Microbial interactions withcatheter material

Lewis, William J.; Sherertz, Robert J.

doi:10.1016/s0899-9007(97)00215-3

Cited by 8 publications

(4 citation statements)

References 40 publications

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“…Systemic treatment with antibiotics is recommended as a routine measure 2,14 . Microbial colonization of the prosthesis and the formation of a bacterial biofilm over the prosthesis can probably not be entirely avoided, but systemic treatment with antibiotics nevertheless has an effect on bacterial adherence and further development of the biofilm, thereby influencing the progression of the infection and the systemic complications associated with it 27,28 …”

Section: Discussionmentioning

confidence: 99%

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

Pinocy¹,

Albes

Wicke³

et al. 2003

Wound Repair Regeneration

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Deep groin infections after prosthetic vascular surgical procedures represent a serious complication of surgical practice. Septicemia and/or erosive hemorrhage can both be consequences. In this situation, removal of the graft appears to be the only option. However, if the infection is detected early (type Szilagyi III), local treatment to eradicate the infection could serve as an alternative. Twenty-four patients with confirmed infection of the soft tissue adjacent to the prosthetic material in the groin were treated locally by implantation of a vacuum sponge system. Duration of this treatment was 2 weeks. All patients showed excellent tissue granulation of the wound area and the microbial stains were negative at the end of therapy. In 21 patients the wound could be primarily closed after explantation of the sponge. Three patients underwent open treatment because of a skin defect. After 12 months, the wounds had healed well in all patients. Histologic evaluation revealed a physiological healing process. Deep soft tissue infections of the groin adjacent to prosthetic vascular material (type Szilagyi III) can be treated effectively and safely with the vacuum sponge system. The treatment is inexpensive, easy to perform, and the initial vascular reconstruction can be preserved.

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Section: Discussionmentioning

confidence: 99%

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

Pinocy¹,

Albes

Wicke³

et al. 2003

Wound Repair Regeneration

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show abstract

“…With regards to oral implants and bone augmentation, infection is widely recognised to be associated with unfavourable clinical outcomes (Nowzari et al 1996; Becker et al 1990; Mombelli et al 1987). Whilst the precise origin of bacteria present in clinical infection around implanted devices has been debated, commensal organisms of the adjacent tissues have been cited as a prime source (Lewis & Sherertz 1997). As a consequence, skin preparatory techniques have been recommended to reduce levels of commensal organism prior to surgery and have a long and safe history of use (Sato et al 1996).…”

Section: Discussionmentioning

confidence: 99%

The effects of an immediately pre‐surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery

Young

Korachi

Carter

et al. 2002

Clinical Oral Implants Res

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Dental implant surgery produces bone debris that can be used in the "simultaneous augmentation" technique. Although this debris is contaminated with oral bacteria, a stringent aspiration protocol has been shown to reduce the levels of contamination. Chlorhexidine mouthrinse is a well-proven antibacterial rinse that has been shown to reduce infectious complications associated with dental implants. This study examined the effect of pre-operative rinsing with a 0.1% chlorhexidine digluconate mouthrinse on the bacterial contaminants present in collected bone debris bone (CBD). Twenty partially edentate patients were randomly allocated into equal groups and underwent bone collection using the Frios Bone Collector (FBC) during the insertion of two dental implants. In group T a pre-operative chlorhexidine rinse was used, whilst in group C sterile water was used. For both groups, a stringent bone collection protocol was used. Bone samples were immediately transported for microbial analysis. Colonial and microscopic morphology, gaseous requirements and identification kits were utilised for identification of the isolated microbes. Thirty-nine species were identified including a number associated with disease, in particular Actinomyces odontolyticus, Clostridium bifermentans, Prevotella intermedia, and Propionibacterium propionicum. Samples from group T (chlorhexidine mouthrinse) yielded significantly fewer organisms (P < 0.001) than in group C (sterile water mouthrinse). Gram-positive cocci dominated the isolates from both groups. It is concluded that if bone debris is to be used for the purpose of immediate simultaneous augmentation, a preoperative chlorhexidine mouthrinse should be utilised in conjunction with a stringent aspiration protocol to reduce further the bacterial contamination of CBD.

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“…Organisms such as coagulase‐ negative staphylococci and S. aureus , bind strongly to host protein fibronectin, which is commonly present on catheters. In addition, some strains of coagulase‐negative staphylococci produce an extracellular polysaccharide (slime), conferring them some protection against killing by antimicrobials and interfering with neutrophil function [48–50].…”

Section: Source Of Micro‐organismsmentioning

confidence: 99%

Role of antibiotic prophylaxis for the prevention of intravascular catheter-related infection

Carratalà

2001

Clinical Microbiology and Infection

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Intravascular catheters have become essential tools for the management of patients in modern medical practice, but there are complications. In particular, catheter-related infection remains a major cause of nosocomial infection and primary septicemia. The development of preventive strategies to reduce the incidence of catheter-related infection is an important goal for all health providers. Over recent years, significant advances in prophylactic measures for the prevention of catheter-related infection have been made. This paper reviews strategies based on antibiotic prophylaxis such as systemic administration of antibiotics, application of antibiotic ointments to the skin insertion site as well as catheter flushing with antibiotics, the antibiotic-lock technique and the use of antimicrobial impregnated catheters.

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Microbial interactions withcatheter material

Cited by 8 publications

References 40 publications

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

The effects of an immediately pre‐surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery

Role of antibiotic prophylaxis for the prevention of intravascular catheter-related infection

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