scholarly journals Factors Associated with Surgical Wound Infection in Patients for Elective Clean Surgery at the “Rafael Ángel Calderón Guardia” Hospital, Costa Rica

2011 ◽  
Vol 52 (3) ◽  
Author(s):  
Moraima Guevara Rodrìguez ◽  
Juan Josè Romero Zúñiga
Keyword(s):  
Wound Infection ◽  
Operating Room ◽  
Costa Rican ◽  
Surgical Wound Infection ◽  
International Standards ◽  
Surgical Wound ◽  
Increased Risk ◽  
Group A ◽  
The Difference ◽  
Group B

Aim: Hospital surgical wound infection (SWI) is one of the three most frequent causes of nosocomial infection worldwide, leading to high social and medical costs. This study aims to identify and quantify risk factors for SWI in a Costa Rican hospital. Methods: A cohort study of 488 elective patients operated between April and June 2006. The patients were divided in 2 groups: those in which operating room traffic was restricted, group A, and those in which it was not, group B. The statistical analysis was performed in 2 major phases: descriptive and analytical. In the first one, frequency measures (absolute and relative) were calculated; and the second one was carried out in 2 stages; both of them through unconditional logistic regression, univariate and multivariate analysis. Results: An overall incidence of 35.2 % (172/488) of SWI was found. The cumulative incidence in the unexposed was 31.8% (76/239), while in those exposed, it was 38.6% (96/249) (p=0.12). Only organ and bone/joint surgery presented a higher risk of SWI (OR 2.42; 95% CI:1.5-3.8), surgeries in unrestricted traffic rooms and diabetes had no association with the infection. Conclusion: Diabetes and depth of surgery should be taken into account in the profile of patients with increased risk of suffering SWI; furthermore, even though there was no epidemiological association between restricted operating room traffic and not restricted, and SWI, although the difference in incidence of SWI, was not statistically significant, it is advisable to restrict the transit of persons in operating rooms, according to international standards.

scholarly journals Prevalence of Wound Infection in Patients Undergoing Elective or Emergency Abdominal Surgery

2021 ◽  
Vol 15 (7) ◽  
pp. 1697-1699
Author(s):  
Arshid Mahmood ◽  
Aqeel Ahmad ◽  
Muhammad Hammad Muzaffar ◽  
Sarfraz Ahmad
Keyword(s):  
Wound Infection ◽  
Elective Surgery ◽  
Surgical Wound Infection ◽  
Emergency Laparotomy ◽  
Surgical Wound ◽  
Surgical Infection ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Intra Abdominal Infection

Objective: To compare the surgical wound infection in patients undergoing elective or emergency abdominal surgeries. Study Design: Comparative study Place & Duration of Study: Study was conducted at surgery department of Divisional Headquarter Teaching hospital Mirpur Azad Kashmir for eighteen months duration from June 2019 to November 2020. Materials and Methods: 150 patients of both genders with ages 15 to 65 years who received laparotomy treatment due to intra-abdominal infection or complicated appendicitis were included in this study. Patient’s medical history, age, sex and residency were recorded after taking informed consent. All the patients were divided into two groups, Group A contained 75 patients (Elective) and Group B contains 75 patients (emergency) received laparotomy. Deep surgical wound infection was examined at the 7th day after surgery and compared between both groups. Results: Ninety eight (65.3%) patients 49 in each group were males and 52 (34.7%) patients 26 in each group were females. In Group A and B 27 and 29 patients were ages 15 to 30 years, 33 and 31 patients had ages 36 to 45 years, 15 and 15 patients were ages between 46 to 60 years. 10 (13.3%) patients in Group A and 12 (16%) patients in group B had deep surgical infection within 1 week after surgery. Statistically there is no significant difference between the both groups (p>0.356) Conclusion: It is concluded that the frequency of wound infection was high in emergency abdominal surgeries as compared to patients undergoing elective surgery, but the difference was not statistically significant. Keywords: Emergency laparotomy, Deep surgical site infection, PO Drain placement

scholarly journals Psoriatic Arthritis Is an Indicator of Significant Renal Damage in Patients with Psoriasis: An Observational and Epidemiological Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Abidullah Khan ◽  
Iqbal Haider ◽  
Maimoona Ayub ◽  
Mohammad Humayun
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Psoriatic Arthritis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Increased Risk ◽  
Chi Squared ◽  
Group A ◽  
The Difference ◽  
Group B

Background. Psoriasis affects joints in around 30% of the patients. Recent studies have demonstrated an increased risk of essential hypertension, ischemic heart disease, and stroke in psoriatic patients. However, the prevalence of renal disease in patients with psoriasis has not been evaluated properly.Objectives. Objectives were to evaluate renal functions in patients with psoriasis and to assess any possible relationship of renal failure with psoriasis and psoriatic arthritis.Methods. In this cross-sectional study, 30 participants were recruited into the following three groups: group-A, psoriatic arthritis; group-B, psoriasis without arthritis; and group-C, healthy subjects. Renal function tests were performed for every participant of each group. The data was analyzed by using SPSS version 16. Chi-squared and one-way ANOVA tests were applied, considering aPvalue of less than 0.05 as a standard criterion.Results. Serum creatinine, urea, and phosphate were the highest in group-A, higher in group-B, and normal in group-C,P<0.05. Similarly, GFR was the lowest in group-A, lower in group-B, and normal in group-C. The difference in mean GFR values was statistically significant,F(2)=355,P<0.001. Moreover, proteinuria (gm/day) was seen in 96.7% of the patients with psoriatic arthritis, (M=1.18±0.55,P<0.05) against 10% of the psoriatic patients without arthritis (M=0.41±0.10,P<0.05).Conclusion. Derangement of renal function is more prevalent in psoriatic patients, especially in those with concomitant psoriatic arthritis. Therefore, each psoriatic patient must be routinely screened for an underlying renal failure.

Scarlet fever and group A streptococcal surgical wound infection traced to an anal carrier

1977 ◽  
Vol 90 (3) ◽  
pp. 387-390 ◽  
Author(s):  
Douglas D. Richman ◽  
Sylvia J. Breton ◽  
Donald A. Goldmann
Keyword(s):  
Wound Infection ◽  
Scarlet Fever ◽  
Surgical Wound Infection ◽  
Surgical Wound ◽  
Group A

scholarly journals CHOLECYSTECTOMY;

2008 ◽  
Vol 15 (04) ◽  
pp. 437-439
Author(s):  
ABDUL GHAFOOR ◽  
IRFAN SHUKR ◽  
ABDUL NASIR ◽  
Chaudhry Alta
Keyword(s):  
Wound Infection ◽  
Open Cholecystectomy ◽  
Drain Tube ◽  
Exclusion Criteria ◽  
Drainage Design ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
Zero Group

Objective: To compare the outcome of cholecystectomy with and without drainage. Design: Descriptive; analytical. Placeand duration of Study: The study was carried out from Jun 2005 to Nov 2006 at Unit III, Department of Surgery, Liaqat University of Medical& Health Sciences, Jamshoro. Material & Methods: All the patients diagnosed as cholelithiasis were treated with open cholecystectomy. Thepatients were randomly divided in group A and B. Number 18 Nasogastric tube was inserted in subheptic space after cholecystectomy in GroupA, and no drain tube was placed in group B patients. Postoperatively patients in both groups were given same antibiotics. Postoperativecomplications and hospital stay were monitored in both groups. Exclusion criteria were cardiopulmonary disease, cirrhosis liver and diabetiesmellitus. Patients with acute cholecystitis and choledocholithiasis were also excluded from study. Z-test is used to test the difference betweenproportions of two groups are statistically insignificant. Results: During the study period a total of 100 patients were operated for cholelithiasis,with 50 patients in each group. The mean age for group A and B were 46 and 45 years respectively. The female to male ratio in the group Aand B were 45:5 and 43:7 respectively. Mortality rate in both groups was zero. Group A had two cases of infected collection in subhepatic spaceand five cases of wound infection. In group B one patient with bile collection, one infected collection and two cases had wound infection. Meanhospital stay was 3.7 in group A as compared to 2.26 in group B. Both groups are statistically insignificant with respect to complications.Conclusion: Routine drainage after cholecystectomy is unnecessary.

scholarly journals Pre-operative anti-microbial administration for prevention of post-operative infections in patients with open cholecystectomy and laparoscopic cholecystectomy

2019 ◽  
Vol 6 (2) ◽  
pp. 392
Author(s):  
Vijay Kumar Jain ◽  
Dilip Kumar Das
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Wound Infection ◽  
Open Cholecystectomy ◽  
Prophylactic Antibiotics ◽  
Wound Infections ◽  
Postoperative Wound ◽  
Group A ◽  
Preoperative Antibiotics ◽  
The Difference ◽  
Group B

Background: Prophylactic antibiotics are used in many elective surgeries by the surgeons to prevent postoperative wound infections. The present study was done with the aim to find out the efficacy of antibiotics to reduce the bacterial load.Methods: This prospective study was done in KPC Medical College from January 2015-December 2015. A total number of 56 patients with symptomatic gall stone disease were included in the study. Of them, 36 patients underwent laparoscopic cholecystectomy (group A) and 20 patients underwent open cholecystectomy (group B). 18 cases who underwent laparoscopic procedure and 10 cases who underwent open procedures were given preoperative antibiotics while the other half did not receive preoperative antibiotics. Postoperative wound infection was analysed by wound swab culture.Results: Female preponderance was seen in the study (M:F-1:7). Majority of them belongs to 21-30years of age. Postoperatively wound infection was seen in 6 cases in group A and in 4 cases in group B and the difference was statistically significant (p<0.05). The positive rate of bacteria by wound swab culture was higher in NPTG cases in both group A (n=7) and group B (n=4) and the difference was statistically significant among two groups. No complications and mortality were reported in the study.Conclusions: This study document that administration of prophylactic antibiotics before cholecystectomy will reduces the incidence of postoperative wound infections.

scholarly journals A comparative study between early enteral feeding (within 24 hours) versus conventional enteral feeding after enteric anastomosis

2012 ◽  
Vol 11 (4) ◽  
pp. 273-283 ◽  
Author(s):  
Souvik Chatterjee ◽  
Sujoy Kumar Bala ◽  
Partha Chakraborty ◽  
Rajesh Dey ◽  
Santanu Sinha ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Enteral Feeding ◽  
P Value ◽  
Early Enteral Feeding ◽  
Post Operative Period ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
Post Operative Nausea

Background: Traditionally, enteric feeds are withheld for a period of 48-72 hrs, sometimes even more following enteric anastomosis depending upon return of full peristaltic sounds. This results in a period of nonstimulation   of gut –‘Gut Rest’, which was supposed to result in better anastomotic healing. But this same also deprives the intestinal mucosa of surface nutrients as well as prolongs parenteral fluid therapy, thereby   depriving the patients of adequate nutrition. Along with it, prolonged parenteral therapy also keeps the  patients bound to bed with its resultant complications like, prolonged hospital stay and increased cost of   therapy. Objectives: To compare the benefits of early enteral feeding over conventional enteric feeding following  enteric anastomosis with special regards to patients recovery and complications. Methods and  materials: The selection of patients into group A (60) and group B (60) was done after having fulfilled inclusion and exclusion criteria. Informed consent was obtained. The patients of group A were fed via   enteral route within 24 hrs of enteric anastomosis. The patients of group B were fed via enteral route after 48-72 hrs or appearance of full peristaltic sounds following enteric anastomosis. These patients were followed   in post operative period for their drain output, any nausea, vomiting or significant abdominal distension, prolonged ileus, post operative duration of shospital stay, post operative infective complications (e.g. wound infection, UTI, RTI), and different haematological and biochemical examinations. Results: This   study shows that post operative nausea-vomiting, anastomotic leakage rate, re-exploration, wound infection and RTI rates are higher in group A than those of group B. In this study, the incidence of UTI in post operative period is higher in group B. But the differences in above mentioned variables are not statistically significant. Whereas appearance of intestinal peristaltic sound is earlier in group A (42.8 ± 10.68 hours)   compare to that of group B (52.6 ± 13.46 hours). Here, the difference is statistically significant (p value = 0.000022) The duration of post operative hospital stay is shorter in group A (8.45 ± 5.143 days) than that of group B (10.533 ± 4.952 days). The difference of duration post operative hospital stay is statistically significant (p value = 0.0257). Removal of nasogastric tube, resumption of oral feeding, and passage of first flatus and/or defecation were earlier in the group A than that of the group B; the differences were statistically significant. The post operative day-5 albumin level is better in group A (3.147 ± 0.4409 gm/dl) than that of group B (2.935 ± 0.3124 gm/dl). This difference is also statistically significant (p value = 0.0029). There are three mortalities in group Awhereas one mortality in group B. This difference in mortality in two   groups is not statistically significant. DOI: http://dx.doi.org/10.3329/bjms.v11i4.12597 Bangladesh Journal of Medical Science Vol. 11 No. 04 Oct’12

The Role of Hair Shaving in Skull Base Surgery

2003 ◽  
Vol 128 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Ziv Gil ◽  
Jacob T. Cohen ◽  
Sergei Spektor ◽  
Dan M. Fliss
Keyword(s):  
Wound Infection ◽  
Skull Base ◽  
Skull Base Surgery ◽  
Fungal Infections ◽  
Wound Infection Rate ◽  
Surgical Wound Infection ◽  
Hair Removal ◽  
Surgical Wound ◽  
Increased Risk ◽  
Clean Contaminated

OBJECTIVE: We sought to evaluate surgical wound infection rates in patients undergoing skull base surgery without hair removal. METHODS: We undertook a retrospective study of 175 skull base operations performed without hair removal. Anterior operations were conducted via the subcranial approach (n = 120) and lateral or posterior procedures via various approaches (n = 55). Wounds were examined daily during hospitalization and at routine outpatient follow-up (8 to 45 months) and classified according to the Center for Disease Control and Prevention guidelines. RESULTS: The overall surgical wound infection rate was 1.1% (2 of 175): 0.8% (1 of 120) for anterior and 1.8% (1 of 55) for lateral or posterior procedures. It was similar for clean operations (lateral and posterior) and clean-contaminated (anterior) procedures and was less than or similar to the rates reported for skull base procedures with hair removal. No wound infection occurred among the infected (trauma, fungal infections, and brain abscess) patients. CONCLUSIONS: Skull base surgery without hair removal is safe and not associated with increased risk of wound infection. The method may prevent additional psychologic stress, promote restoration of the patient's self-image, and accelerate his or her return to normal life.

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