Basic principles of soft tissue surgery

ObjectivesTo determine (1) the incidence of surgical site infection (SSI) in patients undergoing soft tissue surgery at a veterinary teaching hospital and to study (2) and describe the main risk factors associated with SSI and (3) assess the economic impact of SSI.DesignProspective cohort study.SettingVeterinary teaching hospital.Participants184 dogs undergoing soft tissue surgery during a 12-month period (October 2013 to September 2014).Primary outcome measureSurgical site infection.ResultsOut of the 184 patients analysed, SSI was diagnosed in 16 (8.7 per cent) patients, 13 (81.3 per cent) were classified as superficial incisional infection, 2 (12.5 per cent) as deep incisional infection and 1 (6.3 per cent) as organ/space infection. The administration of steroidal anti-inflammatory drugs (P=0.028), preoperative hyperglycaemia (P=0.015), surgical times longer than 60 minutes (P=0.013), urinary catheterisation (P=0.037) and wrong use of the Elizabethan collar (P=0.025) were identified as risk factors. Total costs increased 74.4 per cent, with an increase in postsurgical costs of 142.2 per cent.ConclusionsThe incidence of SSI was higher than the incidence reported in other published studies, although they were within expected ranges when a surveillance system was implemented. This incidence correlated with an increase in costs. Additionally new important risk factors for its development were detected.

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Reptile Soft Tissue Surgery

Veterinary Clinics of North America Exotic Animal Practice ◽

10.1016/j.cvex.2015.08.010 ◽

2016 ◽

Vol 19 (1) ◽

pp. 97-131 ◽

Cited By ~ 16

Author(s):

Nicola Di Girolamo ◽

Christoph Mans

Keyword(s):

Soft Tissue ◽

Soft Tissue Surgery

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Principles of Empirical and Therapeutic Antimicrobial Therapy

10.2310/vasc.2162 ◽

2015 ◽

Author(s):

Paul Waltz ◽

Matthew R Rosengart ◽

Brian S. Zuckerbraun

Keyword(s):

Soft Tissue ◽

Antimicrobial Therapy ◽

Surgical Patient ◽

Soft Tissue Infections ◽

Basic Principles ◽

Tokyo Guidelines ◽

High Risk Factors ◽

Surgical Infections ◽

Necrotizing Soft Tissue Infections ◽

Abdominal Infections

The goal of this review is to discuss basic principles for the appropriate use of antibiotics in the surgical patient, largely focusing on the treatment of intra-abdominal infections. Limited pharmacologic data on common antibiotics are provided. Current reference sources and institutional guidelines should be used for specifics on dosing and administration. This review covers general principles, including treatment of surgical infections, laboratory tests, pharmacokinetics and pharmacodynamics, adverse reactions, antimicrobial resistance, and antibiotic prophylaxis in surgical patients. In addition, specific considerations of appropriate antimicrobial therapy, such as acute cholecystitis/cholangitis, pancreatitis, appendicitis, diverticulitis, Clostridium difficile, and skin and soft tissue infections are presented. Tables list high-risk factors in intra-abdominal infections, empirical antibiotic based on risk stratification for the treatment of community-acquired intra-abdominal infections, dose adjustments for obese patients, most common isolated pathogens from intra-abdominal infections, 2005–2010, with resistance trends, adaptation of Tokyo guidelines on severity scoring and recommended antimicrobial therapy, and recommended antibiotics for necrotizing soft tissue infections. This review contains 6 tables and 56 references

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