journal
https://read.qxmd.com/read/38995890/late-term-outcomes-of-surgical-treatment-of-infective-endocarditis
#1
JOURNAL ARTICLE
Gülşah Özcan, Ozan Onur Balkanay, Deniz Göksedef, Gökhan İpek, Suat Nail Ömeroğlu
Background: This study aims to evaluate the long-term outcomes of surgical interventions in patients with infective endocarditis (IE) who underwent surgical treatment and to determine the treatment approach for new patients. Patients and Methods: We retrospectively examined the long-term results of patients who underwent surgical treatment for IE between 2007 and 2017. The evaluation included late-term outcomes of IE surgery, surgical procedures, complications, the postoperative period, and clinical findings...
July 12, 2024: Surgical Infections
https://read.qxmd.com/read/38995876/-granulicatella-adiacens-bacterial-infection-after-pancreatectomy-whipple-s-procedure
#2
JOURNAL ARTICLE
Rahul Kumar Banerjee, Manisa Sahu
Background: Granulicatella adiacens inhabits the oral cavity, urogenital, and gastrointestinal tracts and is a typical commensal of human mucosal surfaces. It rarely causes disease. Identification of these gram-positive cocci can be challenging. Case Report: In a 58-year-old male in an oncology center, we report the first occurrence of bacterial infection caused by G. adiacens . After a precise diagnosis of the infection, the patient received effective treatment. Conclusion: Owing to a lack of sufficient diagnostic tools, G...
July 12, 2024: Surgical Infections
https://read.qxmd.com/read/38995864/giant-intrauterine-mass-because-of-puerperal-infection-a-case-report
#3
JOURNAL ARTICLE
Hang-Yu Sun, Yan Ning, Fan-Bin Kong, Xiao-Ying Yao
Background: Puerperal infection is one of the four main causes of maternal mortality. A giant intrauterine mass caused by puerperal infection is a rare form of infection. The delay in treatment may result in the removal of the uterus. Case Presentation: We report a case of a large intrauterine mass resulting from puerperal infection, in which the uterus was salvaged through antibiotic treatment and curettage. The patient was a 27-year-old female, who presented with a large intrauterine mass, accompanied by fever and abdominal pain 35 days after vaginal delivery...
July 12, 2024: Surgical Infections
https://read.qxmd.com/read/38995850/effect-of-blood-product-resuscitation-on-cefazolin-pharmacokinetics-in-trauma-patients
#4
JOURNAL ARTICLE
Aliaa Fouad, Angela Berry, Jonathan Gates, Joseph L Kuti, Jane J Keating
Background: Antibiotics are frequently administered prophylactically to trauma patients with various injury patterns to prevent infectious complications. Trauma patients may also require large volume resuscitation with blood products. Limited data are available to support antibiotic dosing recommendations in this population. We hypothesized that we would be able to develop a population pharmacokinetic model of cefazolin, a frequently used antibiotic in the trauma scenario, from remnant blood samples by pharmacokinetic analysis of trauma patients...
July 12, 2024: Surgical Infections
https://read.qxmd.com/read/38995849/-letter-to-the-editor-regarding-real-world-evidence-of-the-impact-of-a-novel-surgical-irrigant-on-surgical-site-infections-in-primary-total-knee-arthroplasty-performed-at-an-ambulatory-surgery-center
#5
LETTER
https://read.qxmd.com/read/38990709/the-surgical-infection-society-guidelines-on-the-management-of-intra-abdominal-infection-2024-update
#6
JOURNAL ARTICLE
Jared M Huston, Philip S Barie, E Patchen Dellinger, Joseph D Forrester, Therese M Duane, Jeffrey M Tessier, Robert G Sawyer, Miguel A Cainzos, Kemal Rasa, Jeffrey G Chipman, Lillian S Kao, Frederic M Pieracci, Kristin P Colling, Daithi S Heffernan, Janice Lester
Background: The Surgical Infection Society (SIS) published evidence-based guidelines for the management of intra-abdominal infection (IAI) in 1992, 2002, 2010, and 2017. Here, we present the most recent guideline update based on a systematic review of current literature. Methods: The writing group, including current and former members of the SIS Therapeutics and Guidelines Committee and other individuals with content or guideline expertise within the SIS, working with a professional librarian, performed a systematic review using PubMed/Medline, the Cochrane Library, Embase, and Web of Science from 2016 until February 2024...
July 11, 2024: Surgical Infections
https://read.qxmd.com/read/38990705/clinical-characteristics-and-molecular-insights-of-carbapenem-resistant-klebsiella-pneumoniae-isolates-from-patients-in-intensive-care-units
#7
JOURNAL ARTICLE
Yun Zhou, Yinyu Mu
Background: Carbapenem-resistant Klebsiella pneumoniae (CRKP), a significant worldwide public health threat, is common in patients in intensive care units. Methods: A retrospective study was conducted over a period of 22 months to assess the risk factors associated with infection caused by CRKP isolates. Strain identification was performed using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS), and antimicrobial sensitivity was assessed using the micro broth dilution method and Kirby-Bauer test...
July 11, 2024: Surgical Infections
https://read.qxmd.com/read/38990697/a-prospective-quality-improvement-program-to-reduce-prolonged-postoperative-antibiotic-prophylaxis-in-ethiopia
#8
JOURNAL ARTICLE
Maia R Nofal, Assefa Tesfaye, Natnael Gebeyehu, Misgana Negash Masersha, Ibrahim Hayredin, Kinfemichael Belayneh, Benti Getahun, Nichole Starr, Kaleb Abebe, Yonas Sebsebe, Senait Bitew Alemu, Tihitena Negussie Mammo, Thomas G Weiser
Introduction: Although postoperative antibiotic prophylaxis has not been shown to prevent surgical site infections, prolonged antibiotic administration is common in low- and middle-income countries. We developed a quality improvement program to reduce unnecessary postoperative antibiotics through hospital-specific guideline development and the use of a brief, multidisciplinary discussion of antibiotic indication, choice, and duration during clinical rounds. We assessed reduction in the number of patients receiving ≥24 h of antibiotic prophylaxis after clean and clean-contaminated surgery...
July 11, 2024: Surgical Infections
https://read.qxmd.com/read/38989598/-letter-to-the-editor-undifferentiated-carcinoma-with-osteoclast-like-giant-cells-of-the-pancreas-with-concurrent-infection
#9
LETTER
Ying Si Ke Xiao, Yongmao Huang
No abstract text is available yet for this article.
July 11, 2024: Surgical Infections
https://read.qxmd.com/read/38985696/association-between-insurance-status-and-outcomes-of-hospitalizations-for-necrotizing-soft-tissue-infections
#10
JOURNAL ARTICLE
Fidelis Uwumiro, Victory Okpujie, Adetayo Ajiboye, Olawale Abesin, Olamide Ogunfuwa, Opeyemi Mojeed, Azabi Borowa, Hillary Alemenzohu, Judith Hassan, Oluwadamilola Ajayi
Background: Lack of insurance is associated with poorer outcomes in hospitalized patients. However, few studies have explored this association in hospitalizations for necrotizing soft tissue infections (NSTIs). This study examined the impact of insurance status on the outcome of NSTI admissions. Methods: All adult hospitalizations for necrotizing fasciitis, gas gangrene, and Fournier gangrene between 2016 and 2018 were examined using the Nationwide Inpatient Sample database. Insurance status was categorized as insured (including Medicare, Medicaid, and Private, including Health maintenance organization (HMO) or uninsured (Self-pay)...
July 10, 2024: Surgical Infections
https://read.qxmd.com/read/38985683/-letter-to-the-editor-renal-tuberculosis-masquerading-as-renal-cell-carcinoma
#11
LETTER
Bo Sun, Jiaqi Deng, Rong Kuang, Jing Zhou
No abstract text is available yet for this article.
July 10, 2024: Surgical Infections
https://read.qxmd.com/read/38973700/feasibility-of-narrow-spectrum-antimicrobial-agents-for-post-operative-intra-abdominal-infections-after-gastrectomy
#12
JOURNAL ARTICLE
Kentaro Goto, Hiroaki Hata, Kanako Degawa, Yasutaka Nakanishi, Kazutaka Obama
Introduction: Recently, antimicrobial resistance has received considerable attention. Broad-spectrum antimicrobial agents are recommended as the initial therapy for post-operative intra-abdominal infections. However, at our institution, we have adopted a tactic of initially treating post-operative intra-abdominal complications with relatively narrow-spectrum antimicrobial agents, such as second-generation cephalosporins. In the present study, we aimed to retrospectively analyze the use of antimicrobial agents and the resulting treatment outcomes in patients with intra-abdominal complications after gastrectomy at our facility...
July 8, 2024: Surgical Infections
https://read.qxmd.com/read/38973698/-letter-to-the-editor-isolated-testicular-tuberculosis-mimicking-testicular-tumor
#13
LETTER
Ying Si, Ke Xiao, Yongmao Huang
No abstract text is available yet for this article.
July 8, 2024: Surgical Infections
https://read.qxmd.com/read/38973692/modernizing-surgical-quality-a-novel-approach-to-improving-detection-of-surgical-site-infections-in-the-veteran-population
#14
JOURNAL ARTICLE
Louis Perkins, Thomas O'Keefe, William Ardill, Bruce Potenza
Introduction: Surgical site infections (SSIs) are an important quality measure. Identifying SSIs often relies upon a time-intensive manual review of a sample of common surgical cases. In this study, we sought to develop a predictive model for SSI identification using antibiotic pharmacy data extracted from the electronic medical record (EMR). Methods: A retrospective analysis was performed on all surgeries at a Veteran Affair's Medical Center between January 9, 2020 and January 9, 2022. Patients receiving outpatient antibiotics within 30 days of their surgery were identified, and chart review was performed to detect instances of SSI as defined by VA Surgery Quality Improvement Program criteria...
July 8, 2024: Surgical Infections
https://read.qxmd.com/read/38959241/the-effect-of-enhanced-recovery-after-surgery-protocol-on-surgical-site-infections-in-liver-transplantation
#15
JOURNAL ARTICLE
S Kara, G Ozturk, Z Demir Yetis, E Korkut, N Aksungur, N Altundas, N Dogan, K Ozden
Background: Liver surgeries are treatment modalities that require careful pre- and postoperative follow-up for both the surgeon and the patient. Infections are the leading causes of morbidity and mortality after liver transplantation. Infections are the most frequent cause of death between 30 and 180 days after liver transplantation. We aimed to investigate the effect of the Enhanced Recovery After Surgery (ERAS) protocol on the prevention of infections in liver transplant patients. Patients and Methods: The study included patients who underwent liver transplantation in Ataturk University Organ Transplantation Center between 2017 and 2022...
July 3, 2024: Surgical Infections
https://read.qxmd.com/read/38959195/pseudomeningocele-following-posterior-cranial-fossa-surgery-significantly-increases-the-risk-of-intracranial-infection-a-10-year-retrospective-analysis
#16
JOURNAL ARTICLE
Jing Wang, Jun-Bao Yang, Xiao-Lan Wang, Wei-Long Ding
Background: Posterior fossa craniotomy is commonly performed for various pathologies. However, intra-cranial infection following craniotomy causes morbidity. Pseudomeningocele is one of the main complications following posterior fossa operation. This study aimed to test the hypothesis that the risk of intra-cranial infection is increased in patients who undergo posterior fossa craniotomy with pseudomeningocele compared with those without pseudomeningocele. Methods: We retrospectively analyzed the data of patients undergoing posterior fossa craniotomy for the management of neurological pathologies at our institute from 2011 to 2020...
July 3, 2024: Surgical Infections
https://read.qxmd.com/read/38959163/-letter-to-the-editor-the-great-mimic-isolated-tuberculosis-of-the-knee
#17
LETTER
Jiaqi Deng, Bo Sun, Rong Kuang, Jing Zhou
No abstract text is available yet for this article.
July 3, 2024: Surgical Infections
https://read.qxmd.com/read/38959162/is-full-scrubbing-necessary-before-short-endourological-procedures-to-reduce-the-risk-of-post-operative-infection-a-retrospective-cross-sectional-study
#18
JOURNAL ARTICLE
Mohammad Al-Zubi, Omar Halalsheh, Rami Al Azab, Reem Omar Alqudah, Nedalaldeen Alnajadat, Sara I J Muhanna, Khayry Al-Shami, Manar Al-Shami, Mohammad Alqasem Aladaileh, Morad Bani-Hani
Background: Endoscopic surgery is now increasingly taking the place of open surgery in urology. Traditionally, endourological procedures are classified as clean-contaminated because the genitourinary tract is colonized by micro-flora, even in the case of sterile urine. The aim of this study was to determine whether a difference occurs in the infection rate after short endourological procedures using standard scrubbing and partial scrubbing techniques before the operations. Patients and Methods: This was a retrospective analysis of 397 patients who underwent a short endourological procedure, with all procedure durations lasting <30 min...
July 3, 2024: Surgical Infections
https://read.qxmd.com/read/38959160/classification-and-risk-factors-for-surgical-site-infections-in-radical-cystectomy-a-16-year-analysis
#19
JOURNAL ARTICLE
Soum D Lokeshwar, Ankur U Choksi, Shayan Smani, Kevan L Ip, Juan F Javier-DesLoges, Syed N Rahman, Michael S Leapman, Thomas V Martin, David G Hesse
Introduction: Surgical site infection (SSI) is a substantial cause of peri-operative morbidity among patients undergoing radical cystectomy (RC). The purpose of this study was to identify the risk factors of SSI after RC and to classify and characterize treatment of SSIs. Methods: We retrospectively analyzed peri-operative characteristics and SSI, for patients undergoing RC from 2007 to 2022. Patients were stratified by SSI versus no SSI and differences were assessed. Uni-variable/multi-variable logistic regression analyses were performed to identify factors associated with SSI...
July 3, 2024: Surgical Infections
https://read.qxmd.com/read/38958043/minimizing-the-risk-of-surgical-site-infection-following-hip-fracture-operation
#20
JOURNAL ARTICLE
Mark Maher, Alex Ward, Karen Ward, Karen Robinson, Edward Mills
Introduction: Hip fractures are the most common serious injury in the elderly, associated with disability, morbidity, and mortality. Surgical site infection (SSI) is a serious post-operative complication. This prospective cohort study outlines how our center made cumulative improvements in SSI incidence rates, reaching a 12-month average of 0.5%. Methods: All patients undergoing hip fracture operation between 2016 and 2021 were included. The primary outcome measure was confirmed SSI, according to the Public Health England definition...
July 3, 2024: Surgical Infections
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