A prospective audit of wound infection rates after caesarean section in five West Yorkshire hospitals

Nice, Colin; Feeney, A.; Godwin, P. G. R.; Mohanraj, Mirna; Edwards, A. David; Baldwin, Alexander; Choyce, Andrew; Hunt, Abigail; Kinnaird, C.; Maloney, Michael D.; Anderson, Wayne; Campbell, L.

doi:10.1016/s0195-6701(96)90029-8

Cited by 25 publications

(15 citation statements)

References 11 publications

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“…If, however, the sections are dehydrated and mounted in resins, the colour survives well and this can avoid a false negative result 7. A false diagnosis of McArdle disease can also potentially occur in critically ill patients who have secondary glycogen depletion; muscle histochemistry will appear negative for glycogen phosphorylase 37. On the other hand, diagnosis can be missed if muscle biopsy is undertaken too soon after massive rhabdomyolysis.…”

Section: Discussionmentioning

confidence: 99%

McArdle disease: a clinical review

Quinlivan

Buckley

James

et al. 2010

Journal of Neurology, Neurosurgery & Psychiatry

147

148

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The clinical phenotype of 45 genetically confirmed McArdle patients is described.In the majority of patients (84%), the onset of symptoms was from early childhood, but diagnosis was frequently delayed until after 30 years of age. Not all patients could recognise a second wind, although it was always seen with exercise assessment. A history of myoglobinuria was not universal, and episodes of acute renal failure had occurred in a minority (11%). The condition does not appear to adversely affect pregnancy and childbirth. Clinical examination was normal in most patients, muscle hypertrophy was present in 24% and mild muscle wasting and weakness was seen only in patients over 40 years of age and was limited to shoulder girdle and axial muscles. The serum creatine kinase (CK) was elevated in all but one pregnant patient. Screening for the mutations p.Arg50X (R50X) and p.Gly205Ser (G205S) showed at least one mutated allele in 96% of Caucasian British patients, with an allele frequency of 77% for p.Arg50X in this population. A 12-minute walking test to evaluate patients is described, results demonstrated a wide spectrum of severity with the range of distance walked being 195-1980 metres, the mean distance walked was 512m suggesting significant functional impairment in most patients.

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Section: Discussionmentioning

confidence: 99%

McArdle disease: a clinical review

Quinlivan

Buckley

James

et al. 2010

Journal of Neurology, Neurosurgery & Psychiatry

147

148

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“…10,[12][13][14][15][16][17][18][19]21,26,28 The limitations of this evidence stem primarily from a lack of appropriate comparison groups, a lack of consistency in outcome definitions, and the frequent use of composite outcomes that combine infectious and noninfectious outcomes or combine infectious outcomes of differing severity.…”

Section: Infectionmentioning

confidence: 99%

Cesarean Delivery on Maternal Request

Visco

Viswanathan

Lohr

et al. 2006

Obstetrics & Gynecology

123

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The evidence is significantly limited by its minimal relevance to primary cesarean delivery on maternal request. Future research requires developing consensus about terminology, creating a minimum data set for cesarean delivery on maternal request, improving study design and statistical analyses, attending to major outcomes and their special measurement issues, assessing both short- and long-term outcomes with better measurement strategies, dealing better with confounders, and considering the value or utility of different outcomes.

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“…33,34 A further link between audit and surveillance is provided by the current programme of surgical wound infection surveillance in Scotland. This was shaped by audits which focused on the importance of definitions and methods, including the employment of a dedicated audit/surveillance nurse 36 and economic benefits of the programme.…”

Section: Surveillance or Audit?mentioning

confidence: 99%

Audit in infection control

Hay

2006

Journal of Hospital Infection

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A prospective audit of wound infection rates after caesarean section in five West Yorkshire hospitals

Cited by 25 publications

References 11 publications

McArdle disease: a clinical review

McArdle disease: a clinical review

Cesarean Delivery on Maternal Request

Audit in infection control

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