journal
https://read.qxmd.com/read/36961409/a-systematic-review-and-meta-analysis-of-intra-operative-surgical-site-sampling-culture-versus-culture-independent-techniques-in-predicting-downstream-surgical-site-infection
#1
REVIEW
Veral Vishnoi, Tristan Morey, Emily C Hoedt, Simon Keely, Peter Pockney, Stephen R Smith
Background: Surgical site infection remains a significant cause of morbidity and mortality. Traditionally, the causation has been inferred from the organism(s) detected in the post-operative setting. However, the intra-operative surgical site and the bacteria it harbors have been scarcely studied. Compared with culture-dependent methods, the development of genomic technology provides a new sensitive tool that could aid in characterizing the bacteria within the surgical site. The purpose of this literature review is to establish if there is a predictive role of sampling the intra-operative surgical site...
March 24, 2023: Surgical Infections
https://read.qxmd.com/read/36952307/coagulation-profile-alterations-and-diagnostic-yield-in-pediatric-acute-appendicitis-a-prospective-validation-study
#2
JOURNAL ARTICLE
Javier Arredondo Montero, Carlos Bardají Pascual, Mónica Bronte Anaut, Giuseppa Antona, Natalia López-Andrés, Nerea Martín-Calvo
Background: The literature regarding alterations in the coagulation profile in pediatric acute appendicitis (PAA) is scarce and mainly limited to retrospective studies. Evidence on the diagnostic yield of coagulation parameters is limited to fibrinogen. Patients and Methods: This is a prospective study with 151 patients divided into two groups: patients with nonsurgical abdominal pain (NSAP) in whom the diagnosis of PAA was excluded (n = 53) and patients with a confirmed diagnosis of PAA (n = 98). In 93 patients (62%), a coagulation study was obtained at the time of diagnosis and international normalized ratio (INR), activated partial thromboplastin time (aPTT), d-dimer, platelets, mean platelet volume, and platelet-to-lymphocyte ratio were analyzed...
March 23, 2023: Surgical Infections
https://read.qxmd.com/read/36946879/treatment-of-severe-hyperglycemia-in-patients-without-diabetes-after-colorectal-surgery
#3
JOURNAL ARTICLE
John D Mannion, Assar Rather, Kelly Gardner, Margaret McEvilly, Adrianne Fisher, Lora Harper, Michael Thorogood, Gary Siegelman
Background: Several studies have suggested that intravenous insulin therapy for post-operative hyperglycemia improves outcomes after colorectal surgery. Despite the potential benefit, there is a reluctance to use this approach in patients without diabetes mellitus because of an unproven benefit and the potential for hypoglycemia. In this study, we examined whether sliding-scale insulin is sufficient to improve outcomes or if stricter glucose control is necessary. Patients and Methods: Of 1,064 consecutive colorectal surgery patients between August 2016 and December 2021, 478 patients without diabetes mellitus had an average of 6...
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36946794/-letter-to-the-editor-epididymis-tuberculosis-is-mimicking-epididymis-neoplasm
#4
LETTER
Bo Sun, Ying Si, Jiaqi Deng, Rong Kuang, Jing Zhou
No abstract text is available yet for this article.
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36946790/can-triclosan-coated-sutures-reduce-the-incidence-of-surgical-site-infections-and-intra-abdominal-infection-a-double-blinded-randomized-controlled-trial
#5
JOURNAL ARTICLE
Hari Kang, Woon Kee Lee, Sangtae Choi, Won-Suk Lee
Abstract Background: Surgical site infections (SSIs) are the most common nosocomial infections suffered by surgical patients. They increase medical costs and prolong hospital stay. With respect to gastrointestinal surgery, SSIs are reported to have an incidence of up to 30%, and they frequently cause morbidity. The aim of this study was to prospectively investigate whether use of triclosan-coated sutures for abdominal incision closure during colorectal surgery reduces the incidence of SSI. Patients and Methods: This was a double-blinded randomized controlled trial in a single academic surgical hospital...
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36946788/evaluation-of-the-risk-factors-of-nosocomial-pneumonia-and-the-prevalence-of-antibiotic-resistance-in-trauma-patients-in-need-of-immediate-intervention
#6
JOURNAL ARTICLE
Mahnaz Yadollahi, Amir Hossein Shams, Mojtaba Norouzi, Monireh Feizi
Background: Pneumonia is the most common nosocomial infection reported worldwide in intensive care units. This study aimed to evaluate the risk factors of nosocomial pneumonia and the frequency of antibiotic resistance in trauma patients who need immediate intervention. Patients and Methods: This prospective cohort study was conducted in Shahid Rajaei Trauma Hospital in Shiraz between 2020 and 2021. All the trauma patients who needed immediate intervention (levels 1 and 2 based on the Canadian Emergency Department Triage and Acuity Scale) and had no symptoms of infection were included...
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36946786/-letter-to-the-editor-cardioembolic-stroke-caused-by-candida-haemulonii
#7
LETTER
Ke Xiao
No abstract text is available yet for this article.
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36946784/-letter-to-the-editor-acute-appendicitis-in-infants-an-unusual-presentation
#8
LETTER
Mohamed Zouari, Hana Ben Ameur, Nesrine Ben Saad, Najoua Kraiem, Wiem Rhaiem, Riadh Mhiri
No abstract text is available yet for this article.
March 22, 2023: Surgical Infections
https://read.qxmd.com/read/36944154/examining-the-definition-of-ventilator-associated-pneumonia-in-the-trauma-setting-a-single-center-analysis
#9
JOURNAL ARTICLE
Walter A Ramsey, Christopher F O'Neil, Rebecca A Saberi, Matthew S Meece, Gareth P Gilna, Joyce I Kaufman, Howard M Lieberman, Edward B Lineen, Jonathan P Meizoso, Louis R Pizano, Shevonne S Satahoo, Gary H Danton, Kenneth G Proctor, Nicholas Namias
Background: Ventilator associated pneumonia (VAP) is defined by the American College of Surgeons Trauma Quality Improvement Program (ACS TQIP) using laboratory findings, pathophysiologic signs/symptoms, and imaging criteria. However, many critically ill trauma patients meet the non-specific laboratory and sign/symptom thresholds for VAP, so the TQIP designation of VAP depends heavily upon imaging evidence. We hypothesized that physician opinions widely vary regarding chest radiograph findings significant for VAP...
March 21, 2023: Surgical Infections
https://read.qxmd.com/read/36940292/longitudinal-rates-patient-risk-factors-and-economic-impact-of-superficial-and-deep-incisional-surgical-site-infection-after-primary-and-revision-total-hip-arthroplasty-a-u-s-retrospective-commercial-claims-database-analysis
#10
JOURNAL ARTICLE
Charles E Edmiston, Maureen Spencer, Najmuddin J Gunja, Chantal E Holy, Jill W Ruppenkamp, David J Leaper
Background: Longitudinal rates, risk factors, and costs of superficial and deep incisional surgical site infection (SSI) were evaluated six months after primary total hip arthroplasty (pTHA) and revision total hip replacement (rTHA). Patients and Methods: Patients who had pTHA or rTHA between January 1, 2016 and March 31, 2018 were identified using the IBM® MarketScan® administrative claims databases. Kaplan-Meier survival curves evaluated time to SSI over six months. Cox proportional hazard models evaluated SSI risk factors...
March 20, 2023: Surgical Infections
https://read.qxmd.com/read/36856524/-letter-to-the-editor-multiple-brain-abscesses-in-hemophilus-parainfluenzae-endocarditis-a-case-report
#11
LETTER
Monique Boukobza, Emila Ilic-Habensus, Xavier Duval, Jean-Pierre Laissy
No abstract text is available yet for this article.
February 28, 2023: Surgical Infections
https://read.qxmd.com/read/36847343/unexpected-benefits-of-coronavirus-disease-2019-impact-of-coronavirus-disease-2019-pandemic-on-surgical-site-infection-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
Omar Abdulqader Alaidaroos, Mujahid Nasser Almuhaydib, Mashari Ahmed Alhossan, Abdulkarem Naif Aldossari, Mawadda Omar Fallatta, Shatha Mohammed Alotaibi, Fay Khalid Alowid, Anwar Abdullah Salem, Kholoud Abdulhamid Alsaygh, Hatoon Saud Alshammary
Abstract Background: We aimed to summarize and synthesize the current evidence regarding the indirect impact of the coronavirus disease 2019 (COVID-19) pandemic and its associated measures on the surgical site infection (SSI) rate compared with the pre-pandemic period. Methods: A computerized search was conducted on MEDLINE via PubMed, Web of Science, and Scopus using the relevant keywords. Two-stage screening and data extraction were done. The National Institutes of Health (NIH) tools were used for the quality assessment...
February 27, 2023: Surgical Infections
https://read.qxmd.com/read/36799978/open-mandible-and-maxillary-fractures-associated-with-higher-risk-of-infection-in-victims-of-assault
#13
JOURNAL ARTICLE
Melissa Canas, Ricardo Fonseca, Leonardo Diaz, Alejandro De Filippis, Hussain Afzal, Jose A Aldana, Chris Machica, Jennifer Leonard, Stephen Y Liang, Kelly Bochicchio, Grant V Bochicchio
Abstract Background: Victims of assault (VOA) often present with fractures of the mandible and maxilla. They represent a complex challenge because of possible compromise of the airway, and infection-related complications because of potential involvement of the oral cavity. We hypothesized that open mandible and maxillary fractures in VOA are associated with a higher rate of infection compared with non-VOA patients with open facial fractures. Patients and Methods: Patients admitted to our level 1 trauma center from 2005 to 2020 with a diagnosis of open mandible and maxillary fractures were included...
February 17, 2023: Surgical Infections
https://read.qxmd.com/read/36757283/palliative-care-in-a-pandemic-a-multicenter-cohort-of-critically-ill-patients-with-coronavirus-disease-2019
#14
JOURNAL ARTICLE
Lisa M Kodadek, Miranda S Moore, Samuel Morrison Miller, Eric B Schneider, Vanita Ahuja, Linda L Maerz, Kimberly A Davis
Background: Trends in mortality, palliative care, and end-of-life care among critically ill patients with coronavirus disease 2019 (COVID-19) remain underreported. We hypothesized that use of palliative care and end-of-life care would increase over time, because improved understanding of the disease course and prognosis would potentially lead to more frequent use of these services. Patients and Methods: Adult patients with severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2) during pandemic wave one (W1: March 2020 to September 2020) or wave two (W2: October 2020 to June 2021) admitted to an intensive care unit (ICU) in one of six northeastern U...
February 8, 2023: Surgical Infections
https://read.qxmd.com/read/36745392/using-microbiology-culture-in-pediatric-appendicitis-to-risk-stratify-patients-a-cohort-study
#15
JOURNAL ARTICLE
Benjamin Martin, Thejasvi Subramanian, Suren Arul, Mitul Patel, Ingo Jester
Background: We sought to investigate the value of intra-operative microbiology samples in pediatric appendicitis. Proposed benefits include tailoring post-operative antimicrobial management, risk-stratifying patients, and reducing post-operative intra-abdominal abscess formation. Patients and Methods: All cases of appendicitis managed with appendicectomy in a single center were collected from January 2015 to August 2020. Intra-operative microbiology samples were taken routinely. Post-operative outcomes were analyzed with reference to culture and sensitivity results...
February 6, 2023: Surgical Infections
https://read.qxmd.com/read/36735615/management-of-sternal-wounds-infections-and-sternal-non-union-with-plate-fixation-result-from-a-single-site-experience
#16
JOURNAL ARTICLE
Alexandra Blake, Megan Condrey, Leslie Hansen, Vineet Mehan
Background: Patients with sternal wounds, infection, or non-union after cardiac surgery continue to have increased morbidity and mortality rates compared with those without sternal complications. Reconstructive methods have largely centered on soft tissue approaches, including muscle or omental flaps, which result in functional loss. Some data show early positive advantages using sternal rigid plate fixation (SRPF), however, it is debated in the setting of active infection. The goal of this study is to examine the outcomes of SRPF in patients with and without infections...
February 3, 2023: Surgical Infections
https://read.qxmd.com/read/36723503/single-dose-antibiotic-prophylaxis-with-ertapenem-increases-compliance-with-recommendations-for-surgical-antibiotic-prophylaxis-in-elective-colorectal-surgery-a-retrospective-single-center-analysis
#17
JOURNAL ARTICLE
Allison M Field, Robert W Seabury, Wesley D Kufel, William Darko, Christopher D Miller, Keri A Mastro, Jeffrey M Steele
Background: Compliance with guideline recommendations for surgical antibiotic prophylaxis (SAP) in colorectal surgery, particularly redosing, has been suboptimal at many institutions including ours. This study aimed to evaluate if single-dose antibiotic prophylaxis with ertapenem improves compliance with guideline recommendations for SAP versus multiple-dose antibiotic prophylaxis in elective colorectal surgery. Methods: A retrospective, cohort study of the use of ertapenem compared with standard of care antibiotic agents was performed in adult patients undergoing elective colorectal surgery at an academic medical center between January 2020 and February 2022...
January 31, 2023: Surgical Infections
https://read.qxmd.com/read/36720003/-letter-to-the-editor-parotid-tuberculosis-mimicking-parotid-neoplasm
#18
LETTER
Yanrong Wang, Yuanbiao Guo
No abstract text is available yet for this article.
January 31, 2023: Surgical Infections
https://read.qxmd.com/read/36719990/-letter-to-the-editor-spontaneous-colon-perforation-in-ehlers-danlos-syndrome-type-iv-caused-by-a-novel-spontaneous-de-novo-mutation-of-col3a1
#19
LETTER
Philip S Barie, Kareem Ibrahim, Mayur Narayan
No abstract text is available yet for this article.
January 31, 2023: Surgical Infections
https://read.qxmd.com/read/36706443/distressed-communities-index-is-not-associated-with-mortality-for-critically-ill-surgical-patients-with-sepsis
#20
JOURNAL ARTICLE
Chloe Williams, Whitney Kellett, Megan Ireland, Wendy Wahl, Jon Wisler, Anahita Jalilvand
Background: The impact of socioeconomic metrics on outcomes after sepsis is unclear. The Distressed Communities Index (DCI) is a composite score quantifying socioeconomic well-being by zip code. The primary objective of this study was to evaluate the association between DCI and mortality in patients with sepsis admitted to the surgical intensive care unit (SICU). Patients and Methods: All patients with sepsis admitted to the SICU (Sequential Organ Failure Assessment [SOFA] score ≥2) were reviewed retrospectively...
January 27, 2023: Surgical Infections
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