Staphylococcal Surgical Site Infections

Anderson, Deverick J.; Kaye, Keith S.

doi:10.1016/j.idc.2008.10.004

Cited by 74 publications

(81 citation statements)

References 108 publications

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“…SSI caused by MRSA increases mortality rates, length of hospitalization and costs [22,23]. Anderson et al [24].estimated that deep incisional and organ/space SSI caused by MRSA resulted in 23 days of additional hospitalization and an extra $61,681 in hospital charges compared with uninfected controls.…”

Section: Discussionmentioning

confidence: 99%

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

et al. 2012

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“…Various organisms are responsible for SSI with Staphylococcus aureus and Pseudomonas aeruginosa being the most commonly isolated species [1,2].…”

Section: Introductionmentioning

confidence: 99%

High incidence of MBL-mediated imipenem resistance among Pseudomonas aeruginosa from surgical site infections in Egypt

Raouf

Sayed

Rizk

et al. 2018

J Infect Dev Ctries

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Introduction: Surgical wound infection is a serious problem, especially with metallo-beta lactamases (MBLs)-producing gram-negative bacteria as Pseudomonas aeruginosa. The main objective of this work was to evaluate for the first time in Minia-Upper Egypt, the incidence of imipenem-resistant Pseudomonas aeruginosa infection of surgical wounds particularly that mediated by MBL production. Methodology: P. aeruginosa was isolated from infected wounds by swabs and underwent full microbiological identification and Antibiotic Susceptibility testing. MBL production was tested by E-test and PCR was used for imipenemase (blaIMP) and Verona integron-encoded metallobeta-lactamase (blaVIM) gene detection. Results: Out of 200 pus samples collected from surgical site infections, P. aeruginosa had the prevalence rate of 35%. Imipenem resistance was found in 28.57% of the isolated Pseudomonas aeruginosa. The prevalence of MBL-producing isolates among Imipenem-resistant P. aeruginosa (IRPA) was 85 % by phenotypic method with 29% of them harboring blaVIM gene. High resistance rates to other classes of antibiotics were reported among the isolates with multi-drug resistance (MDR) detected in 97.3% of the isolates. Conclusion: To our knowledge, this is the first report in Minia, Upper Egypt describing the relatively high incidence of IRPA in infected surgical wounds with MBLs involved in the majority of isolates.

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“…Antimicrobial prophylaxis for SSI in gender reassignment operations should probably include not only coverage for skin-prevalent organisms (e.g., SSI IN GENDER-REASSIGNMENT SURGERYstaphylococci), but also for gram-negative pathogens. The isolation of multi-drug-resistant organisms from patients such as those in the present study, who are usually young and healthy, was a matter of concern, particularly because resistant pathogens causing SSIs have been associated with poor clinical outcomes [1,[12][13][14][15][16]. This may reflect multiple procedures and an often prolonged hospital stay, and points strongly to the need for the judicious use of antimicrobial agents for a patient population at risk for SSIs through its need for numerous surgical procedures.…”

Section: Discussionmentioning

confidence: 83%

Surgical Site Infections in Genital Reconstruction Surgery for Gender Reassignment, Detroit: 1984–2008

Zhao

Marchaim

Palla

et al. 2014

Surgical Infections

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Background: Gender reassignment surgery (i.e., male-to-female or female-to-male) entails a series of complex surgical procedures. We conducted a study to explore epidemiologic characteristics of patients who underwent genital reconstruction operations as components of gender reassignment and to analyze risk factors for surgicalsite infections (SSIs) following these operations. Methods: The study was a retrospective cohort study conducted from 1984-2008 at Harper University Hospital, a tertiary hospital with 625 beds in Detroit, Michigan. Surgical site infection was defined according to established criteria. Results: Records were available for 82 patients who underwent a total of 1,383 operations as part of genitalreconstruction processes. Thirty-nine (47.6%) of the patients underwent female-to-male reassignment (FTM) and 43 (52.4%) underwent male-to-female reassignment (MTF). The average age of the study cohort was 39.5 -9.8 y.Of the patients in the cohort, 56 (68.3%) were Caucasian and 67 (81.7%) were single. The average number of operative encounters per patient was 11.8 -4.6 for FTM and 4.9 -2.4 for MTF. Forty-three (52.4%) patients developed an SSI at least once during their genital reconstruction process, of whom 34 (87%) were in the FTM group and nine (21%) in the MTF group (p < 0.001). Staphylococci were the most common pathogens (61%) isolated in these infections, followed by Enterobacteriaceae (50%), Enterococcus (39%), and Pseudomonas aeruginosa (33.3%). Surgical site infection was associated independently with an increased frequency of operative procedures and operating room encounters. Conclusions: More than 50% of patients who underwent genital reconstruction operations developed an SSI at some point during the genital reconstruction process. Surgical site infections are more common in FTM than in MTF reconstruction operations, and for both FTM and MTF, SSIs are associated independently with an increased frequency of total operative procedures and encounters.

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Staphylococcal Surgical Site Infections

Cited by 74 publications

References 108 publications

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

Impact of surgical site infection after colorectal surgery on hospital stay and medical expenditure in Japan

High incidence of MBL-mediated imipenem resistance among Pseudomonas aeruginosa from surgical site infections in Egypt

Surgical Site Infections in Genital Reconstruction Surgery for Gender Reassignment, Detroit: 1984–2008

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