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Surgical Wound Infection


Presentation

  • METHODS: The present study discusses the validity of the present definitions of nosocomial surgical wound infection used for accreditation, how validity may be improved and the attempts by some international systems to improve their own data.[ncbi.nlm.nih.gov]
  • Although the video-assisted group presented a larger number of minor complications (hematoma, cellulitis, seroma), these patients presented a more satisfactory result from a esthetic standpoint in addition to earlier ambulation with a smaller rate of[scielo.br]
Increased Susceptibility to Infections
  • CONCLUSION: Lymphopenia represents immunodepression status, thus indicating the increased susceptibility to infection, which may lead to the development of postoperative infection.[ncbi.nlm.nih.gov]
  • Endocrine diseases such as diabetes mellitus, Cushing syndrome, hypoparathyroidism, hypothyroidism, and polyendocrinopathy are associated with increased susceptibility to infection. 6 The reasons why diabetic patients present with an increased susceptibility[woundsresearch.com]
Cat Scratch
  • A 10-year-old male patient underwent surgical removal of a cat-scratch disease-related enlarged groin lymph node; infection of the wound was soon observed, with multidrug-resistant S pneumoniae growing from the lesion discharge.[ncbi.nlm.nih.gov]
Fishing
  • Also, although mannitol-negative, the studied strain was correctly detected as S. aureus by both the-FISH test (AdvanDx, USA) and the Liofilchem 'Chromatic Staph aureus', highlighting that additional diagnostic methods may support recognition of uncommon[ncbi.nlm.nih.gov]
Negativism
  • Sugar instillation in the extended spectrum beta-lactamase (ESBL)-producing Enterobacter cloacae positive wound, in addition to systemic treatment with meropenem and levofloxacin, allowed culture negativization in six days and complete wound healing in[ncbi.nlm.nih.gov]
Meningism
  • Streptococcus pneumoniae (pneumococcus) is mostly known as an agent of meningitis and pneumonia. We present what is believed to be a previously unreported case of pneumococcal disease, involving an inguinal wound.[ncbi.nlm.nih.gov]
Salpingitis
  • The first patient was a woman with a tuboovarian abscess (TOA) and bilateral salpingitis requiring surgical resection and drainage. Her hospital course was complicated by a postoperative wound infection.[ncbi.nlm.nih.gov]

Workup

  • He presented with hypoxia and further workup revealed choledocholithiasis and common bile duct benign polyps. Both patients made a full recovery.[ncbi.nlm.nih.gov]
  • […] hospitalization, nursing home residence, prior antibiotic usage and intravenous drug use.37,38 The most important risk factor, however, is a previous history of MRSA infection and one should obtain a thorough patient history as part of the preoperative workup[podiatrytoday.com]
Hypercapnia
  • Our preliminary studies confirm that mild hypercapnia increases cardiac output and additionally indicate the hypercapnia markedly improves tissue oxygenation.[clinicaltrials.gov]
  • The contribution, if any, of other factors including, tight glucose control, fluid management, and mild hypercapnia have yet to be suitably tested.[ncbi.nlm.nih.gov]
  • Core temp 40 C ( 104) Trismus Hypercapnia Tachycardia Tachypnea Hypertension Cardiac dysrhythmias Metabolic acidosis Hypoxemia Myoglobinuria Coagulopathy Clinical manifestations of malignant hyperthermia Macropahges activated by bacteria and endotoxin[quizlet.com]
Mycoplasma Hominis
  • A patient with Mycoplasma hominis infection of a clean surgical wound that contained a prosthetic vascular graft had clinical findings similar to those observed in patients with acute bacterial infections.[ncbi.nlm.nih.gov]
Streptococcus Pneumoniae
  • Streptococcus pneumoniae (pneumococcus) is mostly known as an agent of meningitis and pneumonia. We present what is believed to be a previously unreported case of pneumococcal disease, involving an inguinal wound.[ncbi.nlm.nih.gov]
Mycobacterium Chelonae
  • BACKGROUND: Mycobacterium chelonae is an uncommon but recognized cause of chronic localized cutaneous infection at a site of penetrating trauma or a surgical wound.[ncbi.nlm.nih.gov]
Polyps
  • He presented with hypoxia and further workup revealed choledocholithiasis and common bile duct benign polyps. Both patients made a full recovery.[ncbi.nlm.nih.gov]

Treatment

  • Anesthetic treatment and antibiotic administration were standardized.[ncbi.nlm.nih.gov]
  • Careful analysis of different products is required to select the best treatment.[scielo.br]

Prognosis

  • Outlook (Prognosis) GOING HOME OR TO A SKILLED NURSING FACILITY You may need to spend at least a few days in the hospital. After that, you will either: Go home and follow-up with your surgeon. Nurses may come to your home to help with care.[nch.adam.com]
  • Prognosis and prevention The treatment of mediastinitis is still problematic and controversial.[scielo.br]
  • Infective complications after abdominal surgery in patients infected with human immunodeficiency virus: role of CD4 lymphocytes in prognosis. World J Surg . 1998;22(8):778–782. 58. Jensen JA, Goodson WH, Hopf HW, Hunt TK.[dovepress.com]

Etiology

  • Etiologic diagnosis was delayed because M. hominis is not appreciated as a cause of surgical wound infections and because of its special growth characteristics.[ncbi.nlm.nih.gov]
  • A single etiologic agent was identified in 271 patients, multiple agents were found in 343, and no agent was identified in 62. A high preponderance of aerobic bacteria was observed.[jcm.asm.org]
  • The results reflect infections due to Candida species acting as an etiologic agent.[woundsresearch.com]
  • Further Classification Etiology a) Primary The wound is the primary site of infection b)Secondary Infection arises following a complication that is not directly related to wound 10.[slideshare.net]

Epidemiology

  • A 3-year prospective cohort epidemiological study of 2202 surgical patients from seven surgical wards across two hospitals was carried out using gold standard surveillance methodology.[ncbi.nlm.nih.gov]
  • Infection Control & Hospital Epidemiology ISSN: 0899-823X EISSN: 1559-6834 URL: /core/journals/infection-control-and-hospital-epidemiology Unfortunately you do not have access to this content, please use the Get access link below for information on how[journals.cambridge.org]
  • Surgical wound infection: epidemiology, pathogenesis, diagnosis and management. BMC Infectious Diseases 6: 171.[dash.harvard.edu]
  • 2 , B Hodgson , registered general nurse 1 , M Liu , physicist 3 , D Plummer , head of medical physics 3 , Z H Krukowski , consultant surgeon 4 , J Bruce , research fellow in epidemiology 5 , J Wilson , SSI surveillance programme leader 6 , A Pearson[bmj.com]
Sex distribution
Age distribution

Pathophysiology

  • Exclusion criteria were: experimental studies with animal models, in children, and those with non-surgical patients or that approached other causes for infection of the surgical wound, protocols, systematic or literature reviews, and pathophysiologic[scielo.br]
  • The clinical value of avoiding perioperative hypothermia was first realized more than 15 years ago 48 and there has since been many adequate RCTs confirming the relevance of warming in the prevention of SSI, 23 which led to a NICE guideline. 49 The pathophysiological[woundsresearch.com]
  • Available from: Despite improved understanding of the pathophysiology and improved methods of prevention and prophylaxis, infection remains the most common cause of postoperative morbidity and mortality. [1] Wound infection after CABG surgery is a major[ijmm.org]

Prevention

  • The hydrogel dressing did not prevent the development of SWIs. The clinical wound assessment showed that wound gap was associated with leg infection, but other signs were poor predictors of SWI.[ncbi.nlm.nih.gov]
  • The conclusion was that fluid warming contributed to prevent decrease in systemic temperature during myocardial bypass surgery, acting in a preventive way in complications derived from perioperative hypothermia and being included in the prevention of[scielo.br]

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