Togo
Surgical Procedures, Operative
Surgical Wound Dehiscence
Occlusive Dressings
Wounds and Injuries
Negative-Pressure Wound Therapy
Debridement
Astringents
Sternum
Cefazolin
Bandages, Hydrocolloid
Surgical Equipment
Postoperative Complications
Exudates and Transudates
Cardiocutaneous fistula. (1/1865)
Infection of the Teflon pledgets on the heart suture line after left ventricular aneurysm repair, presenting late with a fistulous tract connecting the heart with the skin (cardiocutaneous fistula) is an uncommon but potentially serious condition. The case is reported of a 73 year old man who developed a cardiocutaneous fistula extending through the left hemidiaphragm and draining at the abdominal wall, which developed six years after left ventricular aneurysmectomy. Following radiographic evaluation, which established the diagnosis, the Teflon pledgets and fistulous tract were successfully surgically removed. Prompt diagnosis depends on a high index of suspicion. Eradication of infection requires excision of infected material, which must be planned on an individual basis. (+info)Disruption of skin perfusion following longitudinal groin incision for infrainguinal bypass surgery. (2/1865)
OBJECTIVE: The objective of our study was to investigate whether such an incision results in a reduction in blood flow, and therefore haemoglobin oxygen saturation, across the wound. DESIGN: Microvascular oxygenation was measured with lightguide spectrophotometry in 21 patients undergoing femoropopliteal or femorodistal bypass procedures. A series of measurements were made in the groin, medial and lateral to the surface marking of the femoral artery. The mean oxygen saturation on each side was calculated, and the contra-lateral groin was used as a control. The measurements were repeated at 2 and 7 days postop. RESULTS: Oxygen saturation in the skin of the operated groins was increased significantly from baseline at 2 days postop (f = 25.80, p < 0.001) and had begun to return to normal by day 7. The rise was more marked on the lateral side of the wound than on the medial (f = 12.32, p < 0.001). There was no such difference in the control groins. All wounds healed at 10 days. CONCLUSIONS: These results show a significant difference in skin oxygenation between the lateral and medial sides of the groin following longitudinal incision. This may contribute to the relatively high incidence of postoperative infection in these wounds. (+info)Comparison of Payne and Scott operations for morbid obesity. (3/1865)
One hundred five patients were operated upon for morbid obesity using accepted criteria for operation. Forty-five patients with the Payne operation (35 cm of jejunum anastomosed end-to-side to 10 cm of ileum) were compared with 45 patients having the Scott operation (30 cm of jejunum anatomosed end-to-end to 15 cm of ileum with the proximal cut end of ileum vented into the transverse colon). The weight loss in the first two years was similar, although the Scott procedure patients lost slightly more weight. Comparison of the two groups by a new grading system also showed little difference in the two procedures. The Scott procedure takes longer and subjects the patient to an additional anastomosis. Study of a smaller group of patients having the Scott operation with varying lengths of jejunum and ileum indicates that there should not be less than 30 cm of jejunum nor more than 15 cm of ileum left in continuity. The length of jejunum is particularly important in the production of weight loss, and accurate intraoperative measurement of intestinal length is crucial. In the postoperative period the length of functional jejunum and ileum can be determined by upper gastrointestinal barium roentgenograms. (+info)Streptococcal keratitis after myopic laser in situ keratomileusis. (4/1865)
A 24-year-old healthy male underwent uncomplicated laser in situ keratomileusis (LASIK) in left eye. One day after the surgery, he complained of ocular pain and multiple corneal stromal infiltrates had developed in left eye. Immediately, the corneal interface and stromal bed were cleared, and maximal antibiotic treatments with fortified tobramycin (1.2%) and cefazolin (5%) were given topically. The causative organism was identified as 'Streptococcus viridans' both on smear and culture. Two days after antibiotic therapy was initiated, the ocular inflammation and corneal infiltrates had regressed and ocular pain was relieved. One month later, the patient's best corrected visual acuity had returned to 20/20 with -0.75 -1.00 x 10 degrees, however minimal stromal scarring still remained. This case demonstrates that microbial keratitis after LASIK, if treated promptly, does not lead to a permanent reduction in visual acuity. (+info)Enteral nutritional supplementation with key nutrients in patients with critical illness and cancer: a meta-analysis of randomized controlled clinical trials. (5/1865)
OBJECTIVE: To conduct a meta-analysis of 11 randomized controlled trials comparing enteral nutritional support supplemented with key nutrients versus standard enteral nutritional support to determine effects on morbidity and mortality rates and hospital stay. BACKGROUND DATA: Recent studies have shown that malnutrition occurs in up to 30% of patients undergoing gastrointestinal surgery, resulting in an increased risk of postoperative complications and death. With the realization that key nutrients can modulate inflammatory, metabolic, and immune processes, enteral nutritional regimens (supplemented with large amounts of key nutrients) have been developed for clinical use. METHODS: Eleven prospective, randomized controlled trials evaluating 1009 patients treated with combinations of key nutrients (Impact, Immun-Aid) were evaluated. Outcome measures examined were the incidences of pneumonia, infectious complications, and death, and length of hospital stay. Meta-analyses were undertaken to obtain the odds ratio and 95% confidence interval for incidences of infectious complications, pneumonia, and death, and the weighted mean difference and 95% confidence interval for length of hospital stay. RESULTS: The provision of nutritional support supplemented with key nutrients to patients with critical illness resulted in a decrease in infectious complications when compared with patients receiving standard nutritional support and a significant reduction in overall hospital stay. Similar results were documented in patients with gastrointestinal cancer. However, there were no differences between patient groups for either pneumonia or death. CONCLUSIONS: This meta-analysis has demonstrated that nutritional support supplemented with key nutrients results in a significant reduction in the risk of developing infectious complications and reduces the overall hospital stay in patients with critical illness and in patients with gastrointestinal cancer. However, there is no effect on death. These data have important implications for the management of such patients. (+info)Sternal wound infections in patients after coronary artery bypass grafting using bilateral skeletonized internal mammary arteries. (6/1865)
OBJECTIVES: This study evaluated the risks of sternal wound infections in patients undergoing myocardial revascularization using bilateral skeletonized internal mammary arteries (IMAs). BACKGROUND: The skeletonized IMA is longer than the pedicled one, thus providing the cardiac surgeon with increased versatility for arterial myocardial revascularization without the use of vein grafts. It is isolated from the chest wall gently with scissors and silver clips, and no cauterization is employed. Preservation of collateral blood supply to the sternum and avoidance of thermal injury enable more rapid healing and decrease the risk of sternal wound infection. METHODS: From April 1996 to August 1997, 545 patients underwent arterial myocardial revascularization using bilateral skeletonized IMAs. The right gastroepiploic artery was used in 100 patients (18%). The average age of the patients was 65 years; 431 (79%) were men and 114 (21%) were women; 179 (33%) were older than 70 years of age; 166 (30%) were diabetics. The average number of grafts was 3.2 per patient. RESULTS: The 30-day operative mortality rate was 2% (n = 11). There were six perioperative infarcts (1.1%) and six strokes (1.1%); 9 patients had sternal infection (1.7%) and 15 (2.8%) had superficial infection. Risk factors for sternal infection were chronic obstructive pulmonary disease and emergency operation. Superficial sternal wound infections were more common in women and in patients with chronic obstructive pulmonary disease, renal failure, or peripheral vascular disease. The 1-year actuarial survival rate was 97%. Two of the six late deaths were not cardiac-related. Late dehiscence occurred in three patients (0.6%). The death rate (early and late) of patients with any sternal complication was higher than that of patients without those complications (33% vs. 2.7%). CONCLUSIONS: Routine arterial myocardial revascularization using bilateral skeletonized IMAs is safe, and postoperative morbidity and mortality rates are low, even in elderly patients and those with diabetes. Chronic obstructive pulmonary disease and emergency operations were found to be associated with an increased risk of sternal infections, and the authors recommend avoiding the use of bilateral skeletonized IMAs in patients with these preoperative risk factors. (+info)Microbiological profile of anterior chamber aspirates following uncomplicated cataract surgery. (7/1865)
Anterior chamber aspirate cultures were done for 66 patients who underwent either an uncomplicated intracapsular cataract extraction, extracapsular cataract extraction with posterior-chamber intraocular lens implantation, or phacoemulsification with posterior-chamber intraocular lens implantation. The aspirate was obtained at the time of wound closure. The aspirates were immediately transferred to the microbiology laboratory where one drop of the aspirate was placed on a glass slide for gram stain, and the remainder was unequally divided and inoculated into blood agar, chocolate agar and thioglycolate broth. The cultures were incubated at 37 degrees C with 5% CO2 and held for 5 days. Of 66 patients 4 (6%), had smear-positive anterior chamber aspirates. None of the aspirates showed any growth on any of the 3 culture media used. None of the eyes in the study developed endophthalmitis. This study concludes that there is no contamination of the anterior chamber by viable bacteria after cataract surgery, irrespective of the mode of intervention. (+info)Circumcision and neonatal tetanus: disclosure of risk and its reduction by topical antibiotics. (8/1865)
BACKGROUND: Previous case-control studies have paradoxically suggested that circumcisions protect against neonatal tetanus (NNT), but these observations have not been adjusted for differences in the length of survival of cases and controls. METHODS: Boy cases (n = 133) and their sex-matched controls (n = 399) were extracted from a population-based study of NNT undertaken in Punjab Province, Pakistan. In the resulting file, circumcisions were censored such that analysis was restricted to only those that occurred before onset in cases or before age of onset in the matched case for controls. The effect of topical antibiotics in circumcision wounds was then evaluated. RESULTS: After adjusting for confounders, circumcision before onset posed a significant risk for NNT (matched odds ratio [OR] = 3.1, 95% CI: 1.2-8.0). The risk of NNT in those circumcised before onset and treated with topical antibiotics did not differ significantly from the referent group who had not been circumcised before onset (matched OR = 1.1, 95% CI: 0.2-6.8), whereas the lack of topical use was associated with significant risk (matched OR = 4.2, 95% CI: 1.4-12.6). This suggests that topical antibiotics are likely to be highly effective in preventing NNT from circumcision wounds. We estimated an overall risk of about 16 fatal NNT cases per 1000 live boy births with circumcision wounds that were not protected by topical antibiotics, and that circumcision and umbilical wounds each accounted for about half of this overall risk in these boys. CONCLUSIONS: Topical antibiotics should be routinely applied to all wounds created by traditional circumcisions, to prevent NNT and sepsis from these frequently unsterile procedures. (+info)Surgical wound infections can be caused by a variety of factors, including:
1. Poor surgical technique: If the surgeon does not follow proper surgical techniques, such as properly cleaning and closing the incision, the risk of infection increases.
2. Contamination of the wound site: If the wound site is contaminated with bacteria or other microorganisms during the surgery, this can lead to an infection.
3. Use of contaminated instruments: If the instruments used during the surgery are contaminated with bacteria or other microorganisms, this can also lead to an infection.
4. Poor post-operative care: If the patient does not receive proper post-operative care, such as timely changing of dressings and adequate pain management, the risk of infection increases.
There are several types of surgical wound infections, including:
1. Superficial wound infections: These infections occur only in the skin and subcutaneous tissues and can be treated with antibiotics.
2. Deep wound infections: These infections occur in the deeper tissues, such as muscle or bone, and can be more difficult to treat.
3. Wound hernias: These occur when the intestine bulges through the incision site, creating a hernia.
4. Abscesses: These occur when pus collects in the wound site, creating a pocket of infection.
Surgical wound infections can be diagnosed using a variety of tests, including:
1. Cultures: These are used to identify the type of bacteria or other microorganisms causing the infection.
2. Imaging studies: These can help to determine the extent of the infection and whether it has spread to other areas of the body.
3. Physical examination: The surgeon will typically perform a physical examination of the wound site to look for signs of infection, such as redness, swelling, or drainage.
Treatment of surgical wound infections typically involves a combination of antibiotics and wound care. In some cases, additional surgery may be necessary to remove infected tissue or repair damaged structures.
Prevention is key when it comes to surgical wound infections. To reduce the risk of infection, surgeons and healthcare providers can take several steps, including:
1. Proper sterilization and disinfection of equipment and the surgical site.
2. Use of antibiotic prophylaxis, which is the use of antibiotics to prevent infections in high-risk patients.
3. Closure of the incision site with sutures or staples to reduce the risk of bacterial entry.
4. Monitoring for signs of infection and prompt treatment if an infection develops.
5. Proper wound care, including keeping the wound clean and dry, and changing dressings as needed.
6. Avoiding unnecessary delays in surgical procedure, which can increase the risk of infection.
7. Proper patient education on wound care and signs of infection.
8. Use of biological dressings such as antimicrobial impregnated dressings, which can help reduce the risk of infection.
9. Use of negative pressure wound therapy (NPWT) which can help to promote wound healing and reduce the risk of infection.
10. Proper handling and disposal of sharps and other medical waste to reduce the risk of infection.
It is important for patients to follow their healthcare provider's instructions for wound care and to seek medical attention if they notice any signs of infection, such as redness, swelling, or increased pain. By taking these precautions, the risk of surgical wound infections can be significantly reduced, leading to better outcomes for patients.
Symptoms of wound infection may include:
* Redness, swelling, or increased pain around the wound
* Increased drainage or pus from the wound
* Bad smell or discharge from the wound
* Fever or chills
* Swollen lymph nodes
Treatment of wound infection usually involves antibiotics and may require surgical intervention to remove infected tissue. It is important to practice good wound care, such as keeping the wound clean and dry, changing dressings regularly, and monitoring for signs of infection to prevent the development of a wound infection.
Preventive measures include:
* Proper sterilization and technique during surgery or medical procedures
* Keeping the wound site clean and dry
* Removing any dead tissue or debris from the wound
* Using antibiotic ointment or cream to prevent infection
* Covering the wound with a sterile dressing
If you suspect that you have a wound infection, it is important to seek medical attention as soon as possible. A healthcare professional can evaluate the wound and provide appropriate treatment to prevent further complications.
Surgical wound dehiscence is a condition where the incision or wound made during a surgical procedure fails to heal properly and starts to separate, leading to an open wound. This complication can occur due to various factors, such as poor wound care, infection, or excessive tension on the wound edges.
Types of Surgical Wound Dehiscence
There are several types of surgical wound dehiscence, including:
1. Superficial dehiscence: This type of dehiscence occurs when the skin over the incision starts to separate but does not extend into the deeper tissue layers.
2. Deep dehiscence: This type of dehiscence occurs when the incision starts to separate into the deeper tissue layers, such as muscles or organs.
3. Full-thickness dehiscence: This type of dehiscence occurs when the entire thickness of the skin and underlying tissues separates along the incision line.
Causes of Surgical Wound Dehiscence
Surgical wound dehiscence can occur due to a variety of factors, including:
1. Poor wound care: Failure to properly clean and dress the wound can lead to infection and delay healing.
2. Infection: Bacterial or fungal infections can cause the wound edges to separate.
3. Excessive tension on the wound edges: This can occur due to improper closure techniques or excessive tightening of sutures or staples.
4. Poor surgical technique: Improper surgical techniques can lead to inadequate tissue approximation and delayed healing.
5. Patient factors: Certain medical conditions, such as diabetes or poor circulation, can impair the body's ability to heal wounds.
Symptoms of Surgical Wound Dehiscence
The symptoms of surgical wound dehiscence may include:
1. Redness and swelling around the incision site
2. Increased pain or discomfort at the incision site
3. Discharge or fluid leaking from the incision site
4. Bad smell or foul odor from the incision site
5. Increased heart rate or fever
6. Reduced mobility or stiffness in the affected area
Treatment of Surgical Wound Dehiscence
The treatment of surgical wound dehiscence depends on the severity and underlying cause of the condition. Treatment options may include:
1. Antibiotics: To treat any underlying infections.
2. Dressing changes: To promote healing and prevent infection.
3. Debridement: Removal of dead tissue or debris from the wound site to promote healing.
4. Surgical revision: In some cases, the wound may need to be reclosed or revisited to correct any defects in the initial closure.
5. Hyperbaric oxygen therapy: To promote wound healing and reduce the risk of infection.
6. Surgical mesh: To reinforce the wound edges and prevent further separation.
7. Skin grafting: To cover the exposed tissue and promote healing.
Prevention of Surgical Wound Dehiscence
Preventing surgical wound dehiscence is crucial to ensure a successful outcome. Here are some measures that can be taken to prevent this condition:
1. Proper wound closure: The incision should be closed carefully and securely to prevent any gaping or separation.
2. Appropriate dressing: The wound should be covered with an appropriate dressing to promote healing and prevent infection.
3. Good surgical technique: The surgeon should use proper surgical techniques to minimize tissue trauma and promote healing.
4. Proper postoperative care: Patients should receive proper postoperative care, including monitoring of vital signs and wound status.
5. Early recognition and treatment: Any signs of dehiscence should be recognized early and treated promptly to prevent further complications.
Conclusion
Surgical wound dehiscence is a serious complication that can occur after surgery, resulting in unstable or gaping wounds. Prompt recognition and treatment are essential to prevent further complications and promote healing. Proper wound closure, appropriate dressing, good surgical technique, proper postoperative care, and early recognition and treatment can help prevent surgical wound dehiscence. By taking these measures, patients can achieve a successful outcome and avoid potential complications.
Acute wounds and injuries are those that occur suddenly and heal within a relatively short period of time, usually within a few days or weeks. Examples of acute wounds include cuts, scrapes, and burns. Chronic wounds and injuries, on the other hand, are those that persist over a longer period of time and may not heal properly, leading to long-term complications. Examples of chronic wounds include diabetic foot ulcers, pressure ulcers, and chronic back pain.
Wounds and injuries can be caused by a variety of factors, including accidents, sports injuries, violence, and medical conditions such as diabetes or circulatory problems. Treatment for wounds and injuries depends on the severity of the injury and may include cleaning and dressing the wound, applying antibiotics, immobilizing broken bones, and providing pain management. In some cases, surgery may be necessary to repair damaged tissues or restore function.
Preventive measures for wounds and injuries include wearing appropriate protective gear during activities such as sports or work, following safety protocols to avoid accidents, maintaining proper hygiene and nutrition to prevent infection, and seeking medical attention promptly if an injury occurs.
Overall, wounds and injuries can have a significant impact on an individual's quality of life, and it is important to seek medical attention promptly if symptoms persist or worsen over time. Proper treatment and management of wounds and injuries can help to promote healing, reduce the risk of complications, and improve long-term outcomes.
Suppuration is a process of pus formation that occurs in response to an infection or inflammation. It is a natural defense mechanism of the body, which helps to eliminate pathogens and protect the surrounding tissues from further damage. Suppuration involves the accumulation of pus, a mixture of dead white blood cells, bacteria, and other debris, within a specific area of the body.
Suppuration can occur in various parts of the body, such as the skin, lungs, and joints, and is typically associated with bacterial or fungal infections. The process of suppuration involves several stages, including:
1. Inflammation: The body's response to an initial injury or infection, characterized by increased blood flow, swelling, redness, and warmth in the affected area.
2. Neutrophil migration: White blood cells called neutrophils migrate to the site of infection and engulf the pathogens, releasing enzymes that help to break down the bacterial cell walls.
3. Bacterial killing: The neutrophils and other immune cells work together to kill the invading bacteria, releasing reactive oxygen species (ROS) and other chemicals that damage the bacterial cell membranes.
4. Pus formation: As the bacteria are killed, the dying cells and their components, such as lipopolysaccharides, are engulfed by the neutrophils and other immune cells. This material is then converted into pus, which is a mixture of dead white blood cells, bacteria, and other debris.
5. Resolution: The suppuration process eventually resolves as the pus is either absorbed by the body or drained through natural openings (such as the skin) or medical intervention (such as drainage).
Suppuration is a natural process that helps to protect the body from infection and promotes healing. However, if the process becomes chronic or excessive, it can lead to complications such as abscesses or sepsis.
1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.
It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.
Kirk Wendelburg
Chronic wound
Outcomes Research Consortium
Popliteal artery entrapment syndrome
Antiseptic lavage
Order of battle at the Battle of Trafalgar
Surgical mask
Postoperative wounds
Acroangiodermatitis
Surgical humidification
Scott Spann (swimmer)
Cellulitis
Donald Douglas (surgeon)
Preoperative care
Chlorhexidine
Apophysomyces variabilis
Breast hematoma
Antibiotic
Hospital-acquired infection
Mycobacterium fortuitum
AHCC
Supracondylar humerus fracture
Methicillin-resistant Staphylococcus aureus
Dion Morton
Staphylococcus schleiferi
Surgery
Tessy MarÃa López Goerne
Wound dehiscence
Klebsiella pneumoniae
Cancer immunotherapy
Skin and skin structure infection
Cushing's syndrome
Ureterovaginal fistula
Saksenaea vasiformis
David B. Hoyt
List of Metal Gear characters
Lacazia
Scalp reconstruction
Sorby Research Institute
Eloesser flap
Thyroglossal cyst
Antimicrobial
Liposuction
Vaginal evisceration
Gelding
Deep brain stimulation
Vagotomy
Appendicitis
Wells curve
Peripheral neuropathy
Spermatocele
Childhood immunizations in the United States
Ulcer (dermatology)
Fournier gangrene
Hand transplantation
Human penis
Dural tear
Center for Biofilm Engineering
Anorectal abscess
Surgical wound infection - treatment: MedlinePlus Medical Encyclopedia
Guideline For Prevention of Surgical Wound Infections, 1985
Surgical wound infection associated with Psychrobacter phenylpyruvicus-like organism - PubMed
Preventing infections in surgical wounds | Mölnlycke Advantage
Subjects: Surgical Wound Infection - Digital Collections - National Library of Medicine Search Results
Surgical wound infection-percentage | EMRO Regional Health Observatory
Surgical wound infection rate | EMRO Regional Health Observatory
Surgical wound infection rate (%), all operations - European Health Information Gateway
Supplemental intravenous crystalloid administration does not reduce the risk of surgical wound infection. | Anesth Analg;101(5...
Results of search for 'su:{Surgical wound infection}'
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WHO HQ Library catalog
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Toxic shock syndrome: MedlinePlus Medical Encyclopedia
Simulect
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Serratia: Background, Pathophysiology, Epidemiology
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METHICILLIN- AND OXACILLIN-RESISTANT STAPHYLOCOCCI] - PubMed
Publication Detail
Health Alert Network (HAN) - 00497 | Severe Vibrio vulnificus Infections in the United States Associated with Warming Coastal...
Vibrio Infections Treatment & Management: Medical Care, Surgical Care, Consultations
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Is the insertion of drains after uncomplicated thyroid surgery always necessary?
IMPORTANCE OF SOUTHAMPTON WOUND GRADING SYSTEM IN PREDICTING OUTCOME IN SURGICAL SITE INFECTIONS IN KRISHNA HOSPITAL, KARAD
N95 Respirators and Surgical Masks | Blogs | CDC
Complications5
- Wound care dressings are a vital part of the healing equation because post-operative wounds are susceptible to infection and associated complications. (molnlycke.com)
- Coverage: Surgical wound complications of all operations in hospitals. (who.int)
- These infections can cause many complications. (healthline.com)
- The risk for life-threatening complications during medical procedures increases when cross infection is present. (healthline.com)
- We hope that picking up wound problems early can result in treatments that limit complications. (ed.ac.uk)
Bacteria7
- Our major outcomes were two distinct criteria for diagnosis of surgical wound infections 1) purulent exudate combined with a culture positive for pathogenic bacteria , and 2) Center for Disease Control criteria for diagnosis of surgical wound infections . (bvsalud.org)
- The prevalence of Serratia species as a cause of nosocomial infections is diminishing, but these bacteria are still able to cause hospital outbreaks, especially in intensive care units. (medscape.com)
- Unlike other Vibrio species, V. vulnificus is primarily transmitted through open-wound contact with salt water or brackish water, but occasionally (in approximately 10% of cases) the bacteria also can infect people if they eat raw or undercooked shellfish. (cdc.gov)
- Critical colonisation - multiplication sive tissue destruction and eventual death of the host of bacteria causing a delay in wound heal if left unchecked. (who.int)
- If staph bacteria get into a person's body through a cut, scrape, or rash, they can cause minor skin infections . (kidshealth.org)
- This goes to a lab for testing to find out which bacteria are causing the infection. (kidshealth.org)
- A cross infection is the transfer of harmful microorganisms, usually bacteria and viruses. (healthline.com)
Prevention9
- In 1980, the Centers for Disease Control (CDC) began developing a series of guidelines entitled Guidelines for the Prevention and Control of Nosocomial Infections. (cdc.gov)
- In March 1982, the Guideline for Prevention of Surgical Wounds was published (2), and copies were mailed to all U.S. acute-care hospitals. (cdc.gov)
- Prevention of perioperative infections / volume editor, H. Schönfeld. (who.int)
- Infection prevention in surgical settings / Barbara J. Gruendemann, Sandra Stonehocker Mangum. (who.int)
- 2. Surveillance, control, and prevention of surgical site infections in breast cancer surgery: a 5-year experience. (nih.gov)
- 5. Prevention of surgical site infection after breast cancer surgery by targeted prophylaxis antibiotic in patients at high risk of surgical site infection. (nih.gov)
- Phage typing of all staphylococcal infections will make the early detection and prevention of an epidemic of wound sepsis easier. (bl.uk)
- Prevention of wound sepsis is a team responsibility involving the entire hospital staff. (bl.uk)
- Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. (ahrq.gov)
Incidence5
- We tested the hypothesis that supplemental fluid administration during and after elective colon resections decreases the incidence of postoperative wound infections . (bvsalud.org)
- 11. [The incidence of wound healing disorders in heart surgery]. (nih.gov)
- 15. Standardized incidence rates of surgical site infection: a multicenter study in Thailand. (nih.gov)
- When, however, all the preventive measures which are known or thought to minimise "cross infection" are introduced simultaneously in one hospital one might expect a reduction in the incidence of infection of clean surgical wounds. (bl.uk)
- The incidence of infection in surgical wounds must be recorded accurately. (bl.uk)
SYSTEMATIC REVIEW1
- The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. (ahrq.gov)
Urinary2
- Serratia infection is responsible for about 2% of nosocomial infections of the bloodstream, lower respiratory tract, urinary tract, surgical wounds, and skin and soft tissues in adult patients. (medscape.com)
- Several types of urinary tract infections occur more more frequently in diabetes. (nih.gov)
Postoperative2
- Average rate of inpatient surgical operations in all hospitals with postoperative surgical wound infection during the given calendar year (ICD-9: 998.5 or ICD-10: T81.4). (who.int)
- Wound perfusion and oxygenation are important determinants of the development of postoperative wound infections . (bvsalud.org)
Nosocomial Infections1
- Measures in Category I are strongly supported by well-designed and controlled clinical studies that show their effectiveness in reducing the risk of nosocomial infections or are viewed as effective by a majority of expert reviewers. (cdc.gov)
Prevalence2
- There is a possible association between diabetes and in American Indians, infections in surgical wounds prevalence of the following infections: cystitis, after sternotomy and total hip replacement, and pyelonephritis, candida vulvovaginitis and cystitis, group B streptococcal. (nih.gov)
- Doubtful as- ankle infection and diabetes from hospital-based sociations exist between diabetes and prevalence of data appears too great to be explained by detection, chronic sinusitis or S. aureus colonization. (nih.gov)
Incision2
- Surgery that involves a cut (incision) in the skin can lead to a wound infection after surgery. (medlineplus.gov)
- Successful outcomes also depend on post-surgical incision care. (molnlycke.com)
Injuries1
- You'll learn to care for your wound at home and how to protect yourself from further injuries. (dignityhealth.org)
Dressings1
- Once the patient has left the operating room, a number of factors relating to the use of wound dressings may increase the risk of wound infection. (molnlycke.com)
Post-operative2
- 13. Antibiotic prophylaxis for post-operative wound infection in clean elective breast surgery. (nih.gov)
- Post-operative wound infection is defined as surgical site infection from 0-30 days after surgery, or infection at surgical site till 1 year in cases of implants like mesh, vascular grafts and prosthesis. (ejmcm.com)
Parasitic infections1
- Antibiotics are used for bacterial, fungal, and parasitic infections, but not for most viral infections. (healthline.com)
Tissue8
- Supplemental fluid administration significantly increases tissue oxygenation in surrogate wounds in the subcutaneous tissue of the upper arm in perioperative surgical patients . (bvsalud.org)
- During 1997, we investigated an outbreak of skin and soft-tissue infection involving MRSA in a closed community of institutionalized adults with developmental disabilities. (cdc.gov)
- V. vulnificus wound infections have a short incubation period and are characterized by necrotizing skin and soft tissue infection , with or without hemorrhagic bullae. (cdc.gov)
- Many people with V. vulnificus wound infection require intensive care or surgical tissue removal. (cdc.gov)
- are present to a degree of 105 per gram of tissue, an infection is likely to be present. (who.int)
- 3) those undergoing contaminated or dirty/ lation tissue despite gentle handling and the non-ad- infected operations by traditional definition, hesive nature of wound management materials used. (who.int)
- Other systemic predisposing factors include to develop strips of granulation tissue in the base as weight loss greater than 10% of baseline, physiologic opposed to a uniform spread of granulation tissue impairment of two or more organ systems [16], across the whole of the wound bed [6]. (who.int)
- Tests may be conducted to determine blood flow and tissue oxygenation as well as to indicate if there is any infection present. (dignityhealth.org)
Diagnosis2
- BACKGROUND: Diagnosis of a surgical site infection (SSI) in dermatologic surgery can be entirely based on a subjective assessment according to the 4th criterion of the most common definition of an SSI, which was established by the US Centers for Disease Control (CDC). (lu.se)
- OBJECTIVES: To investigate the interobserver agreement between dermatologists in their diagnosis of SSI of dermatosurgical wounds. (lu.se)
Surgery25
- Most surgical wound infections show up within the first 30 days after surgery. (medlineplus.gov)
- Sometimes, you also may need surgery to treat the infection. (medlineplus.gov)
- If the wound does not close by itself, you may need a skin graft or muscle flap surgery to close the wound. (medlineplus.gov)
- Up to one in 20 patients undergoing surgery will develop a surgical site infection (SSI) , so it's vital to protect surgical wounds post-operatively. (molnlycke.com)
- More than one surgery are performed at the same time not more proportionally increase the risk for wound infection so we consider one patient?s multiple procedures at the same time and in the same operating room as one surgical event. (who.int)
- All wound infections diagnosed using either criterion by a blinded observer in the 15 days after surgery were considered in the analysis . (bvsalud.org)
- Implementation manual WHO surgical safety checklist 2009 : safe surgery saves lives. (who.int)
- Toxic shock syndrome can also occur with skin infections, burns, and after surgery. (nih.gov)
- 1. [Wound infection and infection-promoting factors in breast cancer surgery -- a prospective multicenter study on quality control]. (nih.gov)
- 6. [Conservative treatment of wound infection after breast cancer surgery]. (nih.gov)
- 14. [Risk factors for surgical wound infection development in head and neck cancer surgery]. (nih.gov)
- 18. High body mass index and smoking predict morbidity in breast cancer surgery: a multivariate analysis of 26,988 patients from the national surgical quality improvement program database. (nih.gov)
- Open wounds include those from a recent surgery, piercing, tattoo, and other cuts or scrapes-including those acquired during aquatic activity. (cdc.gov)
- Division of Plastic and Reconstructive Surgery, wounds [8]. (who.int)
- David Hampton, MD, is currently an Assistant Professor of Trauma and Acute Care Surgery at the University of Chicago and is board certified in General Surgery and Surgical Critical Care. (verywellhealth.com)
- Researchers from the University of Edinburgh ran a randomised clinical trial involving 492 emergency abdominal surgery patients to see if photos from smartphones and questions on symptoms of infection could be used to diagnose wound infections early. (ed.ac.uk)
- They followed up with patients 30 days after surgery to find out if they had been subsequently diagnosed with an infection. (ed.ac.uk)
- A second group of 269 received the routine level of care and were contacted 30 days after surgery to find out if they had been diagnosed with an infection. (ed.ac.uk)
- Researchers found no significant difference between both groups in the overall time it took to diagnose wound infections in the 30-days after surgery. (ed.ac.uk)
- However, the smartphone group were nearly four times more likely to have their wound infection diagnosed within seven days of their surgery compared to the routine care group. (ed.ac.uk)
- These approaches provide reassurance - after all, most of us don't know what a normally healing wound looks like a few weeks after surgery. (ed.ac.uk)
- Patients and staff have become used to having remote consultations, and we've shown we can effectively and safely monitor wounds after surgery while patients recover at home - this is likely to become the new normal. (ed.ac.uk)
- They compared surgical treatment with non-surgical treatments such as epidural steroid injections, placebo, or sham surgery among people with sciatic due to lumbar disc herniation. (aboutlawsuits.com)
- It can carry significant side effects such as blood clots, infection, excess bleeding, injury to other nearby nerves, reaction to anesthesia, and temporary relief of pain requiring repeat surgery. (aboutlawsuits.com)
- However, patients who underwent surgery and non-surgical procedures experienced side effects at a similar rate. (aboutlawsuits.com)
Drainage1
- If there is drainage from your wound, it may be tested to figure out the best antibiotic. (medlineplus.gov)
Antibiotics5
- Antibiotics are used to treat most wound infections. (medlineplus.gov)
- You may be started on antibiotics to treat the surgical wound infection. (medlineplus.gov)
- Some wounds are infected with methicillin-resistant Staphylococcus aureus (MRSA) which is resistant to commonly used antibiotics. (medlineplus.gov)
- Someone with a more severe infection might get intravenous (IV) antibiotics in a hospital. (kidshealth.org)
- And parasites transferred through cross infection may be treated with antibiotics and dietary changes. (healthline.com)
Antibiotic2
- A MRSA infection will need a specific antibiotic to treat it. (medlineplus.gov)
- Infection control measures, antibiotic restriction, and appropriate therapy resulted in successful termination of this outbreak. (cdc.gov)
Necrotizing fasciitis1
- Expeditious and serial surgical evaluation and intervention are required because patients may deteriorate rapidly, especially those with necrotizing fasciitis or compartment syndrome. (medscape.com)
Chronic3
- Virulence de- colonisation' with fresh insights into chronic wound scribes both the pathogenicity and invasiveness of healing and non-healing wounds. (who.int)
- This Request for Applications (RFA), Mucosal and Synovial Gene Transfer in Infection/Inflammation, is related to the priority areas of diabetes and chronic disabling diseases and immunization and infectious diseases. (nih.gov)
- Chronic or slow-healing wounds may not only be painful, but they can also be quite frustrating to the person suffering from them. (bannerhealth.com)
Procedures2
- Medical professionals follow special procedures to help prevent infections. (healthline.com)
- Hospitals and other healthcare settings all have procedures to prevent infection. (healthline.com)
Perioperative1
- Artikkelen gir en oversikt over perioperative undersøkelser og behandling. (tidsskriftet.no)
Bacterial infections2
- 4. [Control study of bacterial infections in patients with carcinoma of the breast subjected to radical mastectomy]. (nih.gov)
- Animate and inanimate surfaces play a key role within the diffusion of Covid-19 and more generally of virus and bacterial infections. (frontiersin.org)
Heal4
- To help some surgical wounds heal, you may have a wound VAC (vacuum-assisted closure) dressing. (medlineplus.gov)
- It may take days, weeks, or even months for the wound to be clean, clear of infection, and finally heal. (medlineplus.gov)
- Most of these heal on their own if a person keeps the wound clean and bandaged. (kidshealth.org)
- At the Wound Healing Center you'll receive the best course of treatment to heal your wound. (dignityhealth.org)
Clinicians2
- Smartphone pictures of post-surgical wounds taken by patients and then assessed by clinicians can help with the early identification of infections, a study has found. (ed.ac.uk)
- Clinicians should be aware of these infections in children to guide optimal treatment, including choice of antimicrobial drugs, duration of therapy, and methods of monitoring response to treatment. (cdc.gov)
Fungal1
- Anti-fungal medications in topical or oral form can be used to treat fungal infections. (healthline.com)
Vibrio6
- Notify healthcare providers, laboratories, and public health departments about recent reports of fatal Vibrio vulnificus ( V. vulnificus ) infections, including wound and foodborne infections. (cdc.gov)
- Most people with Vibrio infection have diarrhea. (cdc.gov)
- Some people get infected when an open wound is exposed to salt water or brackish water containing Vibrio [1]. (cdc.gov)
- Extreme weather events, such as coastal floods, hurricanes, and storm surges, can force coastal waters into inland areas, putting people that are exposed to these waters-especially evacuees who are older or have underlying health conditions-at increased risk for Vibrio wound infections. (cdc.gov)
- Patients with noncholera Vibrio wound infection or septicemia are much more ill and frequently have other medical conditions. (medscape.com)
- A team effort is required to ensure successful therapy in patients with noncholera Vibrio wound infection or septicemia. (medscape.com)
Colonization2
Outcomes2
Abdominal1
- 3. The effect of performance feedback on wound infection rate in abdominal hysterectomy. (nih.gov)
Staph2
- Very few staph or strep infections cause toxic shock syndrome. (nih.gov)
- doctors use to treat staph infections. (kidshealth.org)
Debridement1
- Early debridement of the infected wound has an important role in successful therapy and is especially indicated to avoid amputation of fingers, toes, or limbs. (medscape.com)
Site3
- Espinosa JA, Sawyer R. Surgical site infections. (medlineplus.gov)
- 7. Determinants of surgical site infection after breast biopsy. (nih.gov)
- 9. Cardiac implantable devices: surveillance of surgical site infections and assessment of professional practices. (nih.gov)
Patients12
- Coverage: Data refers to the proportion of patients with an infection following a procedure, n.e.c. (who.int)
- An outbreak of S marcescens bloodstream infections was identified in patients receiving contaminated bags of parenteral nutrition. (medscape.com)
- the remaining 12 patients had infection with a nonmarcescens Serratia species. (medscape.com)
- 16. Association between operative closure type and acute infection, local recurrence, and disease surveillance in patients undergoing breast conserving therapy for early-stage breast cancer. (nih.gov)
- To summarize the evidence for and against a temic immunologic defects probably account for higher infection risk in diabetic subjects, higher infection rates in diabetic patients. (nih.gov)
- Besides generalized impairments of immunity, other tients are at higher risk for various infections than nonimmunologic, anatomically specific factors may nondiabetic patients. (nih.gov)
- We stratified studies based on study design and on whether they included participants from the general population or high-risk groups (such as patients treated for sexually transmitted infections). (cirp.org)
- The practice could help manage surgical patients' care while they recover and reduce pressure on the NHS, experts say. (ed.ac.uk)
- A member of the surgical team assessed the photographs and patients' responses were assessed for signs of wound infection. (ed.ac.uk)
- The research team are now conducting a follow-up study to determine how this can be best put into practice for surgical patients around the country. (ed.ac.uk)
- Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). (ahrq.gov)
- Adverse drug events in surgical patients: an observational multicentre study. (ahrq.gov)
Treating2
- Treating a cross infection depends on the condition. (healthline.com)
- Treating wounds is a complex task. (dignityhealth.org)
Fever2
- One of the first symptoms of a cross infection is a fever. (healthline.com)
- Q fever osteoarticular infection in children is an underestimated disease. (cdc.gov)
Increases2
- It increases blood flow in the wound and helps with healing. (medlineplus.gov)
- Furthermore, the use of drains prolongs hospital stay and increases the risk of infection. (nih.gov)
Mycobacterium1
- Media coverage has raised concerns over cross infection in hospitals by "superbugs" like Mycobacterium abscessus . (healthline.com)
Diabetic1
- would seem to put diabetic subjects at higher risk for Asymptomatic bacteriuria is usually considered to be infection, only a few infectious diseases have been significant if 105 microorganism colonies per ml shown to occur more frequently in diabetic subjects grow in urine culture in the absence of cystitis symp- on the basis of studies that used a nondiabetic control toms (dysuria, frequency, urgency). (nih.gov)
Preventing1
- The findings from observational studies, reviews and meta-analyses, supported by biological theories, that circumcised men appear less likely to acquire human immunodeficiency virus (HIV) has contributed to the recent ground swell of support for considering male circumcision as a strategy for preventing sexually acquired infection. (cirp.org)
Procedure4
- Sometimes, your surgeon needs to do a procedure to clean the wound. (medlineplus.gov)
- Your surgical procedure will depend on the size and nature of your ovarian cyst. (nuffieldhealth.com)
- The risk for infection is greater when undergoing a medical procedure. (healthline.com)
- Cross infections can complicate a condition or procedure. (healthline.com)
Healthcare3
- Urge healthcare professionals to consider V. vulnificus as a possible cause of infected wounds that were exposed to coastal waters, particularly near the Gulf of Mexico or East Coast, and during periods with warmer coastal sea surface temperatures . (cdc.gov)
- Our healthcare team will advise you on how to care for your surgical wounds. (nuffieldhealth.com)
- Surface disinfection (in healthcare environment but also in domiciliary environment) plays a central role on infection inhibition and control strategies adopted in response to transmissible disease outbreaks. (frontiersin.org)
Microorganisms1
- Rather than recommending specific generic antimicrobial ingredients for skin antiseptics, patient preoperative skin preparations, and surgical hand scrubs, the Guideline indicates that hospitals may choose from appropriate products in categories defined by the U.S. Food and Drug Administration (FDA), since preparations used to inhibit or kill microorganisms on skin are categorized by an FDA advisory review panel for nonprescription (over the-counter {OTC}) antimicrobial drug products (3). (cdc.gov)
Antimicrobial2
- In November 1983, a follow-up statement requested that users delete the portion of the Guideline that recommended specific generic antimicrobial ingredients for use in patient preoperative skin preparations, skin antiseptics, and surgical hand scrubs and announced that the entire Guideline would be revised. (cdc.gov)
- 17. The timing of surgical antimicrobial prophylaxis. (nih.gov)
Hospital5
- If the wound infection is deep or there is a larger opening in the wound, you may need to spend at least a few days in the hospital. (medlineplus.gov)
- The purpose of the Guidelines was twofold: 1) to disseminate advice on how to prevent or control specific nosocomial infection problems and 2) to cover the questions most frequently asked of the Hospital Infections Program staff on different aspects of the hospital's inanimate environment (1). (cdc.gov)
- 12. [Prospective hospital documentation as an instrument of surgical quality assurance]. (nih.gov)
- Much has been written about the various factors which cause or are thought to cause "cross infection" of wounds in hospital. (bl.uk)
- On average, surgical wound infections cost the NHS an extra £10,000 per patient because of longer stays in hospital, readmissions after going home and the extra treatments needed. (ed.ac.uk)
Severe2
- During the same period, several East Coast states, including Connecticut , New York , and North Carolina , have reported severe and fatal V. vulnificus infections. (cdc.gov)
- Amid increasing water temperatures and extreme weather events (e.g., heat waves, flooding, and severe storms) associated with climate change [6], people who are at increased risk for V. vulnificus infection should exercise caution when engaging in coastal water activities . (cdc.gov)
Contamination1
- We believe that the risk of wound contamination from the external environment can be reduced by keeping the number of dressing changes to a minimum. (molnlycke.com)
Occur2
- The spread of infections can occur between people, pieces of equipment, or within the body. (healthline.com)
- Many different types of infections can occur. (healthline.com)
Clinical1
- Artificial intelligence will also be used to help the clinical team in assessing the possibility of wound infection. (ed.ac.uk)
Meningitis1
- [ 15 ] Outbreaks of S marcescens meningitis , wound infections, and arthritis have occurred in pediatric wards. (medscape.com)
Safety checklist1
- A surgical safety checklist to reduce morbidity and mortality in a global population. (ahrq.gov)
Outbreaks1
- Outbreaks of community-acquired MRSA infection are extremely rare ( 17 - 19 ). (cdc.gov)
Healing4
- Wound healing was evaluated with the ASEPSIS scoring system. (bvsalud.org)
- ASEPSIS wound -healing scores were similar in both groups 7 +/- 16 (small volume) versus 8 +/- 14 (large volume), P = 0.70. (bvsalud.org)
- However, some of his followers instigated the `laudable pus' the challenge is to ensure that most practitioners theory, which incorrectly considered the develop- recognise this situation with confidence and for the ment of pus in a wound as a positive part of the bacterial bioburden to be reduced as soon as pos- healing process [2]. (who.int)
- The staff at the Wound Healing Center is available to answer questions and give you the support you need. (dignityhealth.org)
Symptoms of infection1
- It's important to call your doctor immediately if you notice symptoms of infection. (healthline.com)
Depend1
- The symptoms of a cross infection depend on the source of the infection. (healthline.com)