Pharmacokinetics of topical and intravenous cefazolin in patients with clean surgical wounds.

Abstract:

BACKGROUND:Surgical-site infection is a common postoperative nosocomial infection. Surgeons frequently treat operative patients with protective antibiotics and often choose cefazolin as the drug. Treatment schemes include both preoperative intravenous dosing and intraoperative dosing by irrigation. This study was designed to measure cefazolin concentrations both in serum and in wound drain fluid after intravenous dosing and after irrigation. METHODS:The authors conducted an institutional review board-approved study involving randomized allocation of breast reduction patients to group 1 (preoperative intravenous dosing) or group 2 (intraoperative dosing by irrigation). Each patient had serum and wound drainage specimens measured over time for cefazolin concentrations. Cefazolin dosing was based on preparations commonly used in the authors' hospital. Results from 24 patients are reported. RESULTS:Patients treated by conventional preoperative intravenous dosing displayed the expected serum degradation curve. These patients also demonstrated wound drainage concentrations (peak, 22.49 microg/ml) for approximately 4 to 5 hours. Measured concentrations were above the minimum therapeutic concentration (8 microg/ml) for Staphylococcus aureus. Patients treated by wound irrigation also demonstrated serum concentrations above minimum therapeutic concentration. In addition, these patients' wound drain fluid demonstrated very high cefazolin concentrations (peak, 4185.93 microg/ml), which remained high for 24 hours. CONCLUSIONS:Protective cefazolin concentrations in the wound can be achieved by both intravenous and irrigation delivery. Wound irrigation produces higher concentrations for longer periods of time.

journal_name

Plast Reconstr Surg

authors

White RR 4th,Pitzer KD,Fader RC,Rajab MH,Song J

doi

10.1097/PRS.0b013e31818d5899

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1773-1779

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-200812000-00021

journal_volume

122

pub_type

杂志文章,随机对照试验
  • Lymphatic Territories (Lymphosomes) in the Rat: An Anatomical Study for Future Lymphatic Research.

    abstract:BACKGROUND:Understanding the precise anatomy in experimental animals is crucial for correct design of research projects. Rats are commonly used for scientific research in plastic surgery because of their availability in academic institutions, moderate cost, and sizable vessels for microsurgical procedures. In past publ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003776

    authors: Suami H,Scaglioni MF

    更新日期:2017-11-01 00:00:00

  • Early passive mobilization after digital nerve repair and grafting in a fresh cadaver.

    abstract::In the clinical management of combined tendon and nerve injuries, there are competing treatment strategies. Isolated tendon injuries should be rapidly mobilized after repair to prevent adhesion formation, whereas isolated nerve repairs are usually immobilized to prevent disruption and to allow axon regrowth. Recommend...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200108000-00017

    authors: Chao RP,Braün SA,Ta KT,Palesty JA,Mine R,Syed SA,Chang DJ,Thomson JG

    更新日期:2001-08-01 00:00:00

  • Contradicting an established mantra: microsurgeon experience determines free flap outcome.

    abstract:BACKGROUND:Since the inception and popularization of microsurgery in the 1960s and 1970s, it has been commonly accepted that the outcome of free tissue transfer directly correlates with surgeon experience. METHODS:The clinical outcomes of three young microsurgeons at a single institution were retrospectively reviewed....

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318262efdf

    authors: Kreymerman P,Silverman AL,Rebecca AM,Casey WJ

    更新日期:2012-10-01 00:00:00

  • Mammaplasty combining vertical and transverse approaches through a vertical incision.

    abstract::An adjustable vertical marking is described for vertical mammaplasty in mild and moderate hypertrophy or ptosis of the breast. A vertical rectangular flap with the pedicle supported at the inframammary fold provides fullness for the upper or the lower pole of the breast. It is fixed over the pectoralis aponeurosis alo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000100811.71958.A5

    authors: Abramo AC,Teixeira JC Jr,Galindo A

    更新日期:2004-02-01 00:00:00

  • Fat Grafting in Hollow Upper Eyelids and Volumetric Upper Blepharoplasty.

    abstract:BACKGROUND:Periorbital volume loss creates a shadow frame, and traditional excisional blepharoplasties may aggravate the situation. Divergence in filling treatments establishes a demand for simple and reproducible techniques to achieve consistent results. Here, the author's hollow upper eyelid evaluation and treatment ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003758

    authors: Ramil ME

    更新日期:2017-11-01 00:00:00

  • Quantitative evaluation of volume augmentation in the tear trough with a hyaluronic Acid-based filler: a three-dimensional analysis.

    abstract:BACKGROUND:Despite the prevalent use of hyaluronic acid-based filling materials for facial soft-tissue augmentation and favorable reports of durability in the infraorbital region, no quantitative data exist on the long-term durability of these products following injection. This study represents the first attempt to use...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181d70317

    authors: Donath AS,Glasgold RA,Meier J,Glasgold MJ

    更新日期:2010-05-01 00:00:00

  • Implant-Based Breast Reconstruction: Hot Topics, Controversies, and New Directions.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Evaluate appropriate patients best suited for one- or two-stage alloplastic breast reconstruction. 2. Discuss and apply the unique advantages and disadvantages of scaffold use and different implant types in breast reconstruction to m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000005290

    authors: Frey JD,Salibian AA,Karp NS,Choi M

    更新日期:2019-02-01 00:00:00

  • Living Donation of Vascularized Composite Allografts.

    abstract::Living donation has become a medically and ethically accepted practice in solid organ transplantation. Published proceedings from the international kidney transplant community and from the Ethics Committee of The Transplantation Society articulated the general principles and specific recommendations for living donatio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004659

    authors: Pomahac B,Alhefzi M,Bueno EM,McDiarmid SV,Levin LS

    更新日期:2018-09-01 00:00:00

  • Electrical burns causing a urinary bladder fistula. Case report.

    abstract::We present a patient with electrical burns which resulted in loss of the right upper arm and a urinary bladder fistula. A jump flap was used to cover the repaired bladder, and also to cover the stump of the amputated right arm. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197803000-00026

    authors: Chari PS,Bapna BC,Balakrishnan C

    更新日期:1978-03-01 00:00:00

  • Nipple-areola reconstruction: satisfaction and clinical determinants.

    abstract::After performing a chart review, the authors identified 120 patients who underwent breast cancer-related reconstruction. All charts were evaluated with regard to breast mound reconstruction type, nipple-areola reconstruction type, the interval between breast mound and nipple-areola reconstruction, the number of proced...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200208000-00013

    authors: Jabor MA,Shayani P,Collins DR Jr,Karas T,Cohen BE

    更新日期:2002-08-01 00:00:00

  • Reconstruction of the hypopharynx with the anterolateral thigh flap: defect classification, method, tips, and outcomes.

    abstract:BACKGROUND:The authors retrospectively reviewed their experience over the past 5 years with reconstructions of hypopharyngeal defects using anterolateral thigh flaps. The purpose of the study was to present a modified classification of defects, the method and tips used, and outcomes and morbidities. METHODS:From 2002 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181f95997

    authors: Spyropoulou GC,Lin PY,Chien CY,Kuo YR,Jeng SF

    更新日期:2011-01-01 00:00:00

  • Minimally invasive harvesting of the latissimus dorsi.

    abstract::The latissimus dorsi has been used extensively and dependably in reconstruction surgery. The major complications involve donor-site infections, seromas, and poor cosmesis. Minimally invasive surgery has been used in abdominal, thoracic, and urologic surgeries with favorable results. To date, flap harvesting and other ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199411000-00024

    authors: Friedlander L,Sundin J

    更新日期:1994-11-01 00:00:00

  • The clinical and diagnostic consequences of Poly Implant Prothèse silicone breast implants, recalled from the European market in 2010.

    abstract:BACKGROUND:Recently, Poly Implant Prothèse silicone breast implants were recalled from the European market. The authors studied 112 women and previously published data on rupture prevalence. Women are presenting with symptoms they feel may be a result of ruptured implants. The authors' aim was to study the clinical con...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31827c70aa

    authors: Maijers MC,Niessen FB

    更新日期:2013-03-01 00:00:00

  • Radiographic analysis of the midface of a stillborn infant with a unilateral cleft lip and palate.

    abstract::The midface of a full-term stillborn infant with a right complete unilateral cleft lip and palate was studied with plain-film radiography and tomography, xeroradiography, and computerized axial tomography. Gross skeletal and soft-tissue deficiencies on the cleft side were evident as compared to the noncleft side and i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198608000-00018

    authors: Dado DV,Kernahan DA

    更新日期:1986-08-01 00:00:00

  • Does the Eyebrow Sag with Aging? An Anthopometric Study of 95 Caucasians from 20 to 79 Years of Age.

    abstract:BACKGROUND:It is commonly assumed that a progressive sagging of the eyebrow occurs with the facial aging process. Only a few studies have analyzed this modification, and the findings are disparate and inconclusive. This study, based on reproducible and validated data, aimed to quantify the modifications of eyebrow posi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.prs.0000475756.78956.40

    authors: Bruneau S,Foletti JM,Muller S,Vercasson C,Lauwers F,Guyot L

    更新日期:2016-02-01 00:00:00

  • A New Surgical Technique for Polysyndactyly of the Toes without Skin Graft.

    abstract::Reconstruction for polysyndactyly of the toes aims at cosmetic improvement. A previous method that uses a skin graft has inherent disadvantages of mismatched pigmentation between the graft and the surrounding skin and scar formation at the donor site. The authors' new improved surgical technique for the treatment of p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000131882.19567.65

    authors: Hayashi A,Yanai A,Komuro Y,Nishida M

    更新日期:2004-08-01 00:00:00

  • Electrical stimulation of onlay bone grafts.

    abstract::An animal model was developed to determine the ability of capacitively coupled electrical fields to enhance onlay bone graft survival in the craniofacial skeleton. Fifteen male New Zealand white rabbits were divided into control and stimulated groups. Blocks of iliac bone were transplanted as onlay grafts to the mandi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198810000-00003

    authors: Stalnecker MC,Whitaker LA,Brighton CT

    更新日期:1988-10-01 00:00:00

  • Submandibular gland tumors.

    abstract::Tumors involving the submandibular gland are rare. However, the incidence of malignancy is much higher than in the parotid (approaching 50 percent). In addition, the 5-year survival rate in patients with malignant tumors of the submandibular gland is much poorer in our series--28 percent versus 71.8 percent for the pa...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006534-197802000-00007

    authors: Hanna DC,Clairmont AA

    更新日期:1978-02-01 00:00:00

  • Rupture of inflated breast implants in closed compression capsulotomy: case report.

    abstract::A case is reported of bilateral rupture of inflatable implants from a closed capsulotomy, with ingrowth of fibrous tissue through the inflation valves. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197706000-00023

    authors: Feliberti MC,Arrillaga A,Colon GA

    更新日期:1977-06-01 00:00:00

  • Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty.

    abstract::Successful rhinoplasty depends on nasal tip support and its influence on nasal tip projection. The factors involved in nasal tip support are numerous; however, the role of the anterior septum versus the lower lateral cartilages has been debated in the literature. The purpose of this study was to quantitate, using fres...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199901000-00040

    authors: Adams WP Jr,Rohrich RJ,Hollier LH,Minoli J,Thornton LK,Gyimesi I

    更新日期:1999-01-01 00:00:00

  • Congenital absence of flexor pollicis longus without hypoplasia of thenar muscles.

    abstract::A 7-year-old girl who was unable to flex her left thumb at the interphalangeal joint proved to have an extremely hypoplastic flexor pollicis longus with normal thenar muscles, which is very rare. The flexor digitorum superficialis of the ring finger was transferred to the inserting portion of the flexor pollicis longu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198503000-00021

    authors: Uchida M,Kojima T,Sakurai N

    更新日期:1985-03-01 00:00:00

  • Digital two-dimensional photogrammetry: a comparison of three techniques of obtaining digital photographs.

    abstract::Three methods of obtaining digital photographs in a clinical setting were compared using direct anthropometry as a reference standard. The methods included a digital camera, scanning negatives from a 35-mm single-lens reflex camera, and scanning Polaroid photographs taken with a Polaroid camera designed for medical do...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199906000-00002

    authors: Nechala P,Mahoney J,Farkas LG

    更新日期:1999-06-01 00:00:00

  • Should We Stick with Surgical Glues? The Incidence of Dermatitis after 2-Octyl Cyanoacrylate Exposure in 102 Consecutive Breast Cases.

    abstract::Skin adhesives have become standard in wound closure as alternatives to traditional sutures or as sterile occlusive dressings after surgery of all types. The literature is replete with case reports of contact dermatitis following exposure to cyanoacrylate-based adhesives, such as 2-octyl cyanoacrylate. Nonetheless, it...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006321

    authors: Nigro LC,Parkerson J,Nunley J,Blanchet N

    更新日期:2020-01-01 00:00:00

  • A new concept in the tip plasty of Asian rhinoplasty: the flag technique by use of only a septal cartilage.

    abstract:BACKGROUND:To achieve the desired refinements in Asian patients, sufficient septal cartilage is needed for ideal tip projection and lengthening of the nose by the septal extension supported by the stable septum. There are many cases of insufficient septal cartilage in Asian patients. For optimal outcome, the author pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001107

    authors: Kim CH

    更新日期:2015-04-01 00:00:00

  • Mechanisms of murine cranial suture patency mediated by a dominant negative transforming growth factor-beta receptor adenovirus.

    abstract::Using a physiologic model of mouse cranial suture fusion, the authors' laboratory has previously demonstrated that transforming growth factor (TGF)-betas appear to be more abundantly expressed in the suture complex of the fusing posterior frontal compared with the patent sagittal suture. Furthermore, the authors have ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000117363.43699.5b

    authors: Song HM,Fong KD,Nacamuli RP,Warren SM,Fang TD,Mathy JA,Cowan CM,Aalami OO,Longaker MT

    更新日期:2004-05-01 00:00:00

  • Determination of serum fibrosis indexes in patients with capsular contracture after augmentation with smooth silicone gel implants.

    abstract:BACKGROUND:Several studies have confirmed a correlation between the concentration of serum hyaluronan and progressive fibrotic disorders such as liver cirrhosis. The aim of this study was to explore the relationship between serum hyaluronan levels and capsular contracture after aesthetic breast augmentation. METHODS:T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000220462.28928.83

    authors: Prantl L,Angele P,Schreml S,Ulrich D,Pöppl N,Eisenmann-Klein M

    更新日期:2006-07-01 00:00:00

  • Scalp stretching with a tissue expander for closure of scalp defects.

    abstract::The authors show a way of reconstruction of scalp defects with excellent results using a tissue expander. This method creates "new" scalp tissue for coverage of defects with normal hair-bearing skin having a dense and even growth of hair. The hairs grow in the correct direction. The authors also show that almost all o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198504000-00025

    authors: Nordström RE,Devine JW

    更新日期:1985-04-01 00:00:00

  • Free flap reconstruction of foot and ankle defects in pediatric patients: long-term outcome in 91 cases.

    abstract:BACKGROUND:Free tissue transfer has not been fully adopted as the primary mode of treating foot and ankle defects in potentially indicated patients, partly because of the lack of sizable vessels and the potential in the long term of differential growth in the flap and the recipient site. Also lacking are long-term outc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000219133.72059.71

    authors: Lin CH,Mardini S,Wei FC,Lin YT,Chen CT

    更新日期:2006-06-01 00:00:00

  • Myxoma of the maxilla: surgical treatment of an unusual case in a child.

    abstract::A case of unusual myxoma in a 2-year-old child is reported with its surgical treatment and postoperative outcome. Differential diagnosis with other pathologies such as mucocele and sarcoma is discussed. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Caleffi E,Toschi S,Bocchi A

    更新日期:1994-05-01 00:00:00

  • Ocular advancement in monobloc distraction.

    abstract:BACKGROUND:Monobloc distraction has been demonstrated to be an efficacious, safe, and stable method of providing functional and aesthetic improvement in children with syndromic craniosynostosis. Although the movement of bony structures following monobloc distraction has been quantitatively assessed before, objective an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181a07625

    authors: O'Connor EJF,Marucci DD,Jeelani NO,Witherow H,Richards R,Dunaway DJ,Hayward RD

    更新日期:2009-05-01 00:00:00