scholarly journals Negative Pressure Incision Management System in the Prevention of Groin Wound Infection in Vascular Surgery Patients

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Jan H. Koetje ◽  
Karsten D. Ottink ◽  
Iris Feenstra ◽  
Wilbert M. Fritschy
Keyword(s):  
Vascular Surgery ◽  
Negative Pressure ◽  
Surgical Site Infections ◽  
Surgical Patients ◽  
Management Systems ◽  
Wound Infections ◽  
Site Infection ◽  
Surgical Wound ◽  
Postoperative Wound ◽  
Emergency Procedures

Objectives. Groin wounds following vascular surgery are highly susceptible to healing disturbances, with reported site infections reaching 30%. Negative pressure incision management systems (NPIMS) are believed to positively influence the prevention of surgical wound-healing disturbances (WHD) and surgical site infections (SSI). NPIMS placed directly after closure of the surgical wound is thought to result in fewer infections; we analysed its effect on postoperative wound infections in patients after vascular surgery via the groin.Methods. From May 2012 to March 2013 we included 90 surgical patients; 40 received a NPIMS. All patients with WHDs were labelled and subanalysed for surgical site infection in case of positive microbiological culture. These infections were graded according to Szilagyi. Number of WHDs and SSIs were compared across cohorts.Results. Patient and perioperative characteristics were equal, except for a significantly higher number of emergency procedures among non-NPIMS patients. We found no significant differences in number of WHDs, SSIs, or Szilagyi grades between the two cohorts.Conclusion. The equal number of SSIs across cohorts showed that NPIMS could not reduce the number of surgical site infections after vascular groin surgery.

Wound care

2016 ◽  
Author(s):  
Patricia Davies
Keyword(s):  
Wound Dressing ◽  
Wound Care ◽  
Surgical Site Infections ◽  
Surgical Patients ◽  
Wound Infections ◽  
Site Infection ◽  
Secondary Intention ◽  
Wound Assessment ◽  
Healing Wound ◽  
Operative Assessment

It is imperative that the surgical nurse has a good understanding of wound care, as all surgical patients will have a wound of some description. Prevention of surgical site infection begins with a pre-operative assessment and continues post-operatively with the assessment of the wound dressing and the surgical site. This chapter discusses the physiology of wound healing, wound assessment, and dressings for primary- and secondary-intention wounds. This chapter also outlines the prevention of surgical site infections, and common wound infections and their treatment.

scholarly journals Surgical Perspective of Wound Site Infection at a Tertiary Care Hospital

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 17-23
Author(s):  
Ajaz Ahmad Malik ◽  
Shams Ul Bari ◽  
Sajjid H Bhat ◽  
M Inam Zaroo
Keyword(s):  
Wound Infection ◽  
Tertiary Care ◽  
Hospital Costs ◽  
Surgical Site Infections ◽  
Contributory Factor ◽  
Care Hospital ◽  
Wound Infections ◽  
Site Infection ◽  
Postoperative Wound ◽  
Clean Contaminated

Background: Surgical wound infection is a common postoperative complication and causes significant postoperative morbidity and mortality, prolongs hospital stay, and adds to hospital costs. Aims and objectives: This study was designed and carried out in the Department of General surgery SKIMS Srinagar in order to find infection rate after clean and clean-contaminated surgery in our hospital, to study the clinical profile of patients with surgical site infections (SSI), to find out the common organisms involved in different wound infections and to study the risk factors for postoperative wound Infections. Methods: This study was carried out prospectively in the Department of General and Minimal Access Surgery SKIMS, Srinagar from February 2012 to January 2014 on 117 cases that underwent clean and clean-contaminated surgery. Results: In our study, the frequency of Surgical Site Infection was 13%. The incidence amongst clean surgical cases was 6.5%   and amongst clean-contaminated cases 19.3%. Conclusion: Despite prophylactic use of broad-spectrum antibiotics and the availability of modern surgical and sterilization techniques, postoperative wound infection still remains a major contributory factor of morbidity in patients who underwent surgical procedures. JMS 2018;21(1):17-23

Guideline for Prevention of Surgical Site Infection, 1999

1999 ◽  
Vol 20 (4) ◽  
pp. 247-280 ◽  
Author(s):  
Alicia J. Mangram ◽  
Teresa C. Horan ◽  
Michele L. Pearson ◽  
Leah Christine Silver ◽  
William R. Jarvis ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Disease Control ◽  
Surgical Site Infections ◽  
Wound Infections ◽  
Site Infection ◽  
Surgical Wound ◽  
Control And Prevention ◽  
Centers For Disease Control

The “Guideline for Prevention of Surgical Site Infection, 1999” presents the Centers for Disease Control and Prevention (CDC)'s recommendations for the prevention of surgical site infections (SSIs), formerly called surgical wound infections. This two-part guideline updates and replaces previous guidelines.Part I, “Surgical Site Infection: An Overview,” describes the epidemiology, definitions, microbiology, pathogenesis, and surveillance of SSIs. Included is a detailed discussion of the pre-, intra-, and postoperative issues relevant to SSI genesis.

Group C Streptococcal Surgical Wound Infections Transmitted by an Anorectal and Nasal Carrier

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 235-237
Author(s):  
Donald A. Goldmann ◽  
Sylvia J. Breton
Keyword(s):  
Postoperative Infection ◽  
Wound Infections ◽  
Surgical Wound ◽  
Postoperative Wound ◽  
Nasal Carrier ◽  
Surgical Infection ◽  
Oral Penicillin ◽  
Perianal Dermatitis ◽  
Lancefield Group

Streptococcus equisimilis (Lancefield group C), an unusual cause of nosocomial surgical infection, was isolated from two orthopedic postoperative wound infections. Both operations had been performed by the same surgeon within a three-day period. Examination of the surgeon revealed perianal dermatitis from which S. equisimilis was isolated. The organism was also recovered from the surgeon's nose and rectum. The wound infections responded to treatment with penicillin derivatives. The surgeon was successfully treated with topical bacitracin and oral penicillin and vancomycin. This report documents the pathogenicity of the C Streptococcus in postoperative infection and suggests a possible nosocomial source of the organism.

CDC Definitions of Nosocomial Surgical Site Infections, 1992: A Modification of CDC Definitions of Surgical Wound Infections

1992 ◽  
Vol 13 (10) ◽  
pp. 606-608 ◽  
Author(s):  
Teresa C. Horan ◽  
Robert P. Gaynes ◽  
William J. Martone ◽  
William R. Jarvis ◽  
T. Grace Emori
Keyword(s):  
Surgical Site Infections ◽  
Wound Infections ◽  
Surgical Wound

Anaesthesia for vascular surgery

2017 ◽  
Author(s):  
Jonathan P. Thompson
Keyword(s):  
Vascular Surgery ◽  
Vascular Disease ◽  
Perioperative Care ◽  
Anaesthetic Techniques ◽  
Preoperative Assessment ◽  
Aortic Aneurysms ◽  
Surgical Patients ◽  
General Anaesthetic ◽  
Emergency Procedures ◽  
Cardiovascular Morbidity And Mortality

Vascular surgical patients are at higher risk of cardiovascular morbidity and mortality than other surgical patients, and perioperative care remains challenging. However, vascular surgical practice is changing, with the expanding use of endovascular techniques to treat patients with vascular disease, improvements in medical therapy, and the evolution of evidence-based approaches to preoperative assessment. Preoperative assessment should concentrate on identifying and optimizing potentially correctable medical conditions, in particular cardiovascular disease. Successful outcomes depend on good anaesthetic techniques with emphasis on meticulous attention to detail and maintaining cardiovascular function and stability. Good communication with surgical and radiological colleagues is also vital. Anaesthesia for major vascular surgery also requires expertise in managing major haemorrhage, the use of invasive monitoring and cardioactive drugs, and regional anaesthesia. Knowledge and skills in the use of specific techniques for monitoring and protection against organ dysfunction are required. Endovascular surgery may be performed in dedicated operating suites or within the radiology department so the anaesthetist needs to be aware of considerations for anaesthesia in an isolated environment. This chapter details the management of patients presenting for the commonest major vascular procedures. All aspects of perioperative care for patients with abdominal and thoracic aortic aneurysms, occlusive aortic and peripheral vascular disease, and carotid stenosis are discussed. Anaesthesia for open surgery, endovascular and hybrid procedures, and elective and emergency procedures are included. The benefits of regional and general anaesthetic techniques are considered, where appropriate. The chapter also incorporates the anaesthetic management for less common procedures to treat carotid body tumours, thoracic outlet syndrome, and for thoracoscopic sympathectomy.

Quality improvement initiative: Preventative Surgical Site Infection Protocol in Vascular Surgery

Vascular ◽  
2017 ◽  
Vol 26 (1) ◽  
pp. 47-53 ◽  
Author(s):  
David Parizh ◽  
Enrico Ascher ◽  
Syed Ali Raza Rizvi ◽  
Anil Hingorani ◽  
Michael Amaturo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Vascular Surgery ◽  
Surgical Site Infection ◽  
Infection Rate ◽  
Surgical Site Infections ◽  
Quality Improvement Initiative ◽  
Site Infection ◽  
Surgical Site Infection Rate ◽  
Patient Demographics ◽  
Revascularization Procedures

Objective A quality improvement initiative was employed to decrease single institution surgical site infection rate in open lower extremity revascularization procedures. Summary background data: In an attempt to lower patient morbidity, we developed and implemented the Preventative Surgical Site Infection Protocol in Vascular Surgery. Surgical site infections lead to prolonged hospital stays, adjunctive procedure, and additive costs. We employed targeted interventions to address the common risk factors that predispose patients to post-operative complications. Methods Retrospective review was performed between 2012 and 2016 for all surgical site infections after revascularization procedures of the lower extremity. A quality improvement protocol was initiated in January 2015. Primary outcome was the assessment of surgical site infection rate reduction in the pre-protocol vs. post-protocol era. Secondary outcomes evaluated patient demographics, closure method, perioperative antibiotic coverage, and management outcomes. Results Implementation of the protocol decreased the surgical site infection rate from 6.4% to 1.6% p = 0.0137). Patient demographics and comorbidities were assessed and failed to demonstrate a statistically significant difference among the infection and no-infection groups. Wound closure with monocryl suture vs. staple proved to be associated with decreased surgical site infection rate ( p < 0.005). Conclusions Preventative measures, in the form of a standardized protocol, to decrease surgical site infections in the vascular surgery population are effective and necessary. Our data suggest that there may be benefit in the incorporation of MRSA and Gram-negative coverage as part of the Surgical Care Improvement Project perioperative guidelines.

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