Surgical wound infection in urology. Analysis of risk factors and associated microorganisms

Alonso-Isa, Manuel; Medina-Polo, J.; Lara-Isla, A.; Pérez-Cadavid, S.; Arrébola-Pajares, A.; Sopeña-Sutil, R.; Benítez-Sala, R.; Justo-Quintas, J.; Gil-Moradillo, J.; Passas-Martínez, J.B.; Tejido-Sánchez, Á.

doi:10.1016/j.acuroe.2016.12.005

Cited by 2 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Несмотря на то что частота послеоперационных осложнений по-прежнему остается основным суррогатным маркером качества оказания хирургической помощи [36], прямую причинно-следственную взаимосвязь между оперативным лечением и осложнением иногда трудно оценить. По данным исследований, частота развития инфекций в области хирургического вмешательства у пациентов урологического профиля составляет 6-14 % [37]. Это считается одним из основных обоснованных факторов проведения антимикробной профилактики, вторичной целью которой является рациональное использование антимикробных средств.…”

Section: Discussionunclassified

Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

et al. 2023

View full text Add to dashboard Cite

Background. Surgical treatment after chemotherapy is extremely difficult technically and should only be performed in a specialized medical center. The postoperative period after these surgical interventions is aimed not only at minimizing complications, but also at early mobilization and rehabilitation of patients. The principles of fast-track surgery, or ERAS (Enhanсed Recovery After Surgery) significantly reduce the incidence and degree of complications after various surgical interventions. However, the results of studies on the use of fast track in retroperitoneal lymphadenectomies have not yet been presented.Aim. To determine the effect of enhanced recovery program on treatment outcomes in patients with germ cell tumors of the testicle after retroperitoneal lymphadenectomy.Materials and methods. Retrospective analysis of 2 groups of patients (n = 93) treated at the N.N. Petrov National Medical Research Center of Oncology (Saint Petersburg) was performed. In the 1st group of patients, standard postoperative care after retroperitoneal lymphadenectomy was performed; in the 2nd group, fast track elements were used. Since the introduction of the ERAS protocol into clinical practice (September 2017), all patients have been included in the 2nd group.Results. The presence or absence of preoperative preparation did not affect the incidence of intraoperative complications (p = 0.031). There were significant differences in the duration of hospitalization between the 1st and 2nd groups –15.3 and 11.9 days (p = 0.03), respectively. Assessment of the pain syndrome using the Numeric Rating Scale for Pain (NRS) showed that median pain level in the 1st group was significantly higher than in the 2nd group: 5 ± 1.5 and 3 ± 1.7, respectively (p = 0.04), which indicates a more severe and less controlled pain syndrome in the 1st group of patients. The rate of infectious complications in the postoperative wound in the 2nd group was 3 cases versus 13 in the 1st group (p = 0.009). The rate of lymphorrhea in 2nd group was significantly lower (p = 0.003), median drainage duration was higher in 1st group (p <0.05). In the 2nd group, 70.6 % of patients did not require drainage, which was an important factor in rapid rehabilitation.Conclusion. The use of fast-track principles in patients after retroperitoneal lymphadenectomy significantly reduces the incidence of postoperative complications and rehabilitation time.

show abstract

Section: Discussionunclassified

Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

et al. 2023

View full text Add to dashboard Cite

show abstract

“…This study's results are consistent with results from reported by studies conducted among patients who underwent open urological procedures. 14 , 21 …”

Section: Discussionmentioning

confidence: 99%

Predictors of Surgical Site Infections among Patients Undergoing Open Urological Surgery at a Tertiary Hospital, Tanzania: A Cross Sectional Study

Kibwana

Manyahi

Sensa

et al. 2022

EAHRJ

View full text Add to dashboard Cite

Background: Surgical Site Infection (SSI) is one of the major hospital acquired infections, highly associated with prolonged hospitalisation, morbidity and mortality. In open urological surgeries, little is known on magnitude and factors associated with development of SSI. Methods and Materials: The intervention was a cross-sectional prospective observational study performed between August 2015 and March 2016 at Muhimbili National hospital (MNH), Dar es Salaam, Tanzania. Patients who underwent open urological surgery at MNH during the study period and met inclusion criteria were consecutively enrolled, and followed up for 30 days. Patients´ and operative characteristics were recorded using standard structured questionnaires. Wound/ pus swabs were collected from patients with clinical evidence of SSI for bacteriological processing. Data analysis was performed using SPSS version 20. Results: Of 182 patients who underwent open urological surgery, 22% (40/182) developed SSI. Pre-operative urinary tract infection (aOR 9.73, 95%CI 3.93-24.09, p<.001) and contaminated wound class (aOR 24.997, 95%CI 2.58-242.42, p = .005) were independent predictors for development of SSI. Shaving within 30 hrs before surgical procedure was found to be protective for developing SSI (aOR 0.26, 95%CI 0.09-0.79, p=.02). Escherichia coli (20/40) was the most predominant pathogen in SSI followed by Klebsiella pneumoniae (7/40) and S. aureus (6/40). Gram-negative bacteria were highly resistant to ceftriaxone, gentamicin, amoxicillin-clavulanic acid and trimethoprim-sulfamethoxazole. Conclusion: Surgical Site Infection was high in open urological interventions. Pre-operative urinary tract infection and contaminated wound class predicted SSI. Bacteria causing SSI were highly resistant to commonly used antibiotics.

show abstract

Surgical wound infection in urology. Analysis of risk factors and associated microorganisms

Cited by 2 publications

References 24 publications

Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

Enhanced recovery program in surgical treatment of patients with germ cell tumors of the testicle: experience of a specialized hospital

Predictors of Surgical Site Infections among Patients Undergoing Open Urological Surgery at a Tertiary Hospital, Tanzania: A Cross Sectional Study

Contact Info

Product

Resources

About