Postoperative Infection After Excisional Toenail Matrixectomy

2011 ◽  
Vol 101 (4) ◽  
pp. 316-322 ◽  
Author(s):  
Alen Rusmir ◽  
Angelo Salerno
Keyword(s):  
Antibiotic Prophylaxis ◽  
Infection Rate ◽  
Postoperative Infection ◽  
High Rate ◽  
Oral Antibiotic ◽  
Retrospective Audit ◽  
Ankle Surgery ◽  
Clean Contaminated ◽  
Nail Surgery ◽  
Postoperative Infection Rate

Background: Excisional toenail matrixectomies are performed on the area of the foot that has been reported to have the highest concentration of resident microorganisms. A retrospective infection audit was performed to identify whether this unique area of the foot was more susceptible to postoperative infection. Methods: A retrospective audit reviewing the postoperative infection rate over a 6-year period after excisional nail matrixectomy in 111 patients was undertaken. Results: The postoperative infection rate was found to be high (18.9%) relative to that of clean orthopedic foot and ankle surgery (0.5%–6.5%). Conclusions: The unique concentration of resident microbes found in the nail folds could help explain the high rate of postoperative infections identified in this study. This may provide some argument to classify excisional nail matrixectomy as clean-contaminated surgery and, thus, warrant routine antibiotic prophylaxis. Further research is recommended to confirm the results of this study and to determine whether appropriately timed oral antibiotic prophylaxis will reduce the infection rate after nail surgery. (J Am Podiatr Med Assoc 101(4): 316–322, 2011)

scholarly journals Use of a Silver Nylon Dressing Following Total Hip and Knee Arthroplasty Decreases the Postoperative Infection Rate

2017 ◽  
Vol 1 (7) ◽  
pp. e034 ◽  
Author(s):  
Ashley J. Tisosky ◽  
Otatade Iyoha-Bello ◽  
Nicholas Demosthenes ◽  
Giovanni Quimbayo ◽  
Tara Coreanu ◽  
...  
Keyword(s):  
Infection Rate ◽  
Knee Arthroplasty ◽  
Postoperative Infection ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
Postoperative Infection Rate

The effect of preoperative lumbar epidural corticosteroid injection on postoperative infection rate in patients undergoing single-level lumbar decompression

2017 ◽  
Vol 17 (9) ◽  
pp. 1209-1214 ◽  
Author(s):  
Jonathan G. Seavey ◽  
George C. Balazs ◽  
Theodore Steelman ◽  
Melvin Helgeson ◽  
David E. Gwinn ◽  
...  
Keyword(s):  
Infection Rate ◽  
Postoperative Infection ◽  
Corticosteroid Injection ◽  
Single Level ◽  
Lumbar Decompression ◽  
Postoperative Infection Rate

scholarly journals Monitoring the one year postoperative infection rate after primary total hip replacement

2011 ◽  
Vol 36 (6) ◽  
pp. 1155-1161 ◽  
Author(s):  
David J. Biau ◽  
Philippe Leclerc ◽  
Simon Marmor ◽  
Valerie Zeller ◽  
Wilfrid Graff ◽  
...  
Keyword(s):  
Infection Rate ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Postoperative Infection ◽  
Total Hip ◽  
One Year ◽  
The One ◽  
Postoperative Infection Rate

Aseptically Processed Allograft Implantation: A Safe Strategy for Knee Ligament Reconstructions

2021 ◽  
Author(s):  
Chilan B.G. Leite ◽  
João M.N. Montechi ◽  
Gilberto L. Camanho ◽  
Riccardo G. Gobbi ◽  
Fabio J. Angelini
Keyword(s):  
Infection Rate ◽  
Disease Transmission ◽  
Postoperative Infection ◽  
Cruciate Ligament ◽  
High Energy ◽  
Postoperative Infections ◽  
Knee Ligament ◽  
The Mean ◽  
Bone Plug ◽  
Postoperative Infection Rate

AbstractPostoperative infections after allograft implantation is a major concern in knee ligament reconstructions considering the theoretical risk of disease transmission and its potential severity. Here, we aimed to evaluate the postoperative infection rate after knee ligament reconstructions using aseptically processed allografts, and provide an overview of the allografts use in an academic tertiary hospital. A retrospective study was performed evaluating patients who underwent knee ligament reconstructions using aseptically processed allografts, including primary and revision surgeries, from 2005 to 2018. Demographic data, including the type of knee injury and trauma energy, and postoperative data were collected focusing on postoperative infections. Regarding these infected cases, further analyses were performed considering the presenting signs and symptoms, the isolated microorganism identified in culture, the time between graft implantation and diagnosis of infection (defined as acute, subacute, and late), and the need for graft removal. A total of 180 cases of ligament reconstructions were included. The mean follow-up was 8.2 (range: 2.1–15.6) years and the mean age at surgery was 34.1 (± 11.1) years. A total of 262 allografts were implanted in those 180 cases, 93 (35.5%) as bone plug allografts and 169 (64.5%) as soft tissue allografts. Common surgical indications included multiligament reconstruction (57.2%) and primary anterior cruciate ligament (ACL) reconstruction (15%). Seven cases (3.9%) presented postoperative infections. Knee pain (100%) and swelling (100%) were the most prevalent symptoms. Two cases (28.6%) presented sinus tract. Allografts were removed in two cases, the same cases that presented draining sinus (p = 0.04). High-energy trauma was the only statistically associated factor for infection (p = 0.04). No significant association between infection and the type of allograft (p > 0.99) or sex (p = 0.35) were observed. Four cases (57.1%) had monomicrobial staphylococcal infections. Based on that, the allograft-related infection rate was 1.7% (the remaining three infected cases). Nonirradiated, aseptically processed allografts have a low postoperative infection rate in knee ligament reconstructions, being a safe alternative for surgeries that require additional source, increased variety, and quantity of grafts.

Saline Wound Irrigation Reduces the Postoperative Infection Rate in Guinea Pigs

1996 ◽  
Vol 63 (2) ◽  
pp. 457-459 ◽  
Author(s):  
Josep M. Badia ◽  
Josep M. Torres ◽  
Cristina Tur ◽  
Antonio Sitges-Serra
Keyword(s):  
Infection Rate ◽  
Guinea Pigs ◽  
Postoperative Infection ◽  
Wound Irrigation ◽  
Postoperative Infection Rate

Infection Rate in 1033 Elective Neurosurgical Procedures at a University Hospital in South China

2017 ◽  
Vol 78 (05) ◽  
pp. 467-471 ◽  
Author(s):  
Hongwei Zhu ◽  
Xiyao Liu ◽  
Zhanxiang Wang
Keyword(s):  
Risk Factors ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Infection Rate ◽  
South China ◽  
Postoperative Infection ◽  
University Hospital ◽  
Csf Leak ◽  
Neurosurgical Procedures ◽  
Foreign Body Implantation

Objective Infection following surgery is a serious complication, especially in neurosurgery. The aim of the study is to report the change of incidence rates of infection in patients undergoing elective neurosurgical procedures at a university hospital in South China as well as the risk factors. Material and Methods The medical records and postoperative courses for patients undergoing 1,033 neurosurgical procedures from 2008 to 2014 were reviewed retrospectively to determine the incidence of neurosurgical infection, the identity of the offending organisms, and the factors associated with infection. Results A total of 33 patients (40 cases) experienced postoperative infection representing 3.19% of the study population. Twenty cases were incision infections (1.94%), and 20 were cranial/spinal infections (1.94%) including 15 intracranial infections and 5 intraspinal infections. The 2.4-fold greater incidence of postoperative infection in 2008 to 2010 was compared with that in 2011 to 2014 with perioperative antibiotic prophylaxis (p <0.01). The neurosurgical procedure associated with the highest rate of infection was cranioplasty (6.85%); the lowest rate of infection was associated with functional neurosurgery (1.08%). The most common offending organism was Staphylococcus aureus (27.5%). Foreign body implantation, operative time > 4 hours, and cerebrospinal fluid (CSF) leak (13 infections in 158 patients; p <0.001) were risk factors for infections (p <0.05). Conclusion The neurosurgical infection rate is usually low with perioperative antibiotic prophylaxis even in developing countries. Less foreign body implantation, shorter operative times, and controlling CSF leak could reduce infection rates.

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