A Continuing Assessment of Wound Infection Rates from January 1967 to June 1970, with a Study of Two Methods of Preoperative Skin Preparation

Wright, James E.; Hennessy, E. J.; Bissett, R. L.; Robinson, Peter

doi:10.1111/j.1445-2197.1973.tb06832.x

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…However, where a prosthetic implant is used, infection affecting the deeper tissues may occur several month after the operation. 4,5,6 Altimeter stated that the principal organisms of SSI were staphylococcus (both coagulase positive and negative) Escherichia coli, proteous, klebsiella, pseudomonas, bacteroides, streptococcus and Clostridium perfringens. Since last 25 year, 7,8,9 the incidence of wound infection due to gram negative organisms is increasing though, staphylococcal infection was more common earlier.…”

Section: Introductionmentioning

confidence: 99%

A study on isolation and identification of bacterial agents responsible for postoperative wound infection

Mc¹,

Dk²

2019

International Journal of Health Research and Medico Legal Practice

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Introduction: The term post operative wound infection, also known by the term surgical site infection (SSI) is as old as the beginning of surgery. The majority of post operative wound infection (SSI) become apparent within 30 days of an operative procedure and most often between 5 th and 10 th post operative days. Materials and methods: This was a hospital based observational, descriptive study carried out on 2685 SSI wound samples were included in the present study collected from General Surgery, Orthopedic, Obstetrics and Gynaecology Departments. Results: In the present study in the clean wound category with no obvious source of contamination, 65.8% of the cultured infected wounds were of monomicrobial etiology. The isolates when compared with the duration of surgery, it was found that with longer durations of surgery, the wound was infected with polymicrobial agents, The incidence of Klebsiella, E.coli and Pseudomonas increased with longer durations of surgery. This suggests that the organisms might be transferred to the wound by prolonged contact with the operating staff and equipment, as airborne spread of the Gram negative organisms is rare. Conclusion: The present study has enlightened the relationship between SSI, preoperative hospitalization and duration of surgery. There was increase in the incidence of infection, in patients with longer preoperative hospitalization and longer durations of surgery. There was an increase in poly-microbial etiological agents in these cases. Klebsiella was found to be the main etiological agent followed by E. coli, Pseudomonas, Coagulase negative staphylococci, etc.

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Section: Introductionmentioning

confidence: 99%

A study on isolation and identification of bacterial agents responsible for postoperative wound infection

Mc¹,

Dk²

2019

International Journal of Health Research and Medico Legal Practice

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A Method of Continual Assessment of Surgical Results by Computer Analysis

Wright

1973

Australian and New Zealand Journal of Surgery

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A method of continual assessment of surgical results by computer analysis is described. This is a modification of the previous surgical study techniques used at the Royal Newcastle Hospital since 1955. The medical officer who dictates the patient's discharge summary records relevant facts in coded form on a surgical audit blank. This is removed from the chart, stored, and at the end of a given year sent to the Hospitals Commission of N. S. W. for computer analysis.

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Appendicitis in Childhood: Reduction in Wound Infection With Preoperative Antibiotics

Wright

1982

Australian and New Zealand Journal of Surgery

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A reduction in wound infection after appendicectomy for acute appendicitis In children is described and attributed to the use of preoperative prophylactic antibiotics. in 118 consecutive children with appendicitis proven on histological examination there were three wound infections (2.5%) and only one of these was a serious wound abscess (0.8%). There was no postoperative abdominal abscess. Twenty-four of these children had appendicitis complicated by gangrene, perforation, peritonitis or abscess formation. This wound infection rate is compared with the author's previous unpublished rate of 8%, and a rate of 37% in a previously published series. It is Comparable to the current wound infection rate for clean heriniorrhaphy procedures. The ideal is a single antibiotic effective against aerobic and anaerobic organisms with few side effects and little hypersensitivity. in early appendicitis, cefoxitin alone is likely to be effective, but in patients with complicated appendicitis, cefoxitin with metronidazole or lincomycin with an aminogiycoside are recommended.

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A Continuing Assessment of Wound Infection Rates from January 1967 to June 1970, with a Study of Two Methods of Preoperative Skin Preparation

Cited by 3 publications

References 2 publications

A study on isolation and identification of bacterial agents responsible for postoperative wound infection

A study on isolation and identification of bacterial agents responsible for postoperative wound infection

A Method of Continual Assessment of Surgical Results by Computer Analysis

Appendicitis in Childhood: Reduction in Wound Infection With Preoperative Antibiotics

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