scholarly journals Neither Bacteriuria nor Urinary Tract Infection Increase the Risk of Surgical Site Infection in Cardiac Surgery

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Patricia Reyes ◽  
Jorge Cortes ◽  
Diana Bermudez ◽  
Juan Duarte
Keyword(s):  
Urinary Tract Infection ◽  
Cardiac Surgery ◽  
Urinary Tract ◽  
Tract Infection ◽  
Surgical Site Infection ◽  
Site Infection

Nosocomial Infections in Surgical Patients in the United States, January 1986-June 1992

1993 ◽  
Vol 14 (2) ◽  
pp. 73-80 ◽  
Author(s):  
Teresa C. Horan ◽  
David H. Culver ◽  
Robert P. Gaynes ◽  
William R. Jarvis ◽  
Jonathan R. Edwards ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nosocomial Infection ◽  
Surgical Site Infection ◽  
Bloodstream Infection ◽  
Nosocomial Infections ◽  
The United States ◽  
Surgical Patients ◽  
Site Infection

AbstractObjectives:To describe the distribution of nosocomial infections among surgical patients by site of infection for different types of operations, and to show how the risk of certain adverse outcomes associated with nosocomial infection varied by site, type of operation, and exposure to specific medical devices.Design:Surveillance of surgical patients during January 1986-June 1992 using standard definitions and protocols for both comprehensive (all sites, all operations) and targeted (all sites, selected operations) infection detection.Setting and Patients:Acute care US hospitals participating in the National Nosocomial Infection Surveillance (NNIS) System: 42,509 patients with 52,388 infections from 95 hospitals using comprehensive surveillance protocols and an additional 5,659 patients with 6,963 infections from 11 more hospitals using a targeted protocol.Results:Surgical site infection was the most common nosocomial infection site (37%) when data were reported by hospitals using the comprehensive protocols. When infections reported from both types of protocols were stratified by type of operation, other sites were most frequent following certain operations (e.g., urinary tract infection after joint prosthesis surgery [52%]). Among the infected surgical patients who died, the probability that an infection was related to the patient's death varied significantly with the site of infection, from 22% for urinary tract infection to 89% for organ/space surgical site infection, but was independent of the type of operation performed. The probability of developing a secondary bloodstream infection also varied significantly with the primary site of infection, from 3.1% for incisional surgical site infection to 9.5% for organ/space surgical site infection (p<.001). For all infections except pneumonia, the risk of developing a secondary bloodstream infection also varied significantly with the type of operation performed (p<.00l) and was generally highest for cardiac surgery and lowest for abdominal hysterectomy. Surgical patients who developed ventilator-associated pneumonia were more than twice as likely to develop a secondary bloodstream infection as nonventilated pneumonia patients (8.1% versus 3.3%, p<.001).Conclusions:For surgical patients with nosocomial infection, the distribution of nosocomial infections by site varies by type of operation, the frequency with which nosocomial infections contribute to patient mortality varies by site of infection but not by type of operation, and the risk of developing a secondary bloodstream infection varies by type of primary infection and, except for pneumonia, by type of operation.

scholarly journals Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis

JRSM Open ◽  
2017 ◽  
Vol 8 (3) ◽  
pp. 205427041667508 ◽  
Author(s):  
Rafik RD Yassa ◽  
Mahdi Y Khalfaoui ◽  
Karunakar Veravalli ◽  
D Alun Evans
Keyword(s):  
Urinary Tract Infection ◽  
Risk Factor ◽  
Urinary Tract ◽  
Hip Fracture ◽  
Tract Infection ◽  
Surgical Site Infection ◽  
Site Infection ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Tract Infections

Objective The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. Design A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data. Setting UK University Teaching Hospital Participants All patients ( n = 460) presenting across a single year study period with a confirmed hip fracture. Outcome measures The presence of pre-operative urinary tract infection, the timing of surgical intervention, the occurrence of post-operative surgical site infection and the pathogens identified. Results A total of 367 patients were operated upon within 24 hours of admission. Urinary infections were the least common cause of delay. A total of 99 patients (21.5%) had pre-operative urinary tract infection. Post-operatively, a total of 57 (12.4%) patients developed a surgical site infection. Among the latter, 31 (54.4%) did not have a pre-operative urinary infection, 23 (40.4%) patients had a pre-operative urinary tract infection, 2 had chronic leg ulcers and one patient had a pre-operative chest infection. Statistically, there was a strong relationship between pre-operative urinary tract infection and the development of post-operative surgical site infection ( p-value: 0.0005). Conclusion The results of our study indicate that pre-operative urinary tract infection has a high prevalence amongst those presenting with neck of femur fractures, and this is a risk factor for the later development of post-operative surgical site infection.

scholarly journals Postoperative urinary tract infection and surgical site infection in instrumented spinal surgery: is there a link?

2014 ◽  
Vol 20 (8) ◽  
pp. 768-773 ◽  
Author(s):  
S. Núñez-Pereira ◽  
D. Rodríguez-Pardo ◽  
F. Pellisé ◽  
C. Pigrau ◽  
J. Bagó ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Surgical Site Infection ◽  
Spinal Surgery ◽  
Site Infection

scholarly journals Association between radical cystectomy prophylactic antimicrobial regimen and postoperative infection

2021 ◽  
Vol 15 (12) ◽  
Author(s):  
James Paul Joseph Ross ◽  
Rodney H. Breau ◽  
Humberto Vigil ◽  
Duane R. Hickling ◽  
Jonathan B. Angel ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Surgical Site Infection ◽  
Radical Cystectomy ◽  
Postoperative Infection ◽  
Antimicrobial Prophylaxis ◽  
Prophylactic Antibiotic ◽  
Site Infection ◽  
Antimicrobial Regimen

Introduction: Infections are common after radical cystectomy. The objective of this study was to determine the association between antimicrobial prophylactic regimen and infection after radical cystectomy. Methods: A retrospective cohort study was performed on patients who underwent radical cystectomy at one tertiary Canadian center between January 2016 and April 2020. Patients received antimicrobial prophylaxis based on surgeon preference (cefazolin/metronidazole or ampicillin/ciprofloxacin/metronidazole or other). A univariable and multivariable logistic regression model was created to determine the association between antimicrobial regimen and postoperative infection within 30 days. The association between patient demographic factors, as well as preoperative and intraoperative variables and infection was also determined. Infection characteristics, including type, timing, and antimicrobial susceptibilities were reported. Results: One hundred and sixty-five patients were included. Mean age was 69.8 years, 121 (73.3%) were male, and 72 (43.6%) received orthotopic neobladder diversion. Ninety-six patients (58%) received cefazolin/metronidazole prophylaxis, 50 (30%) received ampicillin/ciprofloxacin/metronidazole, and 19 (11.5%) received another regimen. Fifty-four patients (32.7%) developed a postoperative infection (surgical site infection or urinary tract infection). Surgical site infection occurred in 35 patients (21.2%) and urinary tract infection occurred in 34 (21.0%). There was no association between antimicrobial regimen and incidence of postoperative infection (surgical site infection or urinary tract infection, relative risk [RR] 0.99, 95% confidence interval [CI] 0.50–1.99). Conclusions: The overall incidence of infection was 32.7% following radical cystectomy. The preoperative prophylactic antibiotic regimen used was not associated with incidence of postoperative infection.

scholarly journals Probiotics Used for Postoperative Infections in Patients Undergoing Colorectal Cancer Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Chongxiang Chen ◽  
Tianmeng Wen ◽  
Qingyu Zhao
Keyword(s):  
Colorectal Cancer ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Surgical Site Infection ◽  
Postoperative Infection ◽  
Meta Analysis ◽  
Site Infection ◽  
Postoperative Infections ◽  
Colorectal Cancer Surgery

Objective. The objective of this study was to conduct a systematic review and meta-analysis about probiotics to improve postoperative infections in patients undergoing colorectal cancer surgery. Methods. The PubMed and the Web of Science were used to search for appropriate randomized clinical trials (RCTs) comparing probiotics with placebo for the patients undergoing colorectal cancer surgery. The RevMan 5.3 was performed for meta-analysis to evaluate the postoperative infection, including the total infection, surgical site infection, central line infection, pneumonia, urinary tract infection, septicemia, and postoperative leakage. Results. Our meta-analysis included 6 studies involving a total of 803 patients. For the incidence of total postoperative infection (odd ratios (OR) 0.31, 95% confidence interval (CI) 0.15–0.64, I2=0%), surgical site infection (OR 0.62, 95% CI 0.39–0.99, I2=11%), central line infection (OR 0.61, 95% CI 0.15–2.45, I2=65%), pneumonia (OR 0.36, 95% CI 0.18–0.71, I2=0%), urinary tract infection (OR 0.26, 95% CI 0.11–0.60, I2=26%), septicemia (OR 0.28, 95% CI 0.17–0.49, I2=10%), postoperative leakage (OR 0.45, 95% CI 0.06–3.27, I2=68%), the results showed that the incidences of infections were significantly lower in the probiotics group than the placebo group. Conclusions. Probiotics is beneficial to prevent postoperative infections (including total postoperative infection, surgical site infection, pneumonia, urinary tract infection, and septicemia) in patients with colorectal cancer.

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