Incidence of Wound Infection

Jeffrey, Jaclyn; Sklaroff, Stanley A.

doi:10.1016/s0140-6736(58)90986-3

Cited by 39 publications

(7 citation statements)

References 3 publications

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“…Undoubtedly the anti-cross-infection measures previously introduced played a part, and were probably responsible for the fall in the total incidence of staphylococcal infection per patient from 10% to 7% between January and July, 1958. The latter figure of 7% cannot be regarded with any satisfaction, but since it includes all forms of sepsis, both of wounds and of chest infections, however insignificant, it compares not unfavourably with the incidence of surgical cross-infection recorded by other workers (Howe, 1954;Jeffrey and Sklaroff, 1958;Shooter et al, 1958).…”

Section: Discussionmentioning

confidence: 66%

Reversal of Antibiotic Resistance in Hospital Staphylococcal Infection

Barber¹,

Dutton²,

Beard³

et al. 1960

BMJ

127

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Section: Discussionmentioning

confidence: 66%

Reversal of Antibiotic Resistance in Hospital Staphylococcal Infection

Barber¹,

Dutton²,

Beard³

et al. 1960

BMJ

127

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“…Some of the evidence has pointed to the operating theatre as the main source (Jeffrey and Sklaroff, 1958;Penikett, Knox, and Liddell, 1958 ;Gillespie, Alder, Bradbeer, Ayliffe, and Wypkema, 1959;Bassett, Ferguson, Hoffman, Watton, Blowers, and Conn, 1963 ;Howe, 1963). On the other hand, Rountree, Harrington, Loewenthal, and Gye (1960) thought that the theatre was not so important as the ward in causing postoperative infection.…”

Section: Discussionmentioning

confidence: 99%

Staphylococcal infection of surgical wounds: The source of infection

Henderson¹

1967

Journal of British Surgery

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IN two previous papers (Henderson andWilliams, 1961, 1963) some observations were reported on the part played by nasal staphylococci in staphylococcal infection of surgical wounds and also the extent to which the environment of the patients in a surgical ward became contaminated by staphylococci. Daily bacteriological samples were taken and in this way serial pictures were built up of the spread of the staphylococci. The part, if any, played by the operating theatre as a source of staphylococcal infection was not considered, however, in either of these papers and the present study was planned to provide, if possible, some information on that source.One hundred clean operations were studied over a period of a little more than 3 years. They were all major operations, e.g., radical mastectomies (59), cholecystectomies (31), and gastrectomies (2). The remainder (8) were miscellaneous. Ninety-one of the IOO operations were drained by a tube through a stab wound separate from the main incision. The operations were all performed by the same surgeon. The operating theatre is not of modern design and working space is limited. There is, however, an arrangement under which fresh air from outside is sucked in by a fan and pumped through filters into the operating theatre. This has been geared to give a flow of filtered air passing through the theatre and into the outside corridor at a rate of approximately 10-12 changes per hour. The patients were examined daily until either the wound had healed and the stitches were removed, or sepsis, if any, was established. The author took all the swabs and attended all the operations, thus assuring uniformity of method. The surgical team changed, naturally, in the 3$ years, as new house-surgeons and nurses replaced others, but otherwise the lines on which the investigation was carried out did not materially alter throughout the period. METHODSPatients were seen as soon as possible after they had been admitted and a nasal swab was taken, usually about 15 minutes to I hour after admission. The swabs were on wooden sticks and, after being moistened in sterile saline, the same swab was rubbed six or seven times around the inside of each anterior naris. The next day a second nasal swab was taken and usually on the third day the patient underwent operation. If it was delayed for any reason daily nasal swabs were taken until the day of operation. At

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“…Elsewhere similar records have been kept in the wards (9). Many hospitals have systems for reporting cases of infection to the laboratory or to an infection control officer, usually the hospital's medical bacteriologist, whose function it is to keep a special watch on all aspects of infection throughout the hospital.…”

Section: Prevalence Of Hospital Infectionmentioning

confidence: 99%

Investigations of Staphylococcal Infection Acquired in Great Britain's Hospitals

Williams¹

1958

Public Health Reports (1896-1970)

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Incidence of Wound Infection

Cited by 39 publications

References 3 publications

Reversal of Antibiotic Resistance in Hospital Staphylococcal Infection

Reversal of Antibiotic Resistance in Hospital Staphylococcal Infection

Staphylococcal infection of surgical wounds: The source of infection

Investigations of Staphylococcal Infection Acquired in Great Britain's Hospitals

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