4 prevention of surgical wound infections

... development of surgical site infections after major cardiac surgery Journal of Cardiothoracic Surgery 2011 6:4 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient ... general surgical population: a randomized controlled trial JAMA 2004, 291(1):79-87 Meyhoff CS, Wetterslev J, Jorgensen LN, PROXI Trial Group, et al: Effect of high perioperative oxygen fraction on surgical ... results of the trials conducted by Pryor et al [4] and Meyhoff et al [5] in that perioperative hyperoxia was not effective in reducing SSIs PsqO2 is typically lower than the PaO2 level by a factor of...

Ngày tải lên: 10/08/2014, 09:23

... single medical -surgical ICU including a mixed population of medical, surgical, and trauma patients However, the place of probiotics in the prevention of infectious complications in surgical or critically ... reduces infections in ICU patients, but the selective pressure exerted by antibiotic can lead to a dramatic adverse effect, namely overgrowth of members of the indigenous microflora or of ingested ... representation of estimated probabilities of non-acquisition of Pseudomonas aeruginosa in the respiratory tract The numbers of patients acquiring P aeruginosa relative to the number of patients...

Ngày tải lên: 13/08/2014, 11:22

... study of the effect of acid-suppressing medications on the incidence of hospitalacquired pneumonias [7] They included all patients admitted to their hospital for longer than days over a period of ... the development of ventilator-acquired pneumonia The use of synbiotics had no significant effect on the development of ventilator-acquired pneumonia, nor the secondary endpoints of oropharyngeal ... rate per 1,000 ventilated days, ICU length of stay and hospital length of stay Page of (page number not for citation purposes) Intensivist assessment of left-ventricular function using transthoracic...

Ngày tải lên: 13/08/2014, 18:22

... in comparison to the non-biofilm strains.12-15 Due to the virulence of bacterial biofilm, biofilm-related infections such as blood stream infections and urinary tract infections are extremely difficult ... than 60% of nosocomial infections are related to the usage of intravascular catheters.5 The CAIs are caused mainly by the adhesion of microbes and the subsequent formation of a microbial biofilm ... growth of complex biofilms, and detachment of bacteria (Reprinted with permission from Ref.3) 1.2.2 Strategies for prevention and eradication of bacterial biofilm To address the problem of CAIs,...

Ngày tải lên: 09/09/2015, 09:54

... Antimicrobial agents of choice in women with a history of immediate hypersensitivity to penicillin e Ciprofloxacin or levofloxacin or moxifloxacin f If patient has a history of pelvic inflammatory ... Director of Urogynecology and Reconstructive Pelvic Surgery, Atlantic Health, Morristown and Summit, NJ; and Professor of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, ... presented in Tables and SKIN PREPARATION Gynecologic infections are commonly caused when the flora of the patient’s vagina gains exposure to the surgical incision site in the peritoneal cavity This...

Ngày tải lên: 13/02/2014, 07:20

... and Treatment of Cancer-Related Infections See Suggested Duration of Therapy for Documented Infection (FEV-10) Fever of unknown origin See Suggested Duration of Therapy for Fever of Unknown Origin ... n NCCN ® Summary of the changes in the 2.2009 version of the Prevention and Treatment of Cancer-Related Infections Guidelines from the 1.2009 version include: · The addition of the updated Discussion ... References SUGGESTED DURATION OF THERAPY FOR FEVER OF UNKNOWN ORIGIN FOLLOW-UP THERAPY FOR RESPONDING PATIENTS Fever of unknown origin Prevention and Treatment of Cancer-Related Infections rib ut io n...

Ngày tải lên: 14/02/2014, 22:20

... respeccancer was assessed by means of a comparison of the rates of the tively The rates of occurrence of tumors of 2.1–3.0 cm were occurrence of that disease during each of the first yearly in- 0.85 ... the consistency of the effect of tamoxifen across the population, rates of invasive breast cancer were calculated for several subgroups of women When age, history of LCIS, history of atypical hyperplasia, ... effect of tamoxifen would be a function of the number of tumors that are ER positive rather than a function of the total number of breast cancer events Thus, if the expected proportion of ER-negative...

Ngày tải lên: 15/02/2014, 04:20

... Data shown are representative of experiments Page of Figure Inhibition of caspase-3 after gene silencing of TLR4 (A) Suppression of Fas expression in the hearts of STZ mice treated with TLR4 ... http://www.translational-medicine.com/content/8/1/133 Figure Suppression of TLR4 and prevention of apoptosis by gene silencing of TLR4 (A) Suppression of TLR4 expression in the heart of STZ mice treated with TLR4 siRNA Diabetes ... tissue of STZ mice Although TLRs are reportedly up-regulated in cardiomyocytes of diabetic patients [11], it is unclear whether TLRs play a role in the promotion of diabetes in the initial stages of...

Ngày tải lên: 18/06/2014, 16:20

... accept the risks of an early-detection strategy Another example of shared decision-making is the choice of colon cancer screening techniques (Chap 78) In controlled studies, the use of annual FOBT ... of life saved Thus, while one patient may prefer the ease of preparation, less time disruption, and the lower risk of flexible sigmoidoscopy, others may prefer the sedation and thoroughness of ... major health care benefits, implementation of these services is challenging because of competing demands on physician and patient time and because of gaps in health care reimbursement Moreover,...

Ngày tải lên: 06/07/2014, 08:20

... redo saw Page of Figure Sternal excision continuous negative pressure of 125 mm Hg in the wound cavity Results Out of 3896 patients, 120 patients (3.02%) developed sternal wound infections; There ... sternal wound infections were diagnosed in 3.34% of the CABG patients, 3.79% of the CABG and Valves and 3% of the Valve patients Patient’s demographics are presented in Table The overall mortality of ... eventually closure of the wound with the aid of a VAC-pump The mortality of this group was 16.66% (3 patients) Discussion Radical debridement in order to eradicate infection is of a paramount importance...

Ngày tải lên: 10/08/2014, 09:22

... number of DSWI were 23 out of 1574 median sternotomies, for the interval from February 2009 up until September 2010 The incidence of sternal infections of 1.46% is at the lower range of reported ... A prospective, comparative study of daptomycin for the treatment of superficial and deep surgical site infections. , Presented at: 26th Annual Meeting of the Surgical Infection Society, April ... negative wound cultures and the absence of signs of local and systemic infection Nineteen (83%) patients underwent vacuum-assisted closure (VAC) therapy Three (13%) of them with persistent local wound...

Ngày tải lên: 10/08/2014, 09:22

... publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Author details Institute of General Practice, ... Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report Journal of Medical Case Reports 2010 4:266 Submit your next ... their adaptive effects on sternal wound edges Long-term comparisons of safety and efficacy in larger study populations have not yet been conducted [5] To the best of our knowledge, there has been...

Ngày tải lên: 11/08/2014, 03:21

... publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Author details Institute of General Practice, ... Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report Journal of Medical Case Reports 2010 4:266 Submit your next ... their adaptive effects on sternal wound edges Long-term comparisons of safety and efficacy in larger study populations have not yet been conducted [5] To the best of our knowledge, there has been...

Ngày tải lên: 11/08/2014, 07:20

... some of the desires of the loved one Children introject desires of their parents, and adults introject the desires of their lovers In this way, it is as if part of our mind is symbolic of our ... purpose of serial assessment may be needed While malingering is always a thorn in the task of assessment, it may be more difficult to engage in because of the ambiguous nature of many of the stimuli ... pervasiveness of the focus given in the response patterns The ambiguity of the stimuli of the projective techniques can provide a greater in-depth exploration of intention despite the subjectivity of such...

Ngày tải lên: 12/08/2014, 00:22

... types of surgeries were included The mechanical stress of the wound is one of the local factors that influence surgical wound healing [3]; according to that, selection of only one type of surgery ... working at the Department of Veterinary Surgery and Anaesthesiology of the School of Veterinary Medicine and Animal Science of São Paulo State University in Brazil as a professor of surgery SPLL (DVM, ... into the study Five dogs had two surgical wounds each (one of them underwent orthopaedic and soft tissue surgery during the same anesthesia) The health status of the dogs was confirmed by physical...

Ngày tải lên: 12/08/2014, 18:22

... literature review of published articles in the prevention of intravascular catheter-related infections The review was conducted by searching the Medline database of the National Library of Medicine, ... the ability of M-EDTA to prevent long-term CVC infections Prophylactic thrombolysis Prophylactic use of anticoagulant agents, including heparin or warfarin, reduced the incidence of catheter ... bacterial colonization of the catheter and an associated reduction in CRBSI with use of heparin; however, studies included used variable definitions of catheter-related infections and the findings...

Ngày tải lên: 12/08/2014, 20:20

... College of Paediatrics and Child Health Royal College of Pathologists Royal College of Physicians of London Royal College of Radiologists Royal College of Surgeons of Edinburgh Royal College of Surgeons ... of surgical site infection The development of an SSI depends on contamination of the wound site at the end of a surgical procedure and specifically relates to the pathogenicity and inoculum of ... evisceration of abdominal contents xxi Introduction 1.1 Surgical site infection Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections...

Ngày tải lên: 09/08/2015, 12:45

... efficacy of Prevadh® (Tyco/Sofradim, Trevoux, French), which is an anti-adhesion barrier composed of collagen, polyethylene glycol and glycerol following thoracotomy in a rat model The purpose of this ... the Experimental Animals Laboratory of Dokuz Eylul University Faculty of Medicine The purpose of using rats is easy availability, safety, and the high ratio of repeating the experiment Design ... Adhesions were scored as shown below: A) Length of adhesion: The length of adhesion before the first thoracotomy incision (mm) B) Scoring of the intensity of adhesion between the parietal pleura and...

Ngày tải lên: 25/10/2012, 11:00

... provision of sufficient infection therapy is the usage of temporary, antibiotic-loaded cement spacers [5, 7, 14, 24] Although their indication in the treatment of destructive, bacterial infections of ... Fig 2: Evaluation of the hip joint function by the Merle d’ Aubigne score at the site of spacer implantation in the treatment of proximal femur infections Fig 3: Evaluation of the hip joint function ... for an adequate option in the treatment of periprosthetic infections Although their indication for the treatment of destructive, bacterial infections of the proximal femur would make sense, literature...

Ngày tải lên: 26/10/2012, 09:53

... for prolonged wound drainage, and this in return was a significant predictor of wound infection Each day of prolonged drainage was associated with a 42% increase in the risk of wound infection ... properties of gentamicin-loaded hip spacers after insertion of Kirschner wires [31] Stress experiments showed an average failure load of 1.6 kN The insertion of the K-wires prevented any dislocation of ... a study of 274 patients who underwent total hip replacement that of the patients with deep joint sepsis who had preoperative urinary tract infections, had evidence of the same organism of both...

Ngày tải lên: 26/10/2012, 09:53