Local Antibiotics are Equivalent to Intravenous Antibiotics in the Prevention of Superficial Wound Infection in Inguinal Hernioplasty

Background: The aim of the present study was to compare the result in terms of rate of union, time of ambulation and functional recovery of fracture intertrochanteric femur treated by dynamic hip screw (DHS) and proximal femoral interlocking nail (PFN) and to compare complications in terms of implant failure, infection, blood loss and C arm exposure in both groups.Methods: This was a prospective study of 92 cases, 38 cases were treated by PFN and 54 cases were treated by DHS. Patients were followed up at 6, 12, 18 and 24 weeks. The results were compared for functional outcome using Palmer and Parker score and also for various complications.Results: Comparison of mobility score at six month follow up period revealed the PFN group to be significantly more mobile (5.8 Vs. 4.19 respectively, p <0.001) than the DHS group. In our study 6 patients managed with DHS (6.52%) developed superficial wound infection which responded to intravenous antibiotics. No patient with PFN had wound infection. Only 2 patients in the PFN group and 12 patients in the DHS group had persistent pain at the incision site.Conclusions: Dynamic hip screw fixation of these fracture requires less preoperative time, is associated with less exposure to radiation but the blood loss is much higher. On the contrary PFN allows faster mobilization and greater mobility scores at six months.

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The prevention and control of superficial wound infection in a military training establishment: A comparative study of two different strengths of povidone-iodine dry powder spray

Journal of Hospital Infection ◽

10.1016/0195-6701(88)90094-1 ◽

1988 ◽

Vol 11 (4) ◽

pp. 393-395 ◽

Cited By ~ 3

Author(s):

D.I. Riddell ◽

S. Douglas ◽

J.G. Cruickshank

Keyword(s):

Comparative Study ◽

Wound Infection ◽

Prevention And Control ◽

Povidone Iodine ◽

Military Training ◽

Dry Powder ◽

Superficial Wound Infection ◽

Superficial Wound ◽

And Control

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Comparative clinical efficacy of novel bidirectional cannula in cardiac surgery via peripheral cannulation for cardiopulmonary bypass

Perfusion ◽

10.1177/02676591211033945 ◽

2021 ◽

pp. 026765912110339

Author(s):

Serdar Gunaydin ◽

Seyhan Babaroglu ◽

Ali Baran Budak ◽

Bige Sayin ◽

Velihan Cayhan ◽

...

Keyword(s):

Cardiac Surgery ◽

Cardiopulmonary Bypass ◽

Adverse Events ◽

Wound Infection ◽

Doppler Ultrasonography ◽

Secondary Outcome ◽

Arterial Cannulation ◽

Superficial Wound Infection ◽

Superficial Wound ◽

Distal Perfusion

Objectives: The aim of this study is to evaluate the safety and efficacy of the novel bidirectional cannula that ensures stable distal perfusion compared to conventional cannula in patients undergoing femoral arterial cannulation for cardiopulmonary bypass (CPB). Methods: During a 1-year period, 64 patients undergoing surgery via peripheral cannulation were prospectively randomized to receive 19 F bidirectional (Biflow™, LivaNova, Italy) or 19 F conventional (HLS Peripheral cannula, Getinge Group™, Germany) cannula with 6 F downstream line (Bicakcilar™, Turkey) for femoral artery cannulation. The primary outcome included the efficacy (adequacy of antegrade/retrograde comparative flow via cannula measured by doppler ultrasonography) and the secondary outcome was the safety (early/late complications and adverse events). Results: Percent flow (distal/proximal) after cannulation measured by doppler ultrasonography was significantly better in study group (33.1 ± 5 ml/min) versus downstream cannula (16.1 ± 4, p = 0.012). SpO2 measured by near infrared spectroscopy (NIRS) also demonstrated significantly better saturation in distal calf of the cannulated leg in bidirectional cannula group (67.5% ± 10% vs 52.5 ± 8, p = 0.04). The incidence of serious adverse events was seroma on femoral region (one patient), superficial wound infection (one patient), pseudo-hematoma (two patients) in bidirectional cannula group and in-hospital femoral embolectomy/artery repair (two patients), superficial wound infection (three patients), cannulation site hematoma (three patients) in conventional cannula group. Conclusions: This study demonstrates that in patients undergoing femoral arterial cannulation for CPB during cardiac surgery, the use of a novel bidirectional cannula is safe and easy to insert and provides stable distal perfusion of the cannulated limb.

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Interlocking Multi-Twisted Wires Versus Interrupted Simple Sternal Wires for Closure of Median Sternotomy

The Heart Surgery Forum ◽

10.1532/hsf.3663 ◽

2021 ◽

Vol 24 (2) ◽

pp. E363-E368

Author(s):

Faisal Mourad ◽

Ihab Ali

Keyword(s):

Wound Infection ◽

Open Heart Surgery ◽

Median Sternotomy ◽

Superficial Wound Infection ◽

Sternal Dehiscence ◽

Sternal Closure ◽

Icu Stay ◽

Group I ◽

Superficial Wound ◽

Length Of Icu Stay

Background: Although closure of a sternotomy incision is usually a simple procedure, failure to do so (sternal dehiscence) is a serious complication and is an independent factor that poses a high degree of morbidity or mortality after open heart surgery. Instability of the bone fragments can lead to complete sternal breakdown, sternal wound infection, and mediastinitis. The stainless-steel encircling wire used as either interrupted simple sutures or as figure of eight sutures is the current standard method of median sternotomy closure. Interlocking multi-twisted sternal wire closure is an alternative that provides rigid sternal fixation. We aim to identify the best method of sternal closure in order to implement it as a standardised protocol for our department. Methods: Two-hundred patients aged 18-70 years were undergoing cardiac surgeries at Ain Shams University hospitals. They were divided into two groups: Group I included 100 patients with sternal closure using simple wire, and group II included 100 patients with sternal closure using interlocking multi-twisted wires. The day 7, 1 month, and 3 months sternal instability, superficial wound infection, ventilation time, cross-clamp time, length of ICU stay, and length of hospital stay were analyzed. Results: The incidence of sternal instability on the 7th day, 1 month, and 3 months was significantly higher in the simple wire closure group (P < 0.05). However, incidence of superficial wound infection, length of ICU stay, and duration of mechanical ventilation were comparable between the two groups. Conclusion: The interlocking multi-twist is a safe, effective, and easily reproducible method for preventing sternal dehiscence.

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Lymphoedema and Hand Surgery

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.1998.0050 ◽

1999 ◽

Vol 24 (1) ◽

pp. 138-138 ◽

Cited By ~ 12

Author(s):

W. K. SMITH ◽

G. E. B. GIDDINS

Keyword(s):

Breast Carcinoma ◽

Wound Infection ◽

Carpal Tunnel ◽

Previous History ◽

Radical Mastectomy ◽

Hand Surgery ◽

Superficial Wound Infection ◽

Axillary Clearance ◽

Superficial Wound ◽

History Of

We report the case of a woman with a previous history of breast carcinoma, treated with a left radical mastectomy and axillary clearance, who developed lymphoedema in the left arm following a carpal tunnel decompression complicated by a superficial wound infection.

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The impact of systemic lupus erythematosus on the risk of infection after total hip arthroplasty: a nationwide population-based matched cohort study

Arthritis Research & Therapy ◽

10.1186/s13075-020-02300-1 ◽

2020 ◽

Vol 22 (1) ◽

Author(s):

Chien-Hao Chen ◽

Tien-Hsing Chen ◽

Yu-Sheng Lin ◽

Dave W. Chen ◽

Chi-Chin Sun ◽

...

Keyword(s):

Wound Infection ◽

Lupus Erythematosus ◽

Primary Outcome ◽

Matched Control ◽

Control Group ◽

Risk Of Infection ◽

Matched Control Group ◽

Superficial Wound Infection ◽

Superficial Wound ◽

The Impact

Abstract Background We aimed to assess the impact of systemic lupus erythematosus (SLE) on the risk of infection after total hip arthroplasty (THA). Methods We identified patients undergoing primary THA (1996–2013) in Taiwan National Health Insurance Research Database (NHIRD). Patients were then divided into the SLE and control groups according to the diagnosis of SLE. We used 1:1 propensity score to match the control to the SLE group by age, sex, and comorbidities. The primary outcome was infection, including early and late superficial wound infection and periprosthetic joint infection (PJI). The secondary outcome was in-hospital complications. Results We enrolled 325 patients in each group. In the primary outcome, the incidence of early superficial wound infection and PJI was comparable between the SLE and matched-control group. However, the incidence of late superficial wound infection and PJI in the SLE group was higher than that in matched-control group (11.4% vs. 5.5%, P = 0.01; 5.2% vs 2.2%, P = 0.04, respectively). Furthermore, the SLE group had a higher risk for late superficial wound infection and PJI (hazard ratio = 2.37, 95% confidence interval (CI) 1.35–4.16; HR = 2.74, 95% CI 1.14–6.64, respectively) than the matched-control. Complications other than infection and in-hospital mortality cannot be compared because of very low incidence. Conclusions SLE is a risk factor for developing late superficial wound infection and PJI, but not for early postoperative complications following THA. Clinical presentations should be monitored to avoid misdiagnosis of PJI in SLE patients after THA.

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Single-Dose Clavulanate-Potentiated Amoxycillin versus Three-Dose Cefotaxime in the Prevention of Wound Infection following Elective Cholecystectomy: A Prospective Randomized Study

Journal of International Medical Research ◽

10.1177/030006058801600203 ◽

1988 ◽

Vol 16 (2) ◽

pp. 92-97 ◽

Cited By ~ 10

Author(s):

M. B. El Mufti ◽

A. Glessa ◽

K. V. Amery

Keyword(s):

Single Dose ◽

Wound Infection ◽

Randomized Study ◽

Intravenous Dose ◽

Prospective Randomized Study ◽

Single Intravenous Dose ◽

Superficial Wound Infection ◽

Treatment Groups ◽

Superficial Wound ◽

Elective Cholecystectomy

A prospective randomized study was carried out to evaluate the efficacy of clavulanate-potentiated amoxycillin with that of cefotaxime as prophylactic agents for the prevention of sepsis following elective cholecystectomy. One hundred patients were randomized into two treatment groups. In the first group, each patient received a single intravenous dose (1200 mg) of clavulanate-potentiated amoxycillin 2 h before surgery. In the second group, patients were given intravenous cefotaxime, in three doses (2 g each) during surgery, and 6 and 12 h after their operation. No case of serious post-operative sepsis occurred in either group. Superficial wound infection occurred in 2% of patients receiving a single pre-operative dose of clavulanate-potentiated amoxycillin and in 6% of those given cefotaxime according to the three-dose regimen.

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