Distribution and Determinant of Post-Operative Wound Infection among Patients underwent Routine Abdominal Surgery

Background: Post-operative wound infection may occur after routine abdominal surgery. Objective: The purpose of the present study was to see the distribution and determinants of post-operative wound infection among the patients underwent routine abdominal surgery. Methodology: This non-randomized clinical trial was conducted in the different surgical units of the Department of Surgery at Sir Sallimullah Medical College & Mitford Hospital, Dhaka, Bangladesh during January 2001 to December 2002 for a period of two (02) years. In the operation theatre, after anaesthesia skin was cleaned with Povidone iodine USP 5% w/w or Spirit (70% methylated spirit in water) or Chlorhexidine. During post-operative period dressing were left undisturbed unless it was felt necessary. Unusual pain in and around the wound was considered to be an indication of infection. A swab was taken from any discharge and was sent for bacteriological examination. Result: In this study, 50 patients were admitted as routine cases and undergone routine abdominal operations in general operation theatre. Out of 50 patients undergone routine abdominal surgery, 5 developed wound infection post operatively. Overall infection rate was 10.0%. In routine abdominal operations, infection was 9.09% in upper midline or extended midline incision, 33.33% in lower midline, 6.25% right subcostal/Kocher's. In routine abdominal operations, the rate of infection in clean contaminated wound was 11.11%, contaminated wound was 33.33%. Wound infection rate was 20.0% cases in patients with malnutrition, 14.28% cases in obesity and 16.66% cases in diabetes mellitus. Conclusion: In conclusion post-operative wound infection is common in routine surgical operation. Bangladesh Journal of Infectious Diseases, June 2019;6(1):16-21

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A Simple Vacuum Dressing Reduces the Wound Infection Rate of Single-Incision Pediatric Endosurgical Appendectomy

JSLS Journal of the Society of Laparoendoscopic Surgeons ◽

10.4293/108680811x13071180406592 ◽

2011 ◽

Vol 15 (2) ◽

pp. 147-150 ◽

Cited By ~ 11

Author(s):

Oliver J. Muensterer ◽

Richard Keijzer

Keyword(s):

Wound Infection ◽

Infection Rate ◽

Single Incision ◽

Wound Infection Rate

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Post-Operative Infection Following Hand Surgery

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(05)80137-8 ◽

1995 ◽

Vol 20 (5) ◽

pp. 685-690 ◽

Cited By ~ 41

Author(s):

A. J. PLATT ◽

R. E. PAGE

Keyword(s):

Wound Infection ◽

Infection Rate ◽

Hand Surgery ◽

Fold Increase ◽

Antibiotic Use ◽

Postal Questionnaire ◽

British Society ◽

Antibiotic Administration ◽

Clinical Criteria ◽

Operative Wound

An audit was designed to analyse the risk factors for developing post-operative wound infection following hand surgery. 249 consecutive patients were prospectively entered into the study. 236 (95%) patients were available for follow-up. Infection was diagnosed by clinical criteria. There was an infection rate of 10.7% in elective operations and 9.7% in emergency operations. There was no significant reduction in infection rate in the elective group with the use of antibiotics ( P=0.5). In the emergency group of patients peri-operative antibiotic administration was associated with an 8.5-fold reduction in infection rate ( P=0.014). The presence of a dirty wound was associated with a 13.4-fold increase in post-operative wound infection rate ( P=0.002). A postal questionnaire of members of the British Society for Surgery of the Hand revealed a wide variation in antibiotic usage. Guidelines for antibiotic use in patients undergoing hand surgery are presented.

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Wound Infection Rate in Dermatologic Surgery

The Journal of Dermatologic Surgery and Oncology ◽

10.1111/j.1524-4725.1988.tb01147.x ◽

1988 ◽

Vol 14 (5) ◽

pp. 525-528 ◽

Cited By ~ 47

Author(s):

DUANE C. WHITAKER ◽

DONALD J. GRANDE ◽

SALLY S. JOHNSON

Keyword(s):

Wound Infection ◽

Infection Rate ◽

Wound Infection Rate ◽

Dermatologic Surgery

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IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting?

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2015.09.066 ◽

2016 ◽

Vol 151 (1) ◽

pp. 275 ◽

Cited By ~ 1

Author(s):

Tomislav Kopjar ◽

Michael R. Dashwood ◽

Bojan Biocina

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Wound Infection ◽

Coronary Artery Bypass ◽

Infection Rate ◽

Artery Bypass ◽

Graft Patency ◽

Wound Infection Rate ◽

Bypass Grafting

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Cost Analysis of Early versus Delayed Loop Ileostomy Closure: A Case-Matched Study

Digestive Surgery ◽

10.1159/000375324 ◽

2015 ◽

Vol 32 (3) ◽

pp. 166-172 ◽

Cited By ~ 12

Author(s):

Jason Robertson ◽

Hannah Linkhorn ◽

Ryash Vather ◽

Rebekah Jaung ◽

Ian P. Bissett

Keyword(s):

Wound Infection ◽

Infection Rate ◽

Loop Ileostomy ◽

Hospital Readmissions ◽

Hospital Costs ◽

Cost Effective ◽

Wound Infection Rate ◽

Ileostomy Closure ◽

Total Direct Cost ◽

Optimal Timing

Background/Aims: The optimal timing for the closure of loop ileostomies remains controversial. The aim of the current study was to investigate whether early ileostomy closure (EC) (<2 weeks post-formation) results in significant healthcare savings as against late closure (LC). Methods: Patients with available cost data that underwent EC between January 2008 and December 2012 were compared against matched patients undergoing LC during the same period. Direct hospital costs for the two groups were compared. Results: There were 42 EC patients and 61 LC patients. EC patients had significantly less ileostomy-related complications (p < 0.001) and hospital readmissions (p < 0.001). Operative time (p < 0.001) and operative cost (p = 0.002) were also both significantly less in the EC group. Community nursing costs favoured the LC group (p = 0.047). The EC group had an increased post-closure wound infection rate (p = 0.02). The mean total direct cost per patient was NZD 13,724 (SD NZD 3,736) for EC and NZD 16,728 (SD NZD 8,028) for LC. Representing an average costs saving of NZD 3,004 per patient favouring EC (p = 0.012). Conclusion: Although EC increases the post-closure wound infection rate, EC reduces ileostomy complications, hospital readmissions and operative costs resulting in significant healthcare savings. In order to improve patient outcomes and make EC even more cost effective, efforts should be taken to reduce wound infections.

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681: Impact of Postoperative Antibiotic Removal in Sternal Wound Infection Rate Following CABG

Critical Care Medicine ◽

10.1097/01.ccm.0000728612.50631.29 ◽

2020 ◽

Vol 49 (1) ◽

pp. 335-335

Author(s):

Kirubel Hailu ◽

Bryan Allen ◽

Chad Cannon ◽

Meseret Dabi ◽

Dimple Patel

Keyword(s):

Wound Infection ◽

Infection Rate ◽

Wound Infection Rate ◽

Sternal Wound Infection ◽

Antibiotic Removal

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Safety and Efficacy for Robot-Assisted Versus Open Pancreaticoduodenectomy: A Meta-Analysis of Multiple Worldwide Centers

10.21203/rs.3.rs-40570/v1 ◽

2020 ◽

Author(s):

Wei Zhang ◽

jian wei Zhang ◽

Xu Che

Keyword(s):

Wound Infection ◽

Pancreatic Fistula ◽

Infection Rate ◽

Random Effect ◽

Reoperation Rate ◽

Wound Infection Rate ◽

Cochrane Library ◽

Robot Assisted ◽

Estimated Blood Loss ◽

Open Pancreaticoduodenectomy

Abstract Objectives: To compare the efficacy of robot-assisted pancreaticoduodenectomy with that of laparotomy.Methods: The PubMed, EMBASE, Cochrane Library, and other databases were searched for literature available from their respective inception dates up to May 2020 to find studies comparing robot-assisted pancreaticoduodenectomy (RPD) with open pancreaticoduodenectomy (OPD). The RevMan 5.3 statistical software was used for analysis to evaluate surgical outcome and oncology safety. The combination ratio (RR) and weighted mean difference (WMD) and their 95% confidence intervals (CIs) were calculated using fixed effect or random effect models.Results: 18 cohort studies from 16 medical centers were eligible with a total of 5795 patients including 1420 RPD group patients and 4375 OPD group patients. The RPD group fared better than the OPD group in terms of estimated blood loss (EBL) (WMD =-175.65, 95% CI (-251.85, -99.44), P<0.00001), wound infection rate (RR=0.60, 95%CI (0.44,0.81), P= 0.001), reoperation rate (RR=0.61, 95%CI (0.41,0.91), P=0.02), hospital day (WMD = -2.95, 95% CI (-5.33,-0.56), P = 0.02), intraoperative blood transfusion (RR = 0.56, 95% CI(0.42, 0.76), P=0.0001), overall complication (RR = 0.78, 95% CI(0.64,0.95), P = 0.01), and clinical pancreatic fistula (PF) (RR = 0.54, 95% CI(0.41,0.70), P < 0.0001). In terms of lymph node clearance (WMD = 0.48, 95% CI(-2.05,3.02), P = 0.71), R0 rate (RR = 1.05, 95% CI(1.00,1.11), P = 0.05), postoperative pancreatic fistula (POPF) (RR=1, 95% CI(0.85,1.19), P = 0.97), bile leakage (RR = 0.99, 95% CI(0.54,1.83), P = 0.98), delayed gastric emptying (DGE) (RR = 0.79, 95% CI(0.60,1.03), P = 0.08), mortality (RR = 0.82, 95% CI(0.62,1.10), P=0.19), and severe complication (RR = 0.98, 95% CI(0.71,1.36), P = 0.91), there were no significant differences between the two groups. Laparoscopic surgery was inferior to open surgery in terms of operational time (WMD = 80.85, 95% CI (16.09,145.61), P=0.01).Conclusions: RPD is not inferior to OPD, and it is even more advantageous for DGE, wound infection rate, reoperation rate, hospital stay, transfusion, overall complication and clinical PF. However, these findings need to be further verified by high-quality randomized controlled trials.

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