Relevant bibliographies by topics / Surgical site infection

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Surgical site infection'

Author: Grafiati
Published: 4 June 2021
Last updated: 9 June 2025

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Journal articles on the topic "Surgical site infection"

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Gouda, Nawal Salama. "Surgical Site Infection." Journal of Pioneering Medical Sciences 14, no. 3 (March 31, 2025): 21–33. https://doi.org/10.47310/jpms2025140303.

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Surgical Site Infections (SSIs) are a serious public health concern. The SSI is a common postoperative complication that can occur anywhere in the body, including the site of the incision, the surgically operated organs or tissues, or other locations where surgical instruments were placed. Along with other pathogens obtained in the community or hospital, opportunistic endogenous bacteria can cause Surgical Site Infections (SSIs) by contaminating surgical wounds or implanted medical devices. A substantial cost on patients, healthcare providers and the healthcare system overall is linked to SSIs, which impacts 0.5% to 3% of surgical patients. When compared to patients without SSIs, SSIs may result in longer hospital stays. The rates of SSI remain surprisingly high, even though many laws and standards have been put in place to avoid these infections ; this puts the healthcare system at risk for morbidity and mortality. This review presents brief information about the incidence, microbiology, preventive strategies and management of these infections.
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Karthikeyan, S., Priya ., Vimal Raj, Sivaprasanna ., and Akash . "Antibiotic Prophylaxis and Surgical Site Infection." New Indian Journal of Surgery 8, no. 1 (2017): 11–15. http://dx.doi.org/10.21088/nijs.0976.4747.8117.2.

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Seidelman, Jessica L., Christopher R. Mantyh, and Deverick J. Anderson. "Surgical Site Infection Prevention." JAMA 329, no. 3 (January 17, 2023): 244. http://dx.doi.org/10.1001/jama.2022.24075.

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ImportanceApproximately 0.5% to 3% of patients undergoing surgery will experience infection at or adjacent to the surgical incision site. Compared with patients undergoing surgery who do not have a surgical site infection, those with a surgical site infection are hospitalized approximately 7 to 11 days longer.ObservationsMost surgical site infections can be prevented if appropriate strategies are implemented. These infections are typically caused when bacteria from the patient’s endogenous flora are inoculated into the surgical site at the time of surgery. Development of an infection depends on various factors such as the health of the patient’s immune system, presence of foreign material, degree of bacterial wound contamination, and use of antibiotic prophylaxis. Although numerous strategies are recommended by international organizations to decrease surgical site infection, only 6 general strategies are supported by randomized trials. Interventions that are associated with lower rates of infection include avoiding razors for hair removal (4.4% with razors vs 2.5% with clippers); decolonization with intranasal antistaphylococcal agents and antistaphylococcal skin antiseptics for high-risk procedures (0.8% with decolonization vs 2% without); use of chlorhexidine gluconate and alcohol-based skin preparation (4.0% with chlorhexidine gluconate plus alcohol vs 6.5% with povidone iodine plus alcohol); maintaining normothermia with active warming such as warmed intravenous fluids, skin warming, and warm forced air to keep the body temperature warmer than 36 °C (4.7% with active warming vs 13% without); perioperative glycemic control (9.4% with glucose <150 mg/dL vs 16% with glucose >150 mg/dL); and use of negative pressure wound therapy (9.7% with vs 15% without). Guidelines recommend appropriate dosing, timing, and choice of preoperative parenteral antimicrobial prophylaxis.Conclusions and RelevanceSurgical site infections affect approximately 0.5% to 3% of patients undergoing surgery and are associated with longer hospital stays than patients with no surgical site infections. Avoiding razors for hair removal, maintaining normothermia, use of chlorhexidine gluconate plus alcohol–based skin preparation agents, decolonization with intranasal antistaphylococcal agents and antistaphylococcal skin antiseptics for high-risk procedures, controlling for perioperative glucose concentrations, and using negative pressure wound therapy can reduce the rate of surgical site infections.
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Tariq, Anum, Huma Ali, Farya Zafar, Kamran Hameed, Ali Akbar Sial, Saima Salim, Neelam Mallick, Hina Hasnain, Rasheeda Fatima, and Ghazala Raza Naqvi. "SURGICAL SITE INFECTION;." Professional Medical Journal 24, no. 07 (July 3, 2017): 1054–61. http://dx.doi.org/10.29309/tpmj/2017.24.07.1028.

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Among the Health care associated infection (HCAI) Surgical Site Infection(SSI) is one of the most common complications occur after surgery and increases mortalityand morbidity rate. The objective of this study is to identify the common causative organisminvolved in postoperative wound infections along with their sensitivity and resistivity patterns.Study Design: Prospective cross sectional study. Setting: Tertiary Health Care setup inKarachi, Pakistan. Period: Six month from April 2016 till September 2016. Method: A total of100 patients are included in this study that underwent various surgical procedure. Result: Inthis study E. coli isolated from 32% of cases followed next in frequency by S.aureus in 16%,Coagulase negative Staphylococci in 14 %.the other less common pathogen involved Klebsiella,P. aeuroginosa, Enterococcus & Acinetobacter, Enterobacter, Streptococcus group D. AmikacinIimipenem and Meropenem is found to be of more Sensitive against E. Coli while Ampicillin andco trimaxazole showed higher resistivity against E. coli or other various organism. Teicoplannand vancomycin and linzolid have shown absolute sensitivity to various pathogens. Penicillinis found to be highly resistant against Coagulase negative Staphylococci. Conclusion: E.coli is the most common pathogens involved in Post-surgical Infection Amikacin, imipenem,Meropenem, Teicoplann, vancomycin. linzolid is found to be more Sensitive against variousorganism isolated in our study. Acinetobacter are highly resistant to various drugs while P.aeuroginosa have also shown optimal sensitivity pattern against various groups of antibiotics.Present study signifies the adaptation of antibiotic combination in rational way for prophylacticuse and the exploitation of a synchronized system of surgical wound management and cure.
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Dryden, Lisa. "Surgical site infection." Nursing Standard 27, no. 13 (November 28, 2012): 59–60. http://dx.doi.org/10.7748/ns.27.13.59.s56.

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Dryden, Lisa. "Surgical site infection." Nursing Standard 27, no. 13 (November 28, 2012): 59. http://dx.doi.org/10.7748/ns2012.11.27.13.59.c9456.

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Choi, Hee Jung. "Surgical Site Infection." Hanyang Medical Reviews 31, no. 3 (2011): 159. http://dx.doi.org/10.7599/hmr.2011.31.3.159.

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Nauman, Syed Muhammad, Yousaf Haroon, Asrar Ahmad, and Irum Saleem. "SURGICAL SITE INFECTION." Professional Medical Journal 25, no. 01 (January 10, 2018): 1–4. http://dx.doi.org/10.29309/tpmj/18.4133.

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Faraz, Ahmad, Abdul Hameed, Fazal Bari, Irum Sabir Ali, Hamzullah Khan, Fazl-e. Rahim, Amjad Naeem, Mumtaz Khan, and Abid Hussain. "SURGICAL SITE INFECTION." Professional Medical Journal 22, no. 03 (March 10, 2015): 353–58. http://dx.doi.org/10.29309/tpmj/2015.22.03.1355.

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Ceftriaxone is used in wide range of day to day microbial infections in clinicalpractice3. Despite the incumbent drug regulating authority in Pakistan, there is scanty literaturecomparing the anti-microbial efficacy of different available brands of ceftriaxone. Objectives:To know the in-vitro activity of various brands of ceftriaxone against bacteria most commonlyisolated from surgical site infection (SSI). A comparison of five days cost of these brands willalso be done. Design: Experimental study. Period: Feb 2013 to Aug 2013 Setting: Surgical“C” unit Lady Reading Hospital (LRH) in collaboration with departments of pharmacologyKhyber Girls Medical College (KGMC) and microbiology department of Lady Reading HospitalPeshawar. Material & Methods: Isolates of five bacteria i.e. Staphylococcus aureus, Proteusmirabilis, Escherischia coli, enterobacter Spp, and Klebsiella pneumoniae, found sensitive toceftriaxone were grown on 50 slops each and the zone of inhibition was checked for each ofthe ten brands of ceftriaxone. Results: The zones of inhibitions of different brands of ceftriaxoneagainst the above mentioned bacteria were not significantly different. The cost of therapy wassignificantly different for ten brands. Conclusions: Various brands of ceftriaxone of variablecost had no influence on their activity against bacteria involved in SSI.
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Bashir, Jamshed, Rafique Ahmed Sahito, Mushtaque Ahmed Abbasi, and Asma Jabeen. "SURGICAL SITE INFECTION." Professional Medical Journal 22, no. 02 (February 10, 2015): 181–85. http://dx.doi.org/10.29309/tpmj/2015.22.02.1367.

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Wound infection can be defined as invasion of organisms through tissuesfollowing a breakdown of local and systemic host defenses. The basic principles of wound careand antisepsis introduced during the past century improved surgery dramatically. Objective:Evaluation of causative organisms which evolved in the surgical site infection (elective abdominalsurgery) at surgical unit of Liaquat university hospital Jamshoro. Subjects & Methods: Thisprospective observational study was contains 103 patients undergoing elective, abdominalsurgery were included in this study. Surgical wound categories i.e. clean, clean contaminated,were included. Prophylactic antibiotics were given in all cases. Primary closure of wounds wasemployed in all cases. Follow up period was 30 days postoperatively. All cases were evaluatedfor postoperative fever, redness and swelling of wound margins, collection and discharge of pus.Cultures were taken from all the cases with any of the above findings. Results: The mean ageof the patient was 37 years with male to female ratio of 1:5:1. The overall rate of wound infectionwas 13.04%. Most frequently involved pathogen was E.col 33.33% followed by Staph Aureus20%, Klebsiella 20%, proteus 13.33%, Pseudomonas 6.66% and no organism was isolated in6.66% cases. Most effective antibiotics were cephalosporins, quinolones and aminoglycosides’whereas septran, erythromycin and tetracycline’s were ineffective. Conclusions: Surgicalwound infections are quite common. Time of postoperative hospital stay was twice longer ininfected case. Male sex, old age, anemia, longer duration of operation and wound class weresignificant risk factors. Most common organims are found in this study E-Coli, Kllebcella andStaph Aureus, these are mostly sensitive to cephalosporins, quinolones and aminoglycosides.
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Dissertations / Theses on the topic "Surgical site infection"

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Crosby, C. T. "Chlorhexidine and the prevention of surgical site infection." Thesis, Aston University, 2009. http://publications.aston.ac.uk/21096/.

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Surgical site infections (SSI) are a prevalent health care-associated infection (HAl). Prior to the mid-19th century, surgical sites commonly developed postoperative wound complications. It was in the 1860's, after Joseph Lister introduced carbolic acid and the principles of antisepsis that postoperative wound infection significantly decreased. Today, patient preoperative skin preparation with an antiseptic agent prior to surgery is a standard of practice. Povidone-iodine and chlorhexidine gluconate are currently the most commonly used antimicrobial agents used to prep the patient's skin. In this current study, the epidemiology, diagnosis, surveillance and prevention of SSI with chlorhexidine were investigated. The antimicrobial activity of chlorhexidine was assessed. In in-vitro and in-vivo studies the antimicrobial efficacy of 2% (w/v) chlorhexidine gluconate (CHG) in 70% isopropyl alcohol (IPA) and 10% povidoneiodine (PVP-I) in the presence of 0.9% normal saline or blood were examined. The 2% CHG in 70% IPA solutions antimicrobial activity was not diminished in the presence of 0.9% normal saline or blood. In comparison, the traditional patient preoperative skin preparation, 10% PVP-I antimicrobial activity was not diminished in the presence of 0.9% normal saline, but was diminished in the presence of blood. In an in-vivo human volunteer study the potential for reduction of the antimicrobial efficacy of aqueous patient preoperative skin preparations compromised by mechanical removal of wet product from the application site (blot) was assessed. In this evaluation, 2% CHG and 10% povidone-iodine (PVP-I) were blotted from the patient's skin after application to the test site. The blotting, or mechanical removal, of the wet antiseptic from the application site did not produce a significant difference in product efficacy. In a clinical trial to compare 2% CHG in 70% IPA and PVP-! scrub and paint patient preoperative skin preparation for the prevention of SSI, there were 849 patients randomly assigned to the study groups (409 in the chlorhexidine-alcohol and 440 in the povidone-iodine group) in the intention-to-treat analysis. The overall surgical site infection was significantly lower in the 2% CHG in 70% IPA group than in the PVP-I group (9.5% versus 16.1 %, p=0.004; relative risk, 0.59 with 95% confidence interval of 0.41 to 0.85). Preoperative cleansing of the patient's skin with chlorhexidine-alcohol is superior to povidone-iodine in preventing surgical site infection after clean-contaminated surgery.
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Pinkney, Thomas David. "Wound-edge protection devices to reduce surgical site infection." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7588/.

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This thesis provides an overview of the design, conduct and analysis of a multicentre phase III trial exploring the clinical effectiveness of a novel in-theatre intervention to try to reduce rates of post-operative surgical site infection (SSI). The pitfalls inherent in the conduct of research into SSI are discussed, along with measures to try and overcome these. The wound-edge protection device (WEPD) intervention is defined and the published evidence assessing its clinical effectiveness systematically appraised. Clinical surgical research and its difficulties are described, and the paradigm-shift bought about by the new trainee-led research collaborative model introduced. The design considerations involved creating a pragmatic and simple trial within the complex intervention that is surgery are explored in the context of the creation of the ROSSINI trial. This trial successfully recruited ahead of time and target and robustly proved that WEPDs are not clinically effective in reducing SSI. It also demonstrated the power and ability of this new collaborative model, as witnessed by both the citations of the results paper and the exponential growth in similar collaborative ventures. Finally, lessons learned about SSI research and clinical surgical research are summarised, and plans for future research presented.
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Opadotun, Olukemi. "Infection control practices for the prevention of surgical site infections in the operating room." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017195.

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Infections are a major cause of morbidity and mortality during the post-operative phase of patients’ recovery. Wound infections are the second most commonly encountered type of nosocomial infection. Because wound infections can be introduced by not applying infection control measures and sterile technique principles in the operating room, the implementation of infection control principles is an imperative. The aim of this study was to explore and describe infection control practices related to the prevention of Surgical site infections in the operating rooms in a public health care sector in the Nelson Mandela Bay Municipality. The findings were compared with practices, as indicated in an evidence-based guideline. The research design was quantitative, explorative, descriptive, comparative-descriptive and contextual in nature. The research sample consisted of all the professional nurses, in the operating room. The data were collected by means of a self-administered questionnaire. Descriptive statistics was used to present the data in the form of tables and graphs. Based on the analysis of the data, some recommendations were made for the implementation of infection control practices, in order to prevent Surgical site infections in the operating room.
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Little, Charlene Knight. "Decreasing Surgical Site Infections in Vascular Surgery Patients." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2412.

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Postoperative surgical site infections are common complications in the operating room. Infections prolong hospital stays, heighten costs, and increase morbidity and mortality. The purpose of this evidence-based quality improvement project was to develop policy, program, and practice guidelines to prevent surgical site infections in vascular surgery patients. Rosswurm and Larrabee's change model was used to develop materials using the best evidence for the recommended practice changes. The Plan, Do, Check, Act model was selected to guide quality improvement. The project goal was to decrease the surgical site infection rate to below the national average. Products of the project include policy, protocol, and practice guidelines developed based on recommended practices of the Association of periOperative Registered Nurses and current peer-reviewed literature. An interdisciplinary project team of institutional stakeholders was used to insure context-relevant operationalization of the evidence in practice. The team was assembled, led in a review of relevant literature, and convened regularly until project products were finished. Three scholars with expertise in the content area were then identified by the project team and asked to validate the content of developed products. Products were revised according to expert feedback. Implementation and evaluation plans were developed by the project team to provide the institution with all necessary process details to carry out the practice change. The evaluation plan advises using a retrospective chart review to compare rates of infection between patients receiving chlorhexidine skin preparation with showers and preoperative chlorhexidine cloths alone. A positive outcome could contribute to positive social change by decreasing preventable infections.
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Haddad, Sleiman. "Surgical site infections in spinal surgery: from risk factors to surgical outcomes." Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/665823.

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Durante la última década ha aumentado significativamente el volumen de cirugías de columna, además de la complejidad tanto médica como quirúrgica de los  pacientes tratados. Esto ha dado lugar a un aumento de complicaciones asociadas. Los profesionales de la salud son ahora más conscientes del impacto de ciertas complicaciones prevenibles, especialmente la infección de la herida quirúrgica (IHQ), cosa que ha provocado un aumento de los esfuerzos para reducir su incidencia. Se han descrito factores de riesgo generales para las IHQ. No obstante, el rol del estado neurológico y del traumatismo no se han analizado específicamente. Además, el impacto de las IHQ en los resultados clínicos tras la cirugía de deformidad espinal del adulto (DEA) aún no está claro. El objetivo de esta tesis doctoral es revisar los factores de riesgo de la IHQ en la cirugía del raquis así como su impacto sobre el resultado final. Se centra principalmente en el diagnóstico (traumático vs. degenerativo) y el estado neurológico (Lesión medular LM o mielopatía MP) como predictores de la IHQ. También informa de las morbilidades y los costes asociados y evalúa los resultados quirúrgicos después de una IHQ. La National Inpatient Survey (NIS) y la base de datos del Thomas Jefferson University Hospital (TJUH) se usaron para analizar la infección en la cirugía cervical primaria. Mediante un análisis multivariante, se analizaron los posibles factores de riesgo incluyendo el trauma y la lesión neurológica. Luego se procedió a un análisis de costes. La base de datos del European Spine Study Group (ESSG) sirvió para evaluar su impacto sobre los resultados funcionales y clínicos en pacientes con fusión posterior para la DEA mediante la comparación de cohortes emparejadas. Un total de 1.247.281 (NIS) y 5.540 (TJUH) pacientes cumplieron los criterios de inclusión. La incidencia de la IHQ fue de 0.73% (NIS) y 1.75% (TJUH). Aumentó progresivamente desde 0,52% en pacientes sin MP hasta 1,97% en el grupo con LM traumática en la muestra del NIS y desde 0,88% a 5,54% en TJUH. Hubo diferencias significativas en las tasas de IHQ entre muestras. El estado neurológico (Odds Ratio [OR] 1,69, p<.0001) y  el trauma (OR 1.30, p=.0003) fueron asociados a IHQ en la muestra del NIS. En la muestra del TJUH, solo el trauma (OR 2.11, p=.03) era significativo cuando se tuvieron en cuenta las otras comorbilidades. Los costes de la infección variaron entre los grupos diagnósticos y alcanzaron $184060 en el grupo LM traumática. Los pacientes con IHQ utilizaron con más frecuencia las instituciones especializadas al alta. Se identificaron 444 pacientes con DEA tratados quirúrgicamente y con más de 2 años de seguimiento. 20 padecieron una IHQ aguda y fueron emparejados a 60 controles. No se observaron diferencias basales entre grupos tanto en variables radiológicas como calidad de vida. Los pacientes con IHQ tuvieron una estancia hospitalaria más prolongada y más complicaciones mecánicas. La infección se asoció a más complicaciones y revisiones no relacionadas. La corrección de la deformidad se mantuvo indiferentemente de la infección a lo largo del seguimiento. Hubo una muerte relacionada con IHQ. Los pacientes con IHQ presentaban peor calidad de vida al año y tenían menos probabilidades de experimentar mejoría. Sin embargo, no se registraron diferencias significativas a partir del año. Como conclusión, tanto el diagnóstico primario (trauma vs. degenerativo) como el estado neurológico (MP o LM) son predictores de la IHQ en cirugía cervical. La infección afecta significativamente el primer año después de la cirugía de la DEA, se asocia con más complicaciones, revisiones no relacionadas y peor calidad de vida. Sin embargo, su impacto negativo parece diluirse en el segundo año.<br>Over the last decade there has been a significant increase in volume of spinal surgeries performed as well as in medical and surgical complexity of patients. This was accompanied by an increased overall morbidity and volume of complications. At the same time, health care professionals have become more aware of the impact of specific preventable complications such as surgical site infections (SSI) and huge efforts have been directed to reduce SSI incidence.  Although the general risk factors for SSI have been discussed, the relationship of neurologic status and trauma to SSI has not been explicitly explored. In addition, the direct and indirect impact of deep SSI on surgical outcomes especially after adult spinal deformity (ASD) surgery is still unclear. The aim of this doctoral thesis is to review the risk factors for developing a SSI after spine surgery, as well as how SSI affects clinical outcome. It mainly focuses on diagnosis (Traumatic vs. Degenerative) and neurological status (Spinal Cord Injury SCI or Myelopathy MP) as predictors for SSI. It also reports the associated morbidities and costs of SSI and evaluates the surgical outcomes after SSI. The National Inpatient Survey (NIS) and the Thomas Jefferson University Hospital (TJUH) databases were probed to analyse infection in patients with primary cervical surgery. Using a multivariate analysis, all interplaying comorbidities and risk factors have been. A subsequent resource utilization analysis has been done. The European Spine Study Group (ESSG) prospective database was used to study the functional and clinical outcomes of SSI in patients with posterior fusion for Adult Spinal Deformity (ASD) through the comparison of matched cohorts. Readmissions, reoperations, deformity correction and fusion rates were also studied. A total of 1,247,281 and 5,540 patients met inclusion criteria in the NIS and TJUH databases respectively. SSI incidence was 0.73% (NIS) versus 1.75% (TJUH). It increased steadily from 0.52% in patients without MP to 1.97% in the traumatic SCI group in the NIS data and from 0.88% to 5.54% in the TJUH. Differences between diagnostic groups and cohorts reached statistical significance. SSI was predicted significantly by neurological status (odds ratio [OR] 1.69, p<.0001) and trauma (OR 1.30, p=.0003) in the NIS data. Other significant predictors included: approach, number of levels fused, female gender, black race, medium size hospital, rural hospital, large hospital, western US hospital and Medicare coverage. In TJUH, only trauma (OR 2.11, p=.03) reached significance when accounting for comorbidities. Costs of infection varied among diagnostic groups and summed $184060 in the SCI group. Patients with SSI were also more likely to be discharged to specialized institutions. 444 surgical ASD patients with more than 2 years of follow-up were identified. 20 sustained an acute SSI and 60 controls were accordingly matched. No differences were observed between groups in preoperative radiological and HRQoL variables confirming comparable groups. SSI patients had longer hospital stay and more mechanical complications including proximal junctional kyphosis. Infection was associated with more unrelated complications and revisions. Deformity correction was maintained equally at the different time intervals. One death was related to SSI. SSI patients had worse overall HRQoL status at 1 year and were less likely to experience improvement. However, no significant differences were recorded thereafter. As a conclusion, both primary diagnosis (trauma vs. degenerative) and neurologic status (MP or SCI) were found to be strong and independent predictors of SSI in cervical spine surgery. Also, SSI significantly affects the first postoperative year after posterior ASD surgery. It is associated with more complications, unrelated revisions, and worst quality of life. However it's negative impact seems to be diluted by the second postoperative year.
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Driskill, Karen. "An Educational Program to Reduce Surgical Site Infection in Vascular Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6891.

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Surgical site infections (SSIs) are a leading cause of morbidity and mortality in the United States. Researchers have demonstrated the impact that SSIs have on the healthcare system and the need to improve patient outcomes. The purpose of this project was to develop an educational program for the 8-member nursing staff of an outpatient vascular surgical office to help reduce the occurrence of SSI rates for patients seen pre and postoperatively after a noted increase in SSI rates at this clinical setting. Guided by the Fitzpatrick model, a group of 6 health care providers comprising 3 surgeons and 3 nurse practitioners served as content experts to conduct formative evaluation during development of the educational program. Members of the surgical office nursing staff completed a questionnaire; results were analyzed using descriptive analysis. Findings indicated that 100% of nursing staff had no on-site work training on basic signs and symptoms of infection and infection control; 100% of staff were not confident in assessment of the surgical site and addressing patient issues; and at least 50% reported that they lacked knowledge of proper wound care including bathing, dressing changes, and expected symptoms for healing and/or complications postoperatively. Educational materials were designed to address these gaps. This project might benefit the surgical center nursing staff by providing education to help reduce surgical site infection in vascular patients, and bring about positive social change by improving quality of life and patient outcomes for the vascular surgery patient through a reduction in the occurrence of SSIs.
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Mingo, Alicia Y. "Smoking and Surgical Site Infection in Orthopedic Patients' Lower Extremity Arthroplasty." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6356.

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Cigarette smoking has been a public health concern for many years, and the possible impact of smoking on surgical site infection (SSI) has been studied broadly. However, a gap in understanding has persisted concerning whether there is an association between smoking tobacco and the development of SSI among patients who undergo lower extremity surgery, specifically total knee arthroplasty (TKA). The purpose of this study was to examine the association between smoking and lower extremity SSI. Andersen's behavioral model (BM) was used to understand the risk factors relevant to the interaction between smoking and SSI. Application of the BM categories of predisposing, enabling, need, and behavioral habits facilitated the discussion of surgical outcomes. A quantitative, cross-sectional approach was used to analyze data from a legacy registry of an east coast hospital. The research question addressed whether there was a relationship of the smoking status of three groups (i.e., smokers, nonsmokers, and previous smokers) and the variables in the BM categories (predisposing variables of age, gender, and body mass index [BMI]; enabling variable of health care insurance coverage; and need variables of health diagnoses, diabetes, hypertension, deficiency anemia, rheumatoid arthritis [RA]) to postoperative SSI. Multiple logistic regression test was used and no statistical association was found between smoking status and SSI; however, RA had a significant association with SSI. Positive social change may occur through the dissemination of new knowledge to reduce the financial burden of the prevalence of SSI through behavioral changes and improvements to health wellness.
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Masterson, Lisa M. "Implementing a Glycemic Management Protocol with Surgical Patients." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1619806592278265.

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Wong, Edric, and Jason Clonts. "Evaluation of Timing of Vancomycin Surgical Site Infection Prophylaxis with Scheduled Antibiotic." The University of Arizona, 2012. http://hdl.handle.net/10150/623594.

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Class of 2012 Abstract<br>Specific Aims: The primary purpose of this study was to evaluate the time of vancomycin pre-operative surgical site infection prophylaxis administration relative to other scheduled antibiotic therapy at a tertiary care, academic medical center. The secondary purpose was to characterize the incidence of adverse events post-surgery that were associated with vancomycin therapy in patients who received both pre- operative scheduled vancomycin therapy and vancomycin for surgical site infection prophylaxis Methods: This descriptive study was a retrospective medical chart review of all patients over the age of 28 days who received vancomycin for surgical site infection prophylaxis between February 2011 and May 2011 at a tertiary care, academic medical center. This study was approved be the Institutional Review Board. The subject population included patients admitted to the hospital for at least 72 hours who received at least 48 hours of scheduled vancomycin (IV), daptomycin or linezolid therapy before index surgery and subsequently received surgical site infection prophylaxis with vancomycin. Main Results: Of the 20 subjects who meet the study inclusion criteria, 18 (90%) subjects received scheduled vancomycin doses within 48 hours prior to surgery, 5 (25%) subjects within 4 hours, and 4 (20%) subjects within 2 hours. No surgical site infections were reported. Conclusions: This was a pilot study to evaluate the timing of vancomycin surgical site infection prophylaxis doses with scheduled vancomycin, linezolid, and daptomycin. No adverse effects associated with surgical site infection prophylaxis were reported but the sample size is small and likely inadequate to detect this potential issue.
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Mandavyapuram, Hima Bindu. "ANTIBIOTIC DELIVERY SYSTEM FOR SURGICAL SITE INFECTION PREVENTION IN SPINAL IMPLANT SURGERY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1275624787.

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Books on the topic "Surgical site infection"

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Matsumoto, Hiroko. Predicting Surgical Site Infection in Pediatric Patients Undergoing Spinal Deformity Surgery. [New York, N.Y.?]: [publisher not identified], 2020.

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Ireland), HISC (Northern. Northern Ireland surveillance report: Surveillance of surgical site infection related to procedures performed by orthopaedic surgeons in Northern Ireland, 2001-2003. Belfast: HISC, 2004.

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Ireland), HISC (Northern. Pan celtic collaborative surveillance report: Surveillance of surgical site infection related to procedures performed by orthopaedic surgeons in Scotland, Wales and Northern Ireland, 2001-2003. Belfast: HISC, 2004.

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Surgical site infection. RCOG Press, 2008.

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Marín, Andrés García, and Jaime Ruiz-Tovar. Prophylaxis of Surgical Site Infection in Abdominal Surgery. Nova Science Publishers, Incorporated, 2019.

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Ruiz-Tovar, Jaime. Prophylaxis of Surgical Site Infection in Abdominal Surgery. Nova Science Publishers, Incorporated, 2019.

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World Health Organization. Regional Office for Europe. Global Gidelines for the Pevention of Surgical Site Infection. World Health Organization, 2016.

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Thompson, Norris B., and SreyRam Kuy. Multivariable Predictors of Postoperative Surgical Site Infection after General and Vascular Surgery. Edited by SreyRam Kuy. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199384075.003.0013.

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This landmark study proposed a model for predicting surgical site infections (SSI). Using logistic regression analysis, variables independently associated with increased risk of SSI were identified, which included smoking, alcohol use, comorbidities, disseminated cancer, weight loss greater than 10%, emergency surgery, and length of operative time. This chapter describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case.
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Adams, Debra, and Anna Casey. Infection: prevention, control, and treatment. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642663.003.0014.

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Infection prevention, control, and treatment are vital elements of all healthcare environments. The nurse should have a good working knowledge of policies and procedures to ensure patients are cared for in a clean and appropriate environment. The surgical patient is at risk of developing infections, particularly surgical site infections. Most infections are preventable, and measures should be taken at every stage of a patient’s care to reduce the risk of infection.This chapter discusses infection prevention, control, and treatment, including key policies and procedures in the United Kingdom. It provides an overview of microbiology, aseptic technique, antibiotic therapy, and cleanliness standards.
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Damani, Nizam. Manual of Infection Prevention and Control. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198815938.001.0001.

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The Manual of Infection Prevention and Control provides practical guidance on all aspects of healthcare-associated infections (HAIs). It outlines the basic concepts of infection prevention and control (IPC), modes of transmission, surveillance, control of outbreaks, epidemiology, and biostatistics. The book provides up-to-date advice on the triage and isolation of patients and on new and emerging infectious diseases, and with the use of illustrations, it provides a step-by-step approach on how to perform hand hygiene and how to don and take off personal protective equipment correctly. In addition, this section also outlines how to minimize cross-infection by healthcare building design and prevent the transmission of various infectious diseases from infected patients after death. The disinfection and sterilization section reviews how to risk assess, disinfect and/or sterilize medical items and equipment, antimicrobial activities, and the use of various chemical disinfectants and antiseptics, and how to decontaminate endoscopes. The section on the prevention of HAIs reviews and updates IPC guidance on the prevention of the most common HAIs, i.e. surgical site infections, infections associated with intravascular and urinary catheters, and hospital- and ventilator-acquired pneumonias. In view of the global emergence of antimicrobial resistance to the various pathogens, the book examines and provides practical advice on how to implement an antibiotic stewardship programme and prevent cross-infection against various multi-drug resistant pathogens. Amongst other pathogens, the book also reviews IPC precautions against various haemorrhagic and bloodborne viral infections. The section on support services discusses the protection of healthcare workers, kitchen, environmental cleaning, catering, laundry services, and clinical waste disposal services.
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Book chapters on the topic "Surgical site infection"

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Nasir, Abdulrasheed A., David H. Rothstein, Sharon Cox, and Emmanuel A. Ameh. "Surgical Site Infection." In Pediatric Surgery, 165–72. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41724-6_16.

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Dangodara, Amish Ajit. "Surgical Site Infection Prophylaxis." In Perioperative Medicine, 73–80. London: Springer London, 2011. http://dx.doi.org/10.1007/978-0-85729-498-2_7.

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Wick, Elizabeth C., and Jonathan E. Efron. "Surgical Site Infection Prevention." In The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery, 105–18. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20364-5_10.

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Antonelli, Brielle, and Antonia F. Chen. "Surgical Site Infection Risk Reduction." In Quality Improvement and Patient Safety in Orthopaedic Surgery, 53–70. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-07105-8_7.

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Bowlt Blacklock, Kelly L., Owen Glenn, and Denis Verwilghen. "Treatment of Surgical-Site Infections." In Infection Control in Small Animal Clinical Practice, 172–97. GB: CABI, 2023. http://dx.doi.org/10.1079/9781789244977.0010.

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Catanzano, Anthony A., and Vidyadhar V. Upasani. "Surgical Site Infection in Spine Surgery." In Pediatric Musculoskeletal Infections, 281–99. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-95794-0_17.

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Rosen, Eyal, and Igor Tsesis. "Pain, Swelling, and Surgical Site Infection." In Complications in Endodontic Surgery, 129–36. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-54218-3_12.

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Rochon, Melissa. "Wound Healing and Surgical Site Infection." In Manual of Perioperative Care, 70–82. West Sussex, UK: John Wiley & Sons, Ltd.,, 2013. http://dx.doi.org/10.1002/9781118702734.ch7.

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Han, Ho-Seong, and Do Joong Park. "Antibiotic Prophylaxis and Surgical Site Infection Prevention." In Enhanced Recovery After Surgery, 259–67. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-33443-7_28.

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Iskandar, Katia. "Surgical Site Infection Management in Developing Countries." In Handbook of Medical and Health Sciences in Developing Countries, 1–26. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-74786-2_55-1.

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Conference papers on the topic "Surgical site infection"

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Strobel, R. M., K. Beyer, and JC Lauscher. "Which pathogens cause surgical site infection in visceral surgery?" In Viszeralmedizin 2021 Gemeinsame Jahrestagung Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS), Sektion Endoskopie der DGVS, Deutsche Gesellschaft für Allgemein und Viszeralchirurgie (DGAV). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1734115.

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Strobel, R. M., K. Beyer, and JC Lauscher. "Which pathogens cause surgical site infection in visceral surgery?" In Viszeralmedizin 2021 Gemeinsame Jahrestagung Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS), Sektion Endoskopie der DGVS, Deutsche Gesellschaft für Allgemein und Viszeralchirurgie (DGAV). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1734115.

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Fletcher, Richard Ribon, Olasubomi Olubeko, Harsh Sonthalia, Fredrick Kateera, Theoneste Nkurunziza, Joanna L. Ashby, Robert Riviello, and Bethany Hedt-Gauthier. "Application of Machine Learning to Prediction of Surgical Site Infection." In 2019 41st Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2019. http://dx.doi.org/10.1109/embc.2019.8857942.

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Kuehnel, R. U., F. Schroeter, L. Michera, M. Pallmann, A. Paun, M. Hartrumpf, S. Ioannou, C. Braun, G. Loladze, and J. Albes. "Preoperative Decolonization Reduces Surgical-Site Infection of Heart Surgery Patients." In 49th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1705441.

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Xiaoli, Hou, and Su Qiang. "A Hybrid FRFS-CSRF Model for Surgical Site Infection Prediction." In 2019 16th International Conference on Service Systems and Service Management (ICSSSM). IEEE, 2019. http://dx.doi.org/10.1109/icsssm.2019.8887701.

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Rosa, Bruno M. G., and Guang Z. Yang. "Imaging from the implantable side: Ultrasonic-powered EIT system for surgical site infection detection." In 2017 IEEE International Ultrasonics Symposium (IUS). IEEE, 2017. http://dx.doi.org/10.1109/ultsym.2017.8092582.

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Rosa, Bruno M. G., and Guang Z. Yang. "Imaging from the implantable side: Ultrasonic-powered EIT system for surgical site infection detection." In 2017 IEEE International Ultrasonics Symposium (IUS). IEEE, 2017. http://dx.doi.org/10.1109/ultsym.2017.8092927.

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Bo-Chiang Huang, Yi-Ju Tseng, Te-Wei Ho, Hui-Chi Lin, Yee-Chun Chen, and Feipei Lai. "A healthcare-associated surgical site infection surveillance and decision support system." In 2014 7th Biomedical Engineering International Conference (BMEiCON). IEEE, 2014. http://dx.doi.org/10.1109/bmeicon.2014.7017379.

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Mansilla, Harold R., Geoffrey A. Solano, and Marie Carmela M. Lapitan. "deSSIde: A Clinical Decision-Support Tool for Surgical Site Infection Prediction." In 2020 International Conference on Artificial Intelligence in Information and Communication (ICAIIC). IEEE, 2020. http://dx.doi.org/10.1109/icaiic48513.2020.9064981.

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Quinatoa Caba, Gabriela Giovanna, and Jesus Onorato Chicaiza Tayupanta. "Surgical site infection prevention strategy in neurosurgery based on risk factors." In VIII Congreso Internacional de Investigación REDU. Medwave, 2022. http://dx.doi.org/10.5867/medwave.2022.s1.ci04.

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Reports on the topic "Surgical site infection"

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Delgado, Ralph. Surgical Site Infection in Canine Tibial Plateau Leveling Osteotomy. Ames (Iowa): Iowa State University, May 2024. http://dx.doi.org/10.31274/cc-20240624-1363.

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Wang, Feng, Teng Dai, and Xingliang Wang. Risk factors for surgical site infection following lumbar spine surgery: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2025. https://doi.org/10.37766/inplasy2025.1.0116.

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Hsieh, Patrick, Eric Apaydin, Robert G. Briggs, Dalal Al-Amodi, Andrea Aleman, Kellie Dubel, Ariana Sardano, et al. Diagnosis and Treatment of Tethered Spinal Cord. Agency for Healthcare Research and Quality (AHRQ), October 2024. http://dx.doi.org/10.23970/ahrqepccer274.

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Objectives. To summarize the evidence regarding diagnosis, prophylactic treatment, symptomatic treatment, and repeat surgery of tethered spinal cord. Data sources. We searched PubMed®, Embase®, CINAHL, Web of Science, SCOPUS, clinicaltrials.gov, ICTRP, Cochrane Database of Systematic Reviews, PROSPERO, ECRI repository, G-I-N, MagicApp, and ClinicalKey from inception to March 2024; reference-mined reviews; and contacted research authors. Review methods. The review followed a detailed protocol and was supported by a Technical Expert Panel. Systematic review software (DistillerSR) was utilized for all screening and data extraction tasks. Citation screening was facilitated by machine learning; two independent reviewers each screened full text citations for eligibility; one literature reviewer extracted data and a methodologist checked for accuracy. Risk of bias assessments focused on key sources of bias for diagnostic and intervention studies. We conducted strength of evidence (SoE) and applicability assessments for key outcomes. The protocol for the review has been registered in PROSPERO (CRD42023461296). Results. Searches identified 6,285 citations; 2,005 were obtained as full text. In total, 103 studies met inclusion criteria, with an additional 355 case series providing additional information. We found the strongest evidence for accuracy of MRI in diagnosing tethered spinal cord. Specifically, studies indicated this modality has medium to high diagnostic sensitivity and specificity (moderate SoE). A small number of existing studies suggested benefits of prophylactic surgery, but it was also associated with complications such as surgical site infection (low SoE). A larger body of evidence evaluated various treatments for symptomatic patients, with the majority focused on surgical detethering. Studies reported improvement of neurological status after surgical detethering (low SoE), but it was also associated with post-operative complications such as cerebrospinal fluid leakage (moderate SoE). A very small body of evidence exists for revision detethering and spinal column shortening for repeat surgery (low or insufficient SoE for all outcomes). Across diagnosis, prophylactic treatment, symptomatic treatment, and repeat surgery there was insufficient evidence for multiple key outcomes (e.g., over- or undertreatment, clinical impact of diagnostic modalities, ambulation or quality of life outcomes) and thus no evidence statements could be derived. Conclusions. The evidence base for the diagnosis and treatment of tethered spinal cord is limited, with few exceptions (use of MRI or ultrasound for diagnosis, surgical detethering improving neurological status in symptomatic patients, complications associated with open detethering surgery) and would benefit from stronger study designs that include tool evaluations reporting diagnostic performance and treatment studies with concurrent comparator.
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Lu, Shan. Association of malnutrition with surgical site infections after joint arthroplasty: a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2020. http://dx.doi.org/10.37766/inplasy2020.7.0036.

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Mizuguchi, Toru, Hiroji Shinkawa, Keita Kouzu, and Seiichi Shinji. Update evidence for applying subcutaneous negative pressure drains to prevent surgical site infections after gastrointestinal surgery. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2023. http://dx.doi.org/10.37766/inplasy2023.5.0115.

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Jangir, Hemlata, Aparna Ningombam, Arulselvi Subramanian, and Subodh Kumar. Traumatic Jejunal Mesenteric Pseudocyst in the Vicinity of Blunt Abdominal Trauma with a Brief Review of Literature. Science Repository, January 2023. http://dx.doi.org/10.31487/j.ajscr.2022.04.04.

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Mesenteric pseudocyst (MP) is a rare heterogeneous group of intra-abdominal benign cystic lesions with different etiopathogenesis and clinically silent behaviours. These lesions are introduced as one of the entities based on the histological features of thick fibrous cyst walls, barren of the epithelial lining. Often, they present as expanding abdominal masses or are diagnosed incidentally in conventional radiological studies, exploratory laparotomies, or with symptoms of complications such as infection, torsion, or rupture. Surgical removal of the cyst, with or without resection of the affected intestinal segment, is the treatment of choice. Depending upon the size and location of the lesion and related complications, it can be managed by open surgical procedures or laparoscopic approach. Only a handful of 7 cases of traumatic mesenteric cysts have been reported yet in the vicinity of blunt abdominal trauma. We report a rare incidentally detected case of mesenteric pseudocyst (traumatic) in a male of early 20s with a history of blunt abdominal trauma 13 months back and for which serial abdominal exploratory laparotomies were performed. A brief review of the literature is provided, conforming to the rarity of the case. This case highlights the role of histomorphology in diagnosing a benign cystic entity with accuracy, that could be misdiagnosed as infectious granulomatous lesion.
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Laminar airflow in surgery might not reduce surgical site infections. National Institute for Health Research, July 2017. http://dx.doi.org/10.3310/signal-000433.

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