A Prospective Study of Postoperative Fever in a General Surgery Department

1985 ◽  
Vol 6 (12) ◽  
pp. 487-490 ◽  
Author(s):  
C. Galicier ◽  
Herve Richet
Keyword(s):  
Prospective Study ◽  
Surgical Procedures ◽  
General Surgery ◽  
Postoperative Fever ◽  
The Mean ◽  
Febrile Episodes ◽  
Clean Contaminated ◽  
A Prospective Study ◽  
Surgery Department

AbstractDuring a 4-month period, 693 patients undergoing surgical procedures were prospectively studied to investigate the etiology of postoperative fever (≥38°C during 48 hours or more). The overall rate of fever was similar for the three categories of surgical procedures studied (14%, 13.4% and 13.1% respectively after clean, clean contaminated and contaminated surgical procedures). No cause of fever was found in 5%, 2.7% and 1.7% of patients who underwent clean, clean contaminated and contaminated surgical procedures. Several episodes of fever were observed for 12 patients after clean surgery; for 11 of them this was due to infection. The mean interval between febrile episodes was 4.7 days. After clean wound surgery, fever documented as infectious began significantly later (2.7 vs 1.6 days) and lasted significantly longer (5.4 vs 3.5 days) than fever for which no source was determined. Only half of the infections were associated with fever.

scholarly journals Laparoscopic management of Hydatid cyst

2016 ◽  
Vol 18 (3) ◽  
pp. 42
Author(s):  
Anang Pangeni ◽  
Vikal Chandra Shakya
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Hydatid Cyst ◽  
Operative Time ◽  
Energy Sources ◽  
Hydatid Cysts ◽  
Laparoscopic Management ◽  
The Mean ◽  
A Prospective Study ◽  
Surgery Department

Introduction and Objective: Hydatid cyst of the liver is a fairly common parasitic condition. We present here a series of 9 patients with hydatid cyst of the liver managed by minimally invasive surgeryMaterials and Methods: It was a prospective study in patients presenting with hydatid cyst of the liver to Surgery Department who were managed laparoscopically from January 2013 to November 2015.Result: There were 9 patients (5 males and 4 females). The mean operative time was 124+32 minutes. One patient developed mild allergy in the form of skin rashes on 3rd postoperative day, and another patient developed cholangitis which resolved on conservative management. There was no conversion.Conclusion: Laparoscopic management of hydatid cysts is possible, and looks promising provided we have advanced energy sources.

Evidence for the Non-Infectious Etiology of Early Postoperative Fever

1985 ◽  
Vol 6 (7) ◽  
pp. 273-277 ◽  
Author(s):  
Richard A. Garibaldi ◽  
Susan Brodine ◽  
Sego Matsumiya ◽  
Miki Coleman
Keyword(s):  
General Surgery ◽  
Underlying Disease ◽  
Therapeutic Interventions ◽  
Empiric Antibiotic Therapy ◽  
Postoperative Fever ◽  
Wide Range ◽  
Severe Underlying Disease ◽  
Empiric Antibiotic ◽  
Sources Of Infection ◽  
A Prospective Study

AbstractIn a prospective study of infections in 871 general surgery patients, we identified 81 patients who developed unexplained postoperative fevers. The majority of these episodes (72%) occurred early (within the first 48 hours) following surgery. Patients who developed early, unexplained fevers differed significantly from patients who developed documented postoperative infections. Patients with unexplained fevers were younger, had less severe underlying disease and underwent less extensive surgeries than patients who subsequently developed infections. In these respects, they were more similar to non-infected, non-febrile patients.We concluded that episodes of early, unexplained postoperative fever occur frequently in a wide range of general surgery patients. Most of these episodes are non-infectious in origin. Patients with early postoperative fevers should be evaluated to identify any obvious sources of infection. If no focus is identified, empiric antibiotic therapy should not be initiated nor should prophylactic antibiotics be extended for prolonged durations. Unexplained fevers will resolve in time without specific therapeutic interventions.

scholarly journals Evaluation of changes in blood pressure in patients submitted to dental surgical procedures

2021 ◽  
Vol 10 (1) ◽  
pp. 106-115
Author(s):  
Poliana Keller de Andrade ◽  
Rayra Batista Balestrassi ◽  
Ricardo Henrique Nunes Prando ◽  
Jefferson David Melo de Matos ◽  
Leonardo Jiro Nomura Nakano ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Prospective Study ◽  
Surgical Procedures ◽  
Normal Values ◽  
Systemic Blood Pressure ◽  
Systemic Blood ◽  
Dental Procedures ◽  
Mercury Column ◽  
A Prospective Study

The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values ​​<120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values ​​and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3 were compared, 53.6% remained within the normality stage and 12.2% reached the stage of hypertension. It was concluded that there were variations in blood pressure, being the largest variation found in BP2, and can be attributed to the stress caused by the surgical act, since no statistically significant connections were found between the changes in blood pressure and the anesthetics used in the research.

scholarly journals Acute benign myositis of childhood: Results of a prospective study performed in a pediatric emergency department

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Vanuza Rosa ◽  
Gabriela Kuzma ◽  
Luana Hornung ◽  
Márcia Bandeira
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Care Providers ◽  
Study Objective ◽  
Gait Abnormality ◽  
The Mean ◽  
A Prospective Study ◽  
Musculoskeletal Involvement

OBJECTIVE: Benign acute childhood myositis is characterized by acute musculoskeletal involvement leading to transient limitations on deambulation followed by a viral illness. Our study objective to evaluate clinical and laboratory features of patients in a pediatric emergency department. METHODOS: We conducted a prospective study in patients with symptoms and laboratory findings compatible with viral myositis in the period of August 2017 to August 2018. RESULTS: We assessed 20 patients in the period of twelve months. The mean age was 8,25 years. Of these, 83,3% had infectious symptoms in the week before the musculoskeletal involvement. By the time of the diagnosis, the symptoms were: calf pain, reluctance to walk, gait abnormality, diffuse myalgia and calf weakness. The most relevant laboratory finding was the elevation of CPK (mean 3359,556U/L) level, followed by AST (mean 131U/L) and ALT (mean 64,66U/L) elevation. The mean time for symptom relief was 3 days and in 7 days all exams were normal. CONCLUSION: Though the exact incidence of this condition remains undetermined, the lower extremity pain and the gait abnormality is of concern of both parents and health care providers. We emphasize the importance of knowing this condition to avoid unnecessary exams and the delay in the diagnosis of severe conditions.

Comparison of Self-Hypnosis and Propranolol in the Treatment of Juvenile Classic Migraine

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 593-597
Author(s):  
Karen Olness ◽  
John T. MacDonald ◽  
Donald L. Uden
Keyword(s):  
Statistical Analysis ◽  
Prospective Study ◽  
Specific Treatment ◽  
The Self ◽  
Objective Measures ◽  
Headache Frequency ◽  
Entire Study ◽  
Headache Severity ◽  
The Mean ◽  
A Prospective Study

In a prospective study we compared propranolol, placebo, and self-hypnosis in the treatment of juvenile classic migraine. Children aged 6 to 12 years with classic migraine who had no previous specific treatment were randomized into propranolol (at 3 mg/kg/d) or placebo groups for a 3-month period and then crossed over for 3 months. After this 6-month period, each child was taught self-hypnosis and used it for 3 months. Twenty-eight patients completed the entire study. The mean number of headaches per child for 3 months during the placebo period was 13.3 compared with 14.9 during the propranolol period and 5.8 during the self-hypnosis period. Statistical analysis showed a significant association between decrease in headache frequency and self-hypnosis training (P = .045). There was no significant change in subjective or objective measures of headache severity with either therapy.

A Prospective Study of Dietary Calcium and Other Nutrients and the Risk of Symptomatic Kidney Stones

2021 ◽  
pp. 189-192
Author(s):  
Michael S. Borofsky ◽  
Vincent G. Bird
Keyword(s):  
Observational Study ◽  
Prospective Study ◽  
Kidney Stones ◽  
Calcium Intake ◽  
Dietary Calcium ◽  
Stone Disease ◽  
Dietary Calcium Intake ◽  
History Of ◽  
The Mean ◽  
A Prospective Study

This chapter reviews the results of an important observational study seeking to establish how, in individuals without a history of nephrolithiasis, dietary calcium intake is associated with the risk of symptomatic stone disease. The study found that the mean daily dietary calcium intake was lower in the group who formed stones compared to those who did not and that, after adjusting for covariates, high daily dietary calcium intake was strongly associated with decreased risk of stones.

scholarly journals Epistaxis as a marker for severe acute respiratory syndrome coronavirus-2 status – a prospective study

2020 ◽  
Vol 134 (8) ◽  
pp. 717-720 ◽  
Author(s):  
MH Hussain ◽  
M Mair ◽  
P Rea
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Prospective Study ◽  
Control Group ◽  
Study Group ◽  
Chain Reaction ◽  
Polymerase Chain Reaction Testing ◽  
The Mean ◽  
Polymerase Chain ◽  
The Difference ◽  
A Prospective Study

AbstractObjectiveTo evaluate the prevalence of severe acute respiratory syndrome coronavirus-2 infection in patients presenting with epistaxis to a tertiary otolaryngology unit.MethodsA prospective study was conducted of 40 consecutive patients presenting with epistaxis referred to our tertiary otolaryngology unit. A group of 40 age-matched controls were also included. All patients underwent real-time reverse transcriptase polymerase chain reaction testing for severe acute respiratory syndrome coronavirus-2. Symptoms of fever, cough and anosmia were noted in the study group.ResultsThe mean age was 66.5 ± 22.4 years in the study group. There were 22 males (55 per cent) and 18 females (45 per cent). The mean age in the control group was 66.3 ± 22.4 years (p = 0.935). There were six positive cases for severe acute respiratory syndrome coronavirus-2 (15 per cent) in the epistaxis group and one case (2.5 per cent) in the control group. The difference was statistically significant (p = 0.05).ConclusionEpistaxis may represent a presenting symptom of severe acute respiratory syndrome coronavirus-2 infection. This may serve as a useful additional criterion for screening patients.

Assessment of scapholunate instability with dynamic computed tomography

2019 ◽  
Vol 45 (4) ◽  
pp. 375-382 ◽  
Author(s):  
Lionel Athlani ◽  
Kamel Rouizi ◽  
Jonathan Granero ◽  
Gabriela Hossu ◽  
Alain Blum ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Gap Size ◽  
Dynamic Computed Tomography ◽  
Level Of Evidence ◽  
Plain Radiographs ◽  
Scapholunate Instability ◽  
The Mean ◽  
A Prospective Study

We performed a prospective study to evaluate the values of dynamic four-dimensional computed tomography in assessing suspected chronic scapholunate instability. Forty patients were evaluated with radiographs, arthrography, and four-dimensional computed tomography. On plain radiographs and computed tomography, we found 16 patients with definite scapholunate instability, five with questionable scapholunate instability, and 19 with absence of scapholunate instability. We used four-dimensional computed tomography to evaluate the size of the scapholunate gap during radioulnar deviation. The mean and maximal values of the gap size were lowest in the patients with absence of scapholunate instability and highest in those with definite scapholunate instability. When comparing the scapholunate gap sizes of the patients with absent and questionable scapholunate instability, the range of the gap sizes was significantly higher in the patients with questionable scapholunate instability. We conclude that four-dimensional computed tomography aids assessment of chronic scapholunate instability, which allows the differentiation between patients without and those with definite or questionable scapholunate instability. Level of evidence: II

Risk Factors for Surgical-Wound Infection in General Surgery: A Prospective Study

1997 ◽  
Vol 18 (5) ◽  
pp. 310-315 ◽  
Author(s):  
Maxima Lizán-García ◽  
Juan García-Caballero ◽  
Angel Asensio-Vegas
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Wound Infection ◽  
General Surgery ◽  
Surgical Wound Infection ◽  
Surgical Wound ◽  
A Prospective Study

scholarly journals Involvement of Workers in Closed and Semiclosed Institutions in Outbreaks of Acute Gastroenteritis Due to Norovirus

Viruses ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 1392
Author(s):  
Ignacio Parrón ◽  
Irene Barrabeig ◽  
Miquel Alseda ◽  
Thais Cornejo-Sánchez ◽  
Susana Guix ◽  
...  
Keyword(s):  
Prospective Study ◽  
Confidence Intervals ◽  
Personal Hygiene ◽  
Occupational Category ◽  
Hygiene Measures ◽  
The Mean ◽  
The Difference ◽  
Rate Ratios ◽  
A Prospective Study ◽  
Mean Cycle

Norovirus outbreaks frequently occur in closed or semiclosed institutions. Recent studies in Catalonia and various countries indicate that, during outbreaks in these institutions, norovirus is detected in between 23% and 60% of workers, and the prevalence of infection in asymptomatic workers involved in outbreaks ranges from 17% to 40%. In this work, we carried out a prospective study to investigate the involvement of workers in closed and semiclosed institutions during outbreaks. The attack rates (ARs) and the rate ratios (RRs) were calculated according to the type of transmission and occupational category. The RRs and 95% confidence intervals (CIs) between workers and users were calculated. The mean cycle of quantification (Cq) values were compared according to the genogroup and the presence of symptoms. ARs were higher in person-to-person transmission than in common vehicle outbreaks, and 38.8% of workers were symptomatic. The RR between workers and users was 0.46 (95% CI 0.41–0.52). The ARs in workers were high, particularly in workers with closer contact with users. The mean Cq was lower in patients than in asymptomatic infected persons, although the difference was only significant for genogroup I (GI). The frequency of asymptomatic infected persons suggests that personal hygiene measures should be followed by all workers in the centers affected.

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