSON
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Dermatologic Surgery

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

Cost Analysis of Early versus Delayed Loop Ileostomy Closure: A Case-Matched Study

2015 ◽  
Vol 32 (3) ◽  
pp. 166-172 ◽  
Author(s):  
Jason Robertson ◽  
Hannah Linkhorn ◽  
Ryash Vather ◽  
Rebekah Jaung ◽  
Ian P. Bissett
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Loop Ileostomy ◽  
Hospital Readmissions ◽  
Hospital Costs ◽  
Cost Effective ◽  
Wound Infection Rate ◽  
Ileostomy Closure ◽  
Total Direct Cost ◽  
Optimal Timing

Background/Aims: The optimal timing for the closure of loop ileostomies remains controversial. The aim of the current study was to investigate whether early ileostomy closure (EC) (<2 weeks post-formation) results in significant healthcare savings as against late closure (LC). Methods: Patients with available cost data that underwent EC between January 2008 and December 2012 were compared against matched patients undergoing LC during the same period. Direct hospital costs for the two groups were compared. Results: There were 42 EC patients and 61 LC patients. EC patients had significantly less ileostomy-related complications (p < 0.001) and hospital readmissions (p < 0.001). Operative time (p < 0.001) and operative cost (p = 0.002) were also both significantly less in the EC group. Community nursing costs favoured the LC group (p = 0.047). The EC group had an increased post-closure wound infection rate (p = 0.02). The mean total direct cost per patient was NZD 13,724 (SD NZD 3,736) for EC and NZD 16,728 (SD NZD 8,028) for LC. Representing an average costs saving of NZD 3,004 per patient favouring EC (p = 0.012). Conclusion: Although EC increases the post-closure wound infection rate, EC reduces ileostomy complications, hospital readmissions and operative costs resulting in significant healthcare savings. In order to improve patient outcomes and make EC even more cost effective, efforts should be taken to reduce wound infections.

681: Impact of Postoperative Antibiotic Removal in Sternal Wound Infection Rate Following CABG

2020 ◽  
Vol 49 (1) ◽  
pp. 335-335
Author(s):  
Kirubel Hailu ◽  
Bryan Allen ◽  
Chad Cannon ◽  
Meseret Dabi ◽  
Dimple Patel
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Sternal Wound Infection ◽  
Antibiotic Removal

scholarly journals Safety and Efficacy for Robot-Assisted Versus Open Pancreaticoduodenectomy: A Meta-Analysis of Multiple Worldwide Centers

2020 ◽  
Author(s):  
Wei Zhang ◽  
jian wei Zhang ◽  
Xu Che
Keyword(s):  
Wound Infection ◽  
Pancreatic Fistula ◽  
Infection Rate ◽  
Random Effect ◽  
Reoperation Rate ◽  
Wound Infection Rate ◽  
Cochrane Library ◽  
Robot Assisted ◽  
Estimated Blood Loss ◽  
Open Pancreaticoduodenectomy

Abstract Objectives: To compare the efficacy of robot-assisted pancreaticoduodenectomy with that of laparotomy.Methods: The PubMed, EMBASE, Cochrane Library, and other databases were searched for literature available from their respective inception dates up to May 2020 to find studies comparing robot-assisted pancreaticoduodenectomy (RPD) with open pancreaticoduodenectomy (OPD). The RevMan 5.3 statistical software was used for analysis to evaluate surgical outcome and oncology safety. The combination ratio (RR) and weighted mean difference (WMD) and their 95% confidence intervals (CIs) were calculated using fixed effect or random effect models.Results: 18 cohort studies from 16 medical centers were eligible with a total of 5795 patients including 1420 RPD group patients and 4375 OPD group patients. The RPD group fared better than the OPD group in terms of estimated blood loss (EBL) (WMD =-175.65, 95% CI (-251.85, -99.44), P<0.00001), wound infection rate (RR=0.60, 95%CI (0.44,0.81), P= 0.001), reoperation rate (RR=0.61, 95%CI (0.41,0.91), P=0.02), hospital day (WMD = -2.95, 95% CI (-5.33,-0.56), P = 0.02), intraoperative blood transfusion (RR = 0.56, 95% CI(0.42, 0.76), P=0.0001), overall complication (RR = 0.78, 95% CI(0.64,0.95), P = 0.01), and clinical pancreatic fistula (PF) (RR = 0.54, 95% CI(0.41,0.70), P < 0.0001). In terms of lymph node clearance (WMD = 0.48, 95% CI(-2.05,3.02), P = 0.71), R0 rate (RR = 1.05, 95% CI(1.00,1.11), P = 0.05), postoperative pancreatic fistula (POPF) (RR=1, 95% CI(0.85,1.19), P = 0.97), bile leakage (RR = 0.99, 95% CI(0.54,1.83), P = 0.98), delayed gastric emptying (DGE) (RR = 0.79, 95% CI(0.60,1.03), P = 0.08), mortality (RR = 0.82, 95% CI(0.62,1.10), P=0.19), and severe complication (RR = 0.98, 95% CI(0.71,1.36), P = 0.91), there were no significant differences between the two groups. Laparoscopic surgery was inferior to open surgery in terms of operational time (WMD = 80.85, 95% CI (16.09,145.61), P=0.01).Conclusions: RPD is not inferior to OPD, and it is even more advantageous for DGE, wound infection rate, reoperation rate, hospital stay, transfusion, overall complication and clinical PF. However, these findings need to be further verified by high-quality randomized controlled trials.

Surveillance and risk factors on hysterectomy wound infection rate in Gran Canaria, Spain

2008 ◽  
Vol 136 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Jesús Molina-Cabrillana ◽  
Leonor Valle-Morales ◽  
Juana Hernandez-Vera ◽  
Isabel López-Carrió ◽  
J.A. García-Hernández ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Infection Rate ◽  
Wound Infection Rate ◽  
Gran Canaria

The effect of performance feedback on wound infection rate in abdominal hysterectomy

2006 ◽  
Vol 34 (4) ◽  
pp. 182-187 ◽  
Author(s):  
J.F. García Rodríguez ◽  
A. Rivera Trobo ◽  
M.V. Lorenzo García ◽  
M.J. Carballo Martínez ◽  
C. Parada Millán ◽  
...  
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Performance Feedback ◽  
Abdominal Hysterectomy ◽  
Wound Infection Rate

scholarly journals Outcome of skin incision by cautery versus steel scalpel in hernia surgery: a prospective cohort study at a tertiary medical college hospital in South India

2017 ◽  
Vol 4 (5) ◽  
pp. 1521 ◽  
Author(s):  
Ragesh K. V. ◽  
Mahendran S. ◽  
Siddarth Mathad
Keyword(s):  
Postoperative Pain ◽  
Wound Infection ◽  
Infection Rate ◽  
Skin Incision ◽  
Wound Infection Rate ◽  
P Value ◽  
Hernia Surgery ◽  
College Hospital ◽  
Post Operative Pain ◽  
Group B

Background: Since a long time, skin incisions have routinely been made with scalpels. Now a days there is a shift in trend from this method to electrosurgical skin incisions. However, fear of bad scars and improper wound healing has prevented its wide spread use. The aim of the study was to compare the Diathermy versus Scalpel skin incision in elective hernia surgeries with regards to post-operative pain, post-operative wound infection rate and wound healing.Methods: A total of 200 patients were taken for this study. 100 patients underwent diathermy incision (group A) who were compared with 100 scalpel incision patients (group B). Variables used in this study were postoperative pain, wound infection and scar.Results: Patients with diathermy skin incision were having less post-operative pain which was assessed by visual analogue scale when compared with scalpel incision since the p value was 0.01 which is significant (<0.05). The postoperative infection rate and scar were comparable in both the groups since the p-value is >0.05 in each which is insignificant.Conclusions: Diathermy incisions are therefore less harmful to the skin. It has got more advantages than scalpel incisions like less postoperative pain.

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