scholarly journals Results of using the infection avoidance Protocol for postoperative wounds in spinal surgery

2020 ◽  
Vol 22 (3) ◽  
pp. 51-56
Author(s):  
A. A. Grin ◽  
A. K. Kaykov ◽  
A. Yu. Kordonskiy ◽  
V. A. Karanadze ◽  
O. A. Levina ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Wound Infection ◽  
Spinal Surgery ◽  
Retrospective Cohort ◽  
Subcutaneous Fat ◽  
Control Group ◽  
Postoperative Wound Infection ◽  
Study Objective ◽  
Postoperative Wound

Background. We developed a Protocol based on the results of a previous study of risk factors for infection of a postoperative wound: do not use monopolar coagulation on the skin and subcutaneous fat; remove hemostatic material from the wound; relax the established wound expander every 65 minutes; refuse to suture the muscles in the area of laminectomy, refuse to use an intradermal suture.The study objective is a verification of the received Protocol.Materials and methods. A comprehensive retrospective cohort study evaluated the results of surgical treatment of 575 spinal patients who were under the authors’ supervision in 2014–2016. Patients were divided into groups: operated in the period from 2014 to 2016 (control group), operated in 2017, in the treatment of which the Protocol for reducing complications was applied (main group).Results. It was found that after the introduction of the Protocol, the percentage of patients with postoperative wound infection decreased from 6.0 to 1.3 %.Conclusion. The resulting Protocol is an effective tool for reducing wound infection and can be recommended for prevention of the postoperative wound infection in patients with spinal with diseases and injuries.

Wound Infection After Cesarean Section

1986 ◽  
Vol 7 (9) ◽  
pp. 456-461 ◽  
Author(s):  
Hedvig Pelle ◽  
Ole B. Jepsen ◽  
Severin O. Larsen ◽  
Jens Bo ◽  
Flemming Christensen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Postoperative Wound Infection ◽  
Cesarean Sections ◽  
Infection Rates ◽  
Intrauterine Devices ◽  
Prospective Multicenter Study ◽  
Postoperative Wound ◽  
Factors Associated ◽  
Related Risk

AbstractA prospective multicenter study of 1,032 cesarean sections was performed to identify risk factors for postoperative wound infection. The overall rate of wound infection was 6.6% (3.8% in elective cases and 7.5% following nonelective operations), with considerable interhospital variation. Obesity was recognized as a patient-related risk factor, while risk factors inherent to the obstetric situation were duration of ruptured membranes prior to operation, fetal and labor monitoring by intrauterine devices, and omission of the use of plastic draping and redisinfection of the skin before closure. Logistic regression analysis was used to estimate the influence of these factors on the probability of wound infection. Certain risk factors associated with and overrepresented in nonelective operations would explain the increased infection rates in these, and the observed interhospital variations did not differ from the expected rates when the distribution of other risk factors was considered.

scholarly journals Pengaruh Pemberian Antibiotik Profilaksis Sefazolin, Seftriakson dan Antibiotik Seftriakson Sebelum dan Sesudah Operasi Terhadap Infeksi Luka Pasca Operasi

2020 ◽  
Vol 4 (1) ◽  
pp. 77-86
Author(s):  
Herti Marni ◽  
Dovy Djanas ◽  
Hafni Bachtiar
Keyword(s):  
Wound Infection ◽  
Univariate Analysis ◽  
Prophylactic Antibiotic ◽  
Prophylactic Antibiotics ◽  
Bivariate Analysis ◽  
Control Group ◽  
Postoperative Wound Infection ◽  
Control Group Design ◽  
Postoperative Wound ◽  
Before And After

Objective : To determine the effect of giving prophylactic antibiotic ceftriaxone and cefazolin and giving ceftriaxone before and after surgery to the risk of postoperative wound infection in postoperative patients.Method: This study was an experimental study with a post test control group design that looked at the differences in the effect of administration of ceftriaxone, cefazolin, and ceftriaxone before and after surgery on the risk of postoperative wound infection. The population in this study were patients planned for surgery in the Obstetric and Gynelologic Departement of Dr. M. Djamil General Hopital, Padang. The number of samples used by 30 people with a group of 10 people each group. The study began in August until the number of samples was fulfilled. Univariate analysis was used to see the frequency, percentage, mean, and standard deviation. Bivariate analysis using Chi-square test with 95% CI (α <0.05) was used to see differences in the effect of the three antibiotic procedures.Results: There were no cases of postoperative wound infection based on the three procedures used. There was no difference in the effect of prophylactic antibiotics in postoperative infections. Conclusion: There was no difference in the effect of the three procedures for prophylactic antibiotics in postoperative infections.Keywords: Prophylactic Antibiotics, Surgical Wound Infections, Cefazolin, Ceftriaxone, Superficial incisional SSI

Improved Survival Associated with Postoperative Wound Infection in Laryngeal Cancer: An Analysis of Its Therapeutic Implications

1980 ◽  
Vol 88 (4) ◽  
pp. 412-417 ◽  
Author(s):  
Stimson P. Schantz ◽  
Emanuel M. Skolnik ◽  
John V. O'neill
Keyword(s):  
Wound Infection ◽  
Laryngeal Cancer ◽  
Survival Rates ◽  
Tumor Burden ◽  
Control Group ◽  
Postoperative Wound Infection ◽  
Infection Group ◽  
Recurrent Cancer ◽  
Postoperative Wound ◽  
Therapeutic Implications

A retrospective analysis revealed improved survival rates in laryngeal cancer patients who had postoperative wound infection following total laryngectomy and radical neck resection. The overall five-year survival rates were 44% in the infection group and 31% in the control group. On further analysis, the beneficial effect of infection was most evident in patients with stage III disease. Seventy-three percent of these patients with wound infection were alive at five years, compared with 32% of the control group. The protection from recurrent cancer in these patients afforded by the bacterial contamination may be secondary to activated immune mechanisms. The therapeutic implications of our findings suggest that the immune adjuvant is given at the time of surgical treatment rather than when tumor burden is far advanced. Only a few such protocols are under analysis presently.

scholarly journals A randomised controlled trial comparing the efficacy of single dose prophylactic ceftriaxone versus post-operative ciprofloxacin and metronidazole combination in reducing post-operative wound infection after clean surgeries

2018 ◽  
Vol 5 (12) ◽  
pp. 3864
Author(s):  
S. Vasu ◽  
Kshir Sagar
Keyword(s):  
Single Dose ◽  
Side Effects ◽  
Wound Infection ◽  
Medical Science ◽  
Research Centre ◽  
Control Group ◽  
Routine Practice ◽  
Study Group ◽  
Postoperative Wound Infection ◽  
Postoperative Wound

Background: Surgical site infections were considered to be the major contributor to increased morbidity and mortality in clean surgeries. Many studies prove that single dose prophylaxis is more effective than multiple dosing. No data currently exist about comparative efficacy of single dose prophylactic ceftriaxone with postoperative ciprofloxacin and metronidazole combination in reducing postoperative wound infection after clean surgeries. Hence the present study was done to compare their efficacy in terms rate of incidence of wound infection and side effects.Methods: This prospective study was done on 120 patients who were selected for clean surgeries at Sapthagiri Institute of Medical Science and Research Centre, Bengaluru during the period from April 2015 and March 2016. 60 patients received single dose of ceftriaxone prophylactically and considered as study group and other 60 patients received combination of ciprofloxacin and metronidazole postoperatively for 5-7 days and considered as control group. The efficacy of drugs was estimated in terms of reducing the incidence of wound infection.Results: The wound infection rate was 13.33% in the study group and 28.33% in control. Staphylococcus aureus was the most common organism isolated from wound discharge. However, gram negative organism accounted for majority of infections. There were no major side effects encountered in either of the groups.Conclusions: The study concludes that single dose ceftriaxone can be widely applied in the routine practice in clean surgeries. The single dose ceftriaxone showed many advantages over the control group in terms of Reduced the incidence of postoperative wound infection with no major side effects.

Outcome of Single Dose Prophylactic Antibiotic in Carpal Tunnel Release Surgery

2020 ◽  
Author(s):  
Inayat Ali Khan
Keyword(s):  
Single Dose ◽  
Wound Infection ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Prophylactic Antibiotic ◽  
Postoperative Wound Infection ◽  
Study Objective ◽  
Postoperative Wound ◽  
Compressive Neuropathy ◽  
Carpal Tunnel Release Surgery

Background: It has been well documented that administering a prophylactic antibiotic brings down the rate of postoperative wound infection very strikingly in carpal tunnel release (CTR) surgery. Carpal tunnel syndrome (CTS) is definitely a compressive neuropathy of the upper limbs, which is both benign and frequent. The study objective was to determine the postoperative wound infection rate in carpal tunnel release surgery after having administered a single dose of a prophylactic antibiotic. Methods: This cross-sectional study was carried out at the department of Neurosurgery, Dammam Medical Complex-Saudi Arabia. The study was based on 122 patients who were operated for carpal tunnel release procedures at the centre. Pre-operatively all patients were subjected to nerve conduction studies (NCS) to document CTS as the definitive diagnosis. As a routine, every patient was administered intravenous loading dose of cefuroxime (1.5g) at least 1 hour prior to surgery. All patients were treated as day care cases and were discharged after a few hours of surgery. On discharge, no further antibiotics were administered. Their wounds were examined. Results: Superficial redness over the site of incision was noted in three of the patients and wound infection in two others. These two patients improved with oral antibiotics. Not a single patient needed re-exploration. Conclusion: The current study showed that this is an efficacious and a very safe protocol to follow. Assuming the fact that the incidence of surgical site infection (SSI) in CTR surgery is low, the results were not different when compared to the results from other centres.

scholarly journals A case-control study of risk factors for wound infection in a colorectal unit

2014 ◽  
Vol 96 (1) ◽  
pp. 37-40 ◽  
Author(s):  
K Power ◽  
MM Davies ◽  
R Hargest ◽  
S Phillips ◽  
J Torkington ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Wound Infection ◽  
Open Surgery ◽  
Conditional Logistic Regression ◽  
Control Group ◽  
Obese Patients ◽  
Wound Infections ◽  
Postoperative Wound

INTRODUCTION Postoperative wound infections have been responsible for increasing morbidity and are associated with an increased use of hospital resources. Previous studies have identified several risk factors. However, most studies are outdated, and few relate to the era of enhanced recovery and laparoscopic surgery. This study investigated the association between patient and operative factors and the development of postoperative wound infections in colorectal surgery. METHODS Patients with documented wound infections or dehiscences were identified from a database of elective and emergency colorectal surgery. Patients with wound infections were matched by operation type to a control group of colorectal patients. Differences in patient and operative factors between case and control group were analysed using conditional logistic regression. RESULTS A total of 56 patients with wound infection were identified from 647 operations (8.6%). Fifty-seven per cent were emergency operations and eighty-eight per cent were performed as open surgery or as laparoscopic surgery converted to open. Forty per cent of patients had high ASA (American Society of Anesthesiologists) grades (3 or 4). Multivariate logistical regression showed that obese patients and those having open surgery had the highest risk of infections. The median postoperative hospital stay for patients with wound infections was twice as long as for those patients without wound infections. CONCLUSIONS Open surgery and obesity are independent risk factor for wound infections. An increase in laparoscopically performed operations and new strategies for managing wounds in obese patients may help to reduce the rate of wound infection.

An Analysis of Dental Implants Survival and Success

2018 ◽  
Vol 69 (9) ◽  
pp. 2465-2466
Author(s):  
Iustin Olariu ◽  
Roxana Radu ◽  
Teodora Olariu ◽  
Andrada Christine Serafim ◽  
Ramona Amina Popovici ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Medical History ◽  
Retrospective Cohort Study ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Demographic Data ◽  
Kaplan Meier ◽  
Number Of Patients ◽  
Health Related

Osseointegration of a dental implant may encounter a variety of problems caused by various factors, as prior health-related problems, patients� habits and the technique of the implant inserting. Retrospective cohort study of 70 patients who received implants between January 2011- April 2016 in one dental unit, with Kaplan-Meier method to calculate the probability of implants�s survival at 60 months. The analysis included demographic data, age, gender, medical history, behavior risk factors, type and location of the implant. For this cohort the implants�survival for the first 6 months was 92.86% compared to the number of patients and 97.56% compared to the number of total implants performed, with a cumulative failure rate of 2.43% after 60 months. Failures were focused exclusively on posterior mandible implants, on the percentage of 6.17%, odds ratio (OR) for these failures being 16.76 (P = 0.05) compared with other localisations of implants, exclusively in men with median age of 42 years.

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