Article
Surgery
Manuel O. O. Jakob, Adriana Bruggemann, Nina Moser, Daniel Candinas, Guido Beldi, Tobias Haltmeier
Summary: This study revealed that emergency hospitalization, previous laparotomy, duration of operation, laparotomy, bariatric, colorectal, and emergency surgery, as well as abdominal contamination or infection, and usage of non-polypropylene mesh were independent predictors for surgical site infection (SSI) following intra-abdominal onlay mesh implantation. In contrast, hernia surgery was associated with a lower risk for SSI.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Biochemistry & Molecular Biology
Simran Grewal, J. Reinder D. Reuvers, Gabor S. A. Abis, Rene H. J. Otten, Geert Kazemier, Hein B. A. C. Stockmann, Marjolein van Egmond, Steven J. Oosterling
Summary: Prophylactic oral antibiotics combined with mechanical bowel preparation can reduce the rates of surgical-site infection and anastomotic leakage in patients undergoing elective colorectal carcinoma surgery, with selective decontamination of the digestive tract showing greater effectiveness in reducing anastomotic leakage compared to broad-spectrum antibiotics.
Article
Public, Environmental & Occupational Health
M. Petit, G. Geri, E. Salomon, M. Victor, F. Peschaud, A. Vieillard-Baron, X. Repesse
Summary: Among 149 patients who underwent major pancreatic surgery, approximately 20.1% experienced SSI, and 28.2% received ATBpo. The routine prescription of ATBpo was not associated with the occurrence of SSI. Postoperative fever appears to be a relevant clinical sign for individual-based prescription.
JOURNAL OF HOSPITAL INFECTION
(2021)
Article
Public, Environmental & Occupational Health
Yuko Akiyama, Yuta Norimatsu, Yuki Ohno
Summary: This study investigated whether prophylactic antibiotic use after punch biopsies reduces the risk of surgical site infections (SSIs). The results suggest that the incidence of SSIs in punch biopsies without prophylaxis seems to be low. However, further research is needed due to the small number of cases in this study.
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
(2022)
Article
Dentistry, Oral Surgery & Medicine
Andreas Naros, Carola Helene Naros, Daniel Awad, Michael Krimmel, Susanne Kluba
Summary: This retrospective study evaluated the incidence of surgical site infections (SSI) and associated risk factors in orthognathic surgery. Low rates of SSIs were found following an intraoperative single-dose antibiotic prophylaxis. Postoperative infections were significantly associated with type of surgery, type of drainage, smoking, and previous surgically assisted rapid palatal expansion (SARPE). No significant relationships were observed between infections and antibiotic regime, age at surgery, gender, craniofacial malformations, surgery duration, displacement distances, and mandibular setback vs. advancement.
Article
Dermatology
Yu-Ling Wang, Fa-Biao Zhang, Ling-E Zheng, Wei-Wei Yang, Lan-Lan Ke
Summary: This study assessed the effect of enhanced recovery after surgery (ERAS) on wound infection and postoperative complications in liver surgery patients. Published studies on ERAS in liver surgery were collected from electronic databases. The ERAS group had a lower incidence of postoperative wound infection and overall postoperative complication rate, as well as a shorter postoperative hospital stay compared to the control group. ERAS was safe and feasible for liver resection, but further studies are needed to investigate its impact on clinical outcomes.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Surgery
Nina S. Cohen, Jiselle M. Bock, Addison K. May
Summary: Surgical site infections are a significant cause of illness and death. There is strong evidence supporting several preventive measures, but their effective implementation is not optimal. It is crucial to identify high-risk patients and avoid pitfalls in diagnosing surgical site infections, especially in emergency surgery patients with physiological disorders. Maintaining a high level of suspicion after surgery is critical in identifying patients with surgical site infections and preventing failure to rescue.
Article
Pediatrics
Sarah C. Stokes, Christina M. Theodorou, Erin G. Brown
Summary: Additional prophylactic antibiotics may not decrease rates of surgical site infections in pediatric patients receiving treatment antibiotics for acute intraabdominal infection.
JOURNAL OF PEDIATRIC SURGERY
(2021)
Review
Surgery
Yang Hu, Xuan Zhou, Xiaofei Tong, Xiangyu Chen, Mingzhu Wang, Xianrui Wu, Peiting Li, Fengjie Tang, Jianda Zhou, Ping Li
Summary: This study found that the use of antibiotics after breast implantation reduces the incidence of infection. Smoking, obesity, and type II diabetes are risk factors for postoperative infections.
FRONTIERS IN SURGERY
(2022)
Article
Public, Environmental & Occupational Health
T. Zhang, X. Lian, Y. Chen, B. Cai, J. Xu
Summary: This study analyzed the incidence and characteristics of postoperative surgical site infection (SSI) after posterior thor-acolumbar and lumbar instrumentation. The results showed an average SSI rate of 1.8%. Most patients with deep wound SSI can be successfully treated with retention of implants, but early diagnosis, positive revision surgery, strict irrigation, thorough debridement, and long-term antibiotic treatment are crucial.
JOURNAL OF HOSPITAL INFECTION
(2022)
Article
Surgery
Vikram G. Mookerjee, Alexander J. Kammien, Alexandre J. Prassinos, Jonathan N. Grauer, Paris D. Butler
Summary: This study compared surgical site infection rates in reduction mammaplasty patients who received postoperative antibiotics with those who did not. The results showed that there was no statistically significant difference in the rates of surgical site infection between the two groups. This conclusion was also applicable to the subgroup of obese patients.
AESTHETIC SURGERY JOURNAL
(2023)
Article
Gastroenterology & Hepatology
Aimal Khan, Dallas D. Wolford, Gerald O. Ogola, Rachel F. Thompson, Pamela Daher, Sarah B. Stringfield, Anthony C. Waddimba, Warren E. Lichliter, Walter R. Peters, Alessandro Fichera, James W. Fleshman, Katerina O. Wells
Summary: Self-reported penicillin allergy is common among patients undergoing colorectal surgery. However, the reported allergy does not significantly impact the rate of surgical site infection. Patients with penicillin allergy are less likely to receive beta-lactam antibiotics but can be safely prescribed non-beta-lactam antibiotics without negatively affecting surgical site infection rates.
DISEASES OF THE COLON & RECTUM
(2022)
Article
Infectious Diseases
Margaret A. Olsen, Jacob K. Greenberg, Kate Peacock, Katelin B. Nickel, Victoria J. Fraser, David K. Warren
Summary: This study aims to investigate the prevalence and factors associated with post-discharge prophylactic antibiotic use after spinal fusion, as well as its relationship with the risk of surgical site infection (SSI). Data from the MarketScan Commercial Database were analyzed, and it was found that post-discharge prophylactic antibiotic use was not associated with decreased SSI risk.
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
(2022)
Article
Infectious Diseases
Marco Lollobrigida, Gianluca Pingitore, Luca Lamazza, Giulia Mazzucchi, Giorgio Serafini, Alberto De Biase
Summary: The benefit of antibiotic prophylaxis for most oral surgical procedures is controversial, with substantial agreement found in some clinical scenarios but discordant responses in others. Specific guidelines on antibiotics in dentistry, particularly on antibiotic prophylaxis in oral surgery, are needed to avoid unnecessary prescriptions, as indicated by the heterogeneous responses collected from the survey sample.
Article
Surgery
Rathnayaka M. K. D. Gunasingha, Injamamul L. Niloy, Berish B. Wetstein, Peter A. Learn, Lauren C. Turza
Summary: This study investigated postoperative opioid usage among patients undergoing breast surgeries and recommended a set number of opioid pills for discharge. The results indicate that most breast surgery patients can be discharged with fewer than 10 opioid pills, except under special circumstances. Utilization of a standardized discharge opioids protocol can effectively reduce the number of opioids prescribed to patients.