A wound protector shields incision sites from bacterial invasion.

Abstract:

BACKGROUND:Superficial surgical site infection (SSI) can be caused by bacterial invasion during surgery. We investigated whether bacteria are found at the wound margin during surgery and whether a wound protector (WP; Alexis® Wound Retractor; Applied Medical, Rancho Santa Margarita, CA) contributes to preventing invasion of the incision margin. METHODS:We studied 272 patients who underwent gastrointestinal surgery (115 gastric, 157 colorectal, including emergency operations) between October 2005 and July 2007. The WP was used in all operations. After the intra-abdominal procedures were complete, bacterial swabs were taken from the abdominal cavity side of the WP and from the incision margin and used to prepare smears and cultures. After the swabbing, peritoneal lavage was performed using 3,000-5,000 mL of physiologic saline, and, after suture of the fascia, 500-1,000 mL of physiologic saline was used to irrigate the subcutaneous tissue. RESULTS:Nine gastric surgery patients and 15 colorectal surgery patients had positive cultures from the abdominal cavity. No patients had positive cultures from the incision margin. Of the 24 patients with positive cultures, three suffered SSIs, all of whom had undergone colorectal surgery. Of the patients who had negative cultures, SSI occurred in only one patient, who had undergone colorectal surgery. CONCLUSIONS:These results suggest that the WP protects an incision site from bacterial invasion.

journal_name

Surg Infect (Larchmt)

journal_title

Surgical infections

authors

Horiuchi T,Tanishima H,Tamagawa K,Sakaguchi S,Shono Y,Tsubakihara H,Tabuse K,Kinoshita Y

doi

10.1089/sur.2009.072

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

501-3

issue

6

eissn

1096-2964

issn

1557-8674

journal_volume

11

pub_type

杂志文章
  • Hand infections: basic principles and management.

    abstract:BACKGROUND:An untreated hand infection can lead rapidly to tissue destruction and permanent disability. METHODS:Review of the pertinent English literature. RESULTS:Early diagnosis and timely, effective intervention is crucial to treatment. Anatomically, the hand consists of multiple potential spaces and tissue planes...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2004.5.210

    authors: Spann M,Talmor M,Nolan WB

    更新日期:2004-07-01 00:00:00

  • Polymorphonuclear neutrophil infiltration intensity as consequence of Entamoeba histolytica density in amebic colitis.

    abstract:BACKGROUND:It has been suggested that the damage observed in invasive amebiasis is related to interactions between polymorphonuclear leukocytes (PMN) and Entamoeba histolytica trophozoites. We analyzed the relation between infiltrating inflammatory cell populations and E. histolytica density in intestinal amebic lesion...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2008.011

    authors: Dickson-Gonzalez SM,de Uribe ML,Rodriguez-Morales AJ

    更新日期:2009-04-01 00:00:00

  • Trends in postoperative sepsis: are we improving outcomes?

    abstract:BACKGROUND AND PURPOSE:Each year, as many as two million operations are complicated by surgical site infections in the United States, and surgical patients account for 30% of patients with sepsis. The purpose of this study was to determine recent trends in sepsis incidence, severity, and mortality rate after surgical p...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2008.046

    authors: Vogel TR,Dombrovskiy VY,Lowry SF

    更新日期:2009-02-01 00:00:00

  • Perioperative hypertonic saline may reduce postoperative infections and lower mortality rates.

    abstract:BACKGROUND:To determine the effects of hypertonic saline (HS) as fluid resuscitation during or after major spinal surgery. We hypothesized that the administration of HS perioperatively would decrease morbidity and mortality rates. METHODS:A two-year retrospective, pair-matched, case-control study of adult patients (57...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2005.069

    authors: Charalambous MP,Swoboda SM,Lipsett PA

    更新日期:2008-02-01 00:00:00

  • Colorectal anastomotic leakage caused by insufficient suturing after partial colectomy: a new experimental model.

    abstract:BACKGROUND:Colorectal anastomotic leakage (CAL) is the most important complication of colorectal surgery, accounting for one third of post-operative deaths. To prevent it, many interventions have been tested in animal models, mostly rats. However, few of these models have been validated. We aimed to develop a reproduci...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2013.197

    authors: Wu Z,Daams F,Boersema GS,Vakalopoulos KA,Lam KH,van der Horst PH,Kleinrensink GJ,Jeekel J,Lange JF

    更新日期:2014-12-01 00:00:00

  • Relation between Sarcopenia and Surgical Site Infection in Patients Undergoing Gastric Cancer Surgery.

    abstract:: Background: Sarcopenia is a syndrome that can have negative consequences after gastric cancer (GC) surgery. This study aims to determine the effect of sarcopenia on surgical site infection (SSI) that develops after open GC surgery. Patients and Met...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.211

    authors: Olmez T,Gulmez S,Karakose E,Ofluoglu CB,Senger AS,Bozkurt H,Duman M,Polat E

    更新日期:2020-11-11 00:00:00

  • Catheter-Associated Urinary Tract Infections among Trauma Patients: Poor Quality of Care or Marker of Effective Rescue?

    abstract:: Background: Catheter-associated urinary tract infection (CAUTI) is associated generally with worse outcomes among hospitalized patients, but the impact of CAUTI on clinical outcomes is poorly described in trauma patients. We hypothesized that trauma patients with CAUTI wou...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.211

    authors: Ladhani HA,Tseng ES,Claridge JA,Towe CW,Ho VP

    更新日期:2020-11-01 00:00:00

  • Spread of Hand Infection According to the Site of Entry and Its Impact on Treatment Decisions.

    abstract:: Background: Hand infections can spread quickly and destroy functional structures. Early diagnosis and adequate therapy can prevent severe morbidities. The aim of this study was to evaluate systematically the spread of hand infections according to injury mechanism, pathogen...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.035

    authors: Dastagir K,Vehling M,Könneker S,Bingoel AS,Kaltenborn A,Jokuszies A,Vogt PM

    更新日期:2020-07-28 00:00:00

  • Defining the research agenda for surgical infection: a consensus of experts using the Delphi approach.

    abstract:BACKGROUND:A substantial proportion of operative procedures are complicated by infections, either remote from or related to the surgical site. These infections account for substantive morbidity and health care costs. With limited research funds available to study interventions designed to either prevent or reduce the m...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2006.7.101

    authors: Nathens AB,Cook CH,Machiedo G,Moore EE,Namias N,Nwariaku F

    更新日期:2006-04-01 00:00:00

  • Clostridium perfringens surgical site infection after osteotomy for knee deformity correction in a non-immunocompromised child.

    abstract:BACKGROUND:Clostridium perfringens myonecrosis following an elective surgical procedure in a previously healthy child is a rare incident. METHODS:Case report and literature review. RESULTS:A two-year old boy admitted for elective bilateral osteotomies of tibiae was detected to be febrile at day one post-operatively w...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.192

    authors: Abd Rashid AH,Ramli R,Ibrahim S

    更新日期:2014-10-01 00:00:00

  • Nucleated red blood cells are associated with a higher mortality rate in patients with surgical sepsis.

    abstract:BACKGROUND:Nucleated red blood cells (NRBCs) are present in certain non-oncologic disease states and are associated with a poor prognosis. The purpose of this study was to evaluate NRBCs as an early prognostic marker for death in patients with surgical sepsis. METHODS:Retrospective evaluation of data collected prospec...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2011.089

    authors: Desai S,Jones SL,Turner KL,Hall J,Moore LJ

    更新日期:2012-12-01 00:00:00

  • Current Pneumonia Surveillance Methodology: Similar Underestimation in Trauma and Surgical Patients in the Intensive Care Unit.

    abstract:BACKGROUND:In 2013, the Centers for Disease Control and Prevention (CDC) developed new surveillance definitions for ventilator-associated events (VAE), leading to concerns that hospitals may be underreporting the true incidence of ventilator-associated pneumonias (VAPs). We sought to compare rates of clinically diagnos...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2016.152

    authors: Zosa BM,Golob JF,Conrad-Schnetz KJ,Schechtman D,Kreiner LA,Claridge JA

    更新日期:2017-07-01 00:00:00

  • Fungal Isolates in Peritoneal Fluid Culture Do Not Impact Peri-Operative Outcomes of Peptic Ulcer Perforation.

    abstract:: Background: Fungal isolates from peritoneal fluid sampling in patients with perforated peptic ulcer (PPU) is not uncommon and its management unclear. This study aims to evaluate whether the presence of fungus in peritoneal fluid cultures is a predictor of morbidity and mor...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.024

    authors: Kwan JR,Lim M,Ng F,Shelat V

    更新日期:2019-12-01 00:00:00

  • Liver abscess as a complication of laparoscopic gastric banding bariatric surgery.

    abstract:BACKGROUND:The World Health Organization has identified the rapidly growing prevalence of obesity as one of today's serious health problems. Various surgical interventions categorized collectively as bariatric surgery now play an ever-increasing important role as the only known effective treatment for severe obesity. L...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.023

    authors: Garrido D,Bush LM

    更新日期:2013-10-01 00:00:00

  • Active hexose correlated compound (AHCC) enhances resistance to infection in a mouse model of surgical wound infection.

    abstract:BACKGROUND:Infection is the most common postoperative complication within the surgical wound and during severe trauma. In spite of the use of modern sterile techniques and prophylaxis, infection continues to be a leading cause of death in these patients. Therefore, it has become crucial to develop new alternatives to p...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2006.7.527

    authors: Aviles H,O'Donnell P,Sun B,Sonnenfeld G

    更新日期:2006-12-01 00:00:00

  • Pyomyositis: Are We Missing the Diagnosis?

    abstract:BACKGROUND:Pyomyositis (PY) is a primary infection of the skeletal muscles, leading to inflammation of the muscle fibers followed by pus formation and even necrosis in late stages. Because of overlap in presentation of intermuscular abscess (IM) and PY, the exact incidence and severity of PY is under-appreciated. PATI...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2015.191

    authors: Agarwal N,Aroor S,Saini P,Gupta A,Kaur N

    更新日期:2016-10-01 00:00:00

  • Does prior transfusion worsen outcomes from infection in surgical patients?

    abstract:BACKGROUND:Controversy continues to exist regarding the immunomodulatory effects of cellular blood transfusions in the fields of oncology, transplantation, and infectious diseases. Numerous studies have correlated transfusion with hospital-acquired infection, but the impact of transfusion on infection-related mortality...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/109629603322761391

    authors: Hughes MG,Evans HL,Lightfoot L,Chong TW,Smith RL,Raymond DP,Pelletier SJ,Claridge JA,Pruett TL,Sawyer RG

    更新日期:2003-01-01 00:00:00

  • Daptomycin-associated eosinophilic pneumonia in two patients with prosthetic joint infection.

    abstract:BACKGROUND:Daptomycin is used increasingly to treat prosthetic joint infection (PJI). A possible side effect of this drug is eosinophilic pneumonia. We describe two patients with PJI treated with daptomycin who had this side effect with different clinical presentations. METHODS:Case reports and review of the literatur...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2013.200

    authors: Yusuf E,Perrottet N,Orasch C,Borens O,Trampuz A

    更新日期:2014-12-01 00:00:00

  • The conundrum of the gram-positive rod: are we missing important pathogens in complicated skin and soft-tissue infections? A case report and review of the literature.

    abstract:BACKGROUND:The designation "gram-positive bacillus" includes a variety of pleomorphic microorganisms, including diphtheroids, coryneform species, coccobacilli, and other small rods. Despite differing greatly in their virulence, sources, and even genus, these microscopically similar organisms are often difficult to diff...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2008.085

    authors: Clarke TM,Citron DM,Towfigh S

    更新日期:2010-02-01 00:00:00

  • Evidence-Based Management of Calculous Biliary Disease for the Acute Care Surgeon.

    abstract:: Background: Gallstones and cholecystitis are common clinical problems. There is a wide spectrum of disease severity, from rare symptoms of biliary colic to severe cholecystitis with marked gallbladder infection and inflammation that can cause life-threatening sepsis. The c...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.110

    authors: Biesterveld BE,Alam HB

    更新日期:2020-05-29 00:00:00

  • Disseminated Nocardia farcinica: literature review and fatal outcome in an immunocompetent patient.

    abstract:BACKGROUND:Nocardia farcinica is a gram-positive, partially acid-fast, methenamine silver-positive aerobic actinomycete. Nocardia spp. are opportunistic pathogens, and N. farcinica is the least common species of clinical importance. METHODS:Review of the recent literature and description of a immunocompetent patient w...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2011.012

    authors: Budzik JM,Hosseini M,Mackinnon AC Jr,Taxy JB

    更新日期:2012-06-01 00:00:00

  • Infectious complications in living-donor kidney transplant recipients undergoing multi-modal desensitization.

    abstract:BACKGROUND:Pre-existing humoral barriers challenge the transplantation of living donor kidneys (LDK) into highly sensitized ABO- and human leukocyte antigen (HLA)-incompatible recipients. Conditioning these LDK recipients' immune systems is required before they undergo transplantation. We hypothesized that medical dese...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.231

    authors: Turza KC,Shafique M,Lobo PI,Sawyer RG,Keith DS,Brayman KL,Agarwal A

    更新日期:2014-06-01 00:00:00

  • Use of an antimicrobial skin sealant reduces surgical site infection in patients undergoing routine cardiac surgery.

    abstract:BACKGROUND:With high morbidity and potentially devastating consequences, surgical site infections (SSIs) after cardiac surgery add substantially to the healthcare burden. Inhibiting migration of skin microbes is likely to reduce contamination of the surgical incision by endogenous potential pathogens. We studied the ef...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2011.050

    authors: Dohmen PM,Weymann A,Holinski S,Linneweber J,Geyer T,Konertz W

    更新日期:2011-12-01 00:00:00

  • High Number of Door Openings Increases the Bacterial Load of the Operating Room.

    abstract:: Background: Operating room (OR) traffic and door openings have emerged as potential modifiable risk factors for the development of surgical site infections. Methods: This study compared the microbial load of a Control OR withou...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.361

    authors: Lansing SS,Moley JP,McGrath MS,Stoodley P,Chaudhari AMW,Quatman CE

    更新日期:2020-12-23 00:00:00

  • Effect of Hand Antisepsis Agent Selection and Population Characteristics on Surgical Site Infection Pathogens.

    abstract:BACKGROUND:Selection of a pre-operative hand antisepsis agent has not been studied in relation to surgical site infection (SSI) culture data. In our hospital, we introduced an alcohol-based hand rub (ABR) in 2012 as an alternative to traditional aqueous surgical scrubs (TSS). It was the goal of this study to review any...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2016.125

    authors: Oriel BS,Chen Q,Wong K,Itani KMF

    更新日期:2017-05-01 00:00:00

  • Validation and Performance Comparison of Two Scoring Systems Created Specifically to Predict the Risk of Deep Sternal Wound Infection after Bilateral Internal Thoracic Artery Grafting.

    abstract:: Background: The Gatti and the bilateral internal mammary artery (BIMA) scores were created to predict the risk of deep sternal wound infection (DSWI) after bilateral internal thoracic artery (BITA) grafting. Methods: Both score...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.252

    authors: Gatti G,Pappalardo A,Chocron S,Biondi F,Porcari A,Ceschia A,Luzzati R,Ecarnot F,Perrotti A

    更新日期:2020-06-01 00:00:00

  • Influence of bronchoscopy on the diagnosis of and outcomes from ventilator-associated pneumonia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is a common healthcare-associated infection affecting as many as 27% of mechanically ventilated patients. Ventilator-associated pneumonia is an important source of morbidity and mortality in the surgical intensive care unit (SICU). The optimal diagnostic method for VAP h...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2013.142

    authors: Guidry CA,Mallicote MU,Petroze RT,Hranjec T,Rosenberger LH,Davies SW,Sawyer RG

    更新日期:2014-10-01 00:00:00

  • The role of beta-lactam antimicrobials as single agents in treatment of intra-abdominal infection.

    abstract::Broad-spectrum beta-lactam antibiotics have several advantages in the treatment of intra-abdominal infections. These agents are effective against gram-negative rods and anaerobes, reach therapeutic levels rapidly after parenteral administration, and, in the absence of penicillin allergy, generally exhibit low toxicity...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/109629600321308

    authors: Powell LL,Wilson SE

    更新日期:2000-01-01 00:00:00

  • Aerosolized ceftazidime prophylaxis against ventilator-associated pneumonia in high-risk trauma patients: results of a double-blind randomized study.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is a frequent complication during recovery of severely traumatized patients. The primary objective of this study was to determine if prophylactic administration of aerosolized ceftazidime reduced the incidence of VAP in high-risk injured patients without altering the inc...

    journal_title:Surgical infections

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/sur.2006.042

    authors: Claridge JA,Edwards NM,Swanson J,Fabian TC,Weinberg JA,Wood C,Croce MA

    更新日期:2007-02-01 00:00:00

  • Analysis of plasma citrulline and intestinal morphometry in mice with hepatosplenic schistosomiasis.

    abstract:BACKGROUND:Portal hypertension in the mucosa of the intestine and the presence of granulomas in the wall of this organ can alter digestive function in patients with schistosomiasis. Citrulline is a potential marker of intestinal function in some diseases that affect the morphometry of the mucosa because of its close as...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2009.066

    authors: Siqueira LT,Ferraz AA,Campos JM,De Lima Filho JL,Albuquerque MC,de Lima Aires A,Ribeiro MH,Cavalcanti MT,De Lima B Cavalcanti C,Ferraz EM

    更新日期:2010-10-01 00:00:00