Abstract：
BACKGROUND:Infection with multidrug-resistant (MDR) Gram-negative organisms leads to poorer outcomes in the critically ill burn patient. The aim of this study was to identify the risk factors for MDR Gram-negative pathogen infection in critically ill burn patients admitted to a major tertiary referral intensive care unit (ICU) in Australia. METHODS:A retrospective case-control study of all adult burn patients admitted over a 7-year period was conducted. Twenty-one cases that cultured an MDR Gram-negative organism were matched with 21 controls of similar age, gender, burn size and ICU stay. Multivariable conditional logistic regression was used to individually assess risk factors after adjusting for Acute Burn Severity Index. Adjusted odds ratios (ORs) were reported. P-values < 0.25 were considered as potentially important risk factors. RESULTS:Factors increasing the risk of MDR Gram-negative infection included superficial partial thickness burn size (OR: 1.08; 95% confidence interval (CI): 1.01-1.16; P-value: 0.034), prior meropenem exposure (OR: 10.39; 95% CI: 0.96-112.00; P-value: 0.054), Gram-negative colonization on admission (OR: 9.23; 95% CI: 0.65-130.15; P-value: 0.10) and escharotomy (OR: 2.66; 95% CI: 0.52-13.65; P-value: 0.24). For cases, mean age was 41 (SD: 13) years, mean total body surface area burned was 47% (SD: 18) and mean days in ICU until MDR specimen collection was 17 (SD: 10) days. CONCLUSION:Prior meropenem exposure, Gram-negative colonization on admission, escharotomy and superficial partial thickness burn size may be potentially important factors for increasing the risk of MDR Gram-negative infection in the critically ill burn patient.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Vickers ML,Dulhunty JM,Ballard E,Chapman P,Muller M,Roberts JA,Cotta MOdoi
10.1111/ans.14144subject
Has Abstractpub_date
2018-05-01 00:00:00pages
480-485issue
5eissn
1445-1433issn
1445-2197journal_volume
88pub_type
杂志文章abstract：BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13073
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:The aim of our study was to identify the demographics and complications in elderly cervical spine injuries and predictive factors for surgery, complications and mortality. We hypothesized younger healthier patients were more likely to undergo surgical intervention. METHODS:A retrospective review of 225 cons...
journal_title：ANZ journal of surgery
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abstract：BACKGROUND:Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail-feet-fixation (MANFF) device in treating scaphoid fractures. METHODS:Sixty-six patients with closed scaphoid fractures were treated...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13641
更新日期：2016-07-01 00:00:00
abstract：:Clinical decision making is a core competency of surgical practice. It involves two distinct types of mental process best considered as the ends of a continuum, ranging from intuitive and subconscious to analytical and conscious. In practice, individual decisions are usually reached by a combination of each, according...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.12180
更新日期：2013-06-01 00:00:00
abstract：BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to gen...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:This study aimed to explore the effects of early antiplatelet therapy (APT) for portal vein thrombosis (PVT) in patients with cirrhotic portal hypertension after splenectomy with gastro-oesophageal devascularization. METHODS:We retrospectively analysed 139 patients who underwent splenectomy with gastro-oeso...
journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
pub_type： 传,历史文章,杂志文章
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abstract：BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05606.x
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:We report outcomes on 324 consecutive cases of hand-assisted laparoscopic surgery (HALS) in colorectal patients over 13 years performed by a single surgeon. METHODS:A prospectively maintained database was used to identify all patients undergoing HALS colorectal procedures for benign or malignant indications...
journal_title：ANZ journal of surgery
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doi：10.1111/ans.15578
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journal_title：ANZ journal of surgery
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更新日期：2018-09-01 00:00:00
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journal_title：ANZ journal of surgery
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doi：10.1111/j.1445-2197.2008.04832.x
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journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章
doi：10.1111/ans.13813
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:Neoadjuvant therapy, radical lymphadenectomy and treatment in high-volume centres have been proposed to improve outcomes for resectable oesophageal tumours. The aim of the present study was to review the oesophagectomy experience of a single surgeon with a moderate caseload who uses neoadjuvant therapy selec...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.04855.x
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16583
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Spina bifida occulta (SBO) is generally known as a benign isolated entity; however, there are ambiguous approaches for neuroaxial screening in cases of symptomatic SBO among institutions. This study aims to demonstrate the infrequency of cranial anomalies associated with symptomatic SBO and inquire the neces...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15164
更新日期：2019-07-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13583
更新日期：2017-01-01 00:00:00
abstract：:There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...
journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1111/ans.13369
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:High hospital-volume and service capability are associated with improved mortality following complex cancer surgery. Using a population-based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy, comparing high- and low-volume hospitals stratified by ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15389
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:To prevent postoperative hypoparathyroidism following total thyroidectomy, the parathyroid glands are preserved in situ and/or resected or devascularized parathyroid glands are autotransplanted. A retrospective investigation was conducted utilizing biochemical and specific endocrine assessments to evaluate t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03435.x
更新日期：2005-07-01 00:00:00
abstract：:Constipation is very common in all age groups and can be resistant to standard therapies, producing chronic morbidity. Childhood onset constipation frequently produces symptoms that persist into adulthood. Recent advances have been made in the diagnosis and treatment of childhood constipation that could have applicati...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-1433.2004.03149.x
更新日期：2004-09-01 00:00:00
abstract：BACKGROUND:Laparoscopic fundoplication is an effective treatment for gastro-oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long-term residual symptoms, patient satisfaction and use of acid-suppression medication at 5, 10 and 20 years after surgery. METHODS:We identified a cohort of 100 pa...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15471
更新日期：2020-01-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16002
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:An enhanced fracture healing response has been reported in patients with traumatic brain injury (TBI). This has been attributed to circulating humoral factors that are thought to be proteins produced and released by the injured brain. However, these factors remain unknown. The aim of this study was to identi...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05268.x
更新日期：2010-07-01 00:00:00
abstract：BACKGROUND:Patients presenting in urinary retention secondary to prostatic obstruction are offered transurethral resection of the prostate (TURP) to free them from long-term catheterization. Short-term success is well understood, but there is scarce data about effect of age on outcome, quality of life and catheter-free...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12014
更新日期：2013-04-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1440-1622.2001.02077.x
更新日期：2001-04-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15336
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:The present paper examines the local recurrence rate following surgical treatment for carcinoma of the lower rectum with principally blunt dissection directed at tumour-specific mesorectal excision (including total mesorectal excision when appropriate). METHODS:During the period April 1987-December 1999, 12...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-1433.2004.03136.x
更新日期：2004-09-01 00:00:00
abstract：BACKGROUND:The objective of the research was to validate our results on sentinel lymph node biopsy (SLNB) and to determine factors affecting false-negative (FN) rates of SLNB in Chinese patients with invasive breast cancers. METHODS:A retrospective study of patients with clinically node-negative invasive breast cancer...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04260.x
更新日期：2007-10-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14955
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:The surgical cure rate for primary hyperparathyroidismis greater than 95%. For those who have recurrent or persistent disease, preoperative localization improves reoperation success rates. Selective parathyroid venous sampling (SPVS) for intact parathyroid hormone is particularly useful when non-invasive loc...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.02678.x
更新日期：2003-10-01 00:00:00
