scholarly journals Erratum

1996 ◽  
Vol 116 (3) ◽  
pp. 383-383
Keyword(s):  
General Hospital ◽  
Broad Spectrum ◽  
Varicose Veins ◽  
District General Hospital ◽  
Operating Theatre ◽  
Necrotising Fasciitis ◽  
Tissue Sections ◽  
Intravenous Antibiotics ◽  
Epidemiol Infect ◽  
Gram Positive Cocci

Epidemiol. Infect. 115 (1995), 387–97K.Cartwright, M.Logan, C.McNulty, S.Harrison, R. George, A.Efstratiou, M.McEvoy and N.BeggA cluster of cases of streptococcal necrotising fasciitis in GloucestershirePage 389,final paragraph should read:Patient BThree days later (7 February), patient B underwent a routine sapheno-femoral disconnection for varicose veins in the same operating theatre. In the evening she developed diarrhoea which persisted overnight; gastroenteritis was suspected. Early the next morning she was re-examined by her surgeon and was transferred to the district general hospital at about midday. NF was suspected, broad-spectrum intravenous antibiotics were commenced and surgery arranged. The diagnosis was confirmed at operation. The affected tissues were excised and specimens sent for culture and histology. Chains of Gram-positive cocci were seen in tissue sections and later, S. pyogenes was isolated.

Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service district general hospital

2009 ◽  
Vol 24 (3) ◽  
pp. 108-113 ◽  
Author(s):  
P Marsh ◽  
J Holdstock ◽  
C Harrison ◽  
C Smith ◽  
B A Price ◽  
...  
Keyword(s):  
General Hospital ◽  
Varicose Veins ◽  
Duplex Ultrasound ◽  
District General Hospital ◽  
Hospital Unit ◽  
Female Patients ◽  
Pelvic Vein ◽  
One Year ◽  
Unit Unit ◽  
Vein Reflux

Objectives Mounting evidence suggests that pelvic vein reflux is an important contributing factor to recurrent varicose veins. We compared the incidence in our specialist private unit (Unit A) with that of a District General Hospital (Unit B). Methods Results of all female patient lower limb duplex ultrasound (LLDUS) and transvaginal pelvic ultrasound (TVUS) scans performed over a one-year period were retrospectively reviewed. Patients with refluxing veins emanating from the abdomen or pelvis on LLDUS (non-saphenous reflux) routinely proceeded to TVUS in Unit A. Results In Unit A, non-saphenous reflux on LLDUS was present in 90–462 female patients (19.5%). In 81.1% of these, TVUS confirmed reflux in truncal pelvic veins (incidence 15.8%). In Unit B, non-saphenous reflux was present in 60–279 female patients (21.5%). Conclusion One in five women presenting with varicose veins have reflux of non-saphenous origin. This is the case in specialist and non-specialist units. One in six has associated pelvic vein reflux.

Audit of management of periorbital cellulitis and abscess in a district general hospital and a tertiary referral centre, in line with published guidelines

2010 ◽  
Vol 124 (6) ◽  
pp. 636-640 ◽  
Author(s):  
N Dhillon ◽  
N Jones ◽  
N Fergie
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
Information Support ◽  
Online Information ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Daily Monitoring ◽  
Retrospective Audit ◽  
Intravenous Antibiotics

AbstractObjective:To audit the management of periorbital cellulitis or abscess, in line with guidelines published in 2004, within a district general hospital and a tertiary referral centre.Method:Retrospective audit analysing 58 cases at a district general hospital and 61 cases at a tertiary referral centre, encountered since 2004.Results:At the tertiary referral centre, 22 patients were diagnosed with pre-septal cellulitis and discharged, as were 20 cases at the district general hospital. At the tertiary referral centre, 95 per cent of patients were correctly seen by an ophthalmologist and 82 per cent by a senior ENT surgeon, compared with 63 and 39 per cent, respectively, at the district general hospital. In both centres, one patient did not receive a computed tomography scan where this was indicated. Despite the need for twice daily monitoring of ophthalmological criteria, both sites lacked 100 per cent compliance. At the tertiary referral centre, 76 per cent of patients were correctly treated with intravenous antibiotics, compared with 68 per cent at the district general hospital.Conclusion:At both sites, adherence to guidelines was suboptimal. Management may be improved through improved education and online information support.

Day Case Varicose Vein Operations: Patient Suitability and Satisfaction

1995 ◽  
Vol 10 (3) ◽  
pp. 103-105 ◽  
Author(s):  
S. Ramesh ◽  
H. N. Umeh ◽  
R. B. Galland
Keyword(s):  
Postoperative Pain ◽  
General Hospital ◽  
Varicose Vein ◽  
Varicose Veins ◽  
District General Hospital ◽  
Separate Group ◽  
Day Case ◽  
District Nurse ◽  
Varicose Vein Operation ◽  
Discharge From Hospital

Objectives: To define how many patients with varicose veins are suitable to have the operation carried out as a day case. To define how well the procedure is tolerated. Design: A prospective 6-month study. Setting: District General Hospital. Patients: One hundred and sixty-eight new patients and a separate group of 100 patients having a day case varicose vein operation. Interventions: New patients were assessed according to RCS guidelines. Postoperatively, patients completed a one-page questionnaire. Results: Of the 168 patients, 141 (84%) were suitable for a day case operation. The main indications for an overnight stay were associated medical conditions and social problems. Of the 100 patients having an operation, 90 stated they would have a similar procedure carried out as a day case again. In the first 2 postoperative weeks, 12 patients saw their GP and three a district nurse. No patients contacted their GP before the fifth postoperative day. Twenty-eight patients took no analgesia following discharge from hospital; 81 felt that their postoperative pain was less than or as they expected. Conclusion: Most patients with varicose veins are suitable to have a day case procedure, which is well tolerated and provides no additional workload for the GP.

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