Post-Operative Infection Following Hand Surgery

Platt, A.J.; Page, Robert E.

doi:10.1016/s0266-7681(05)80137-8

Cited by 73 publications

(66 citation statements)

References 25 publications

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“…1 The benefits of 'daycase surgery' include a greatly reduced rate of infection, reported as low as 2% in elective orthopaedics and hand surgery 2 although another study reported a much higher 10% infection rate. 3 The present study has shown that very low rates of postoperative infection can be expected in elective hand surgery, and that this is probably due to seniority of surgeon, operative technique, short duration of operation, 4,5 and close postoperative follow-up. Wearing of sterile gowns, face-masks, and laminar airflow seem to have little effect in day-case hand surgery.…”

Section: Discussionmentioning

confidence: 58%

Wound infections in day-case hand surgery: a prospective study

Hashemi¹,

Blakeley²

2004

Ann R Coll Surg Engl

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T he prevention of wound infection is central to the successful outcome of any operative procedure. This is especially so for 'day-case surgery' which now accounts for 30-50% of all in-hospital surgical procedures. As in any surgical procedure, complications following day-case surgery, including wound infection, can result in unexpected hospital admissions, prolonged follow-up and rehabilitation and delay in the patient's return to work. A review of the current literature reveals that little has been published about postoperative infection rates in day-case hand surgery and the possible factors promoting infection. Patients and Methods PatientsA prospective study of 1035 consecutive patients attending the Mayday University Hospital Hand Clinic for day-case surgery over the 2-year period from April 1999 to March 2001 was carried out. Seven patients were excluded as they were already taking antibiotics at the time of operation for an unrelated condition. The surgical procedures carried out are presented in Table 1. Operative technique and follow-upAll operations were performed in one of three dedicated operating theatres in the day-care surgical unit of the hospital by one of the two authors. Patients were allowed to wear a gown in theatre; the surgeons wore standard theatre greens and sterile gloves. The surgeons did not wear face masks during any of the procedures but sterile surgical gowns were worn in 9 cases of trapezioplasty. Wound infections in day-case hand surgery: a prospective studyKambiz Hashemi, Christopher J BlakeleyThe Hand Clinic, Mayday University Hospital, Croydon, UK Background: There is little published information about postoperative infection rates in day-case hand surgery and the possible factors promoting infection. Results: We report on infection rates observed in day-case hand surgery of 1035 cases over a 2-year period performed by two consultant surgeons. Infection rates of just over 1% were observed. Conclusion: We believe that this low infection rate reflects seniority of surgeon, operative technique and short duration of operation.

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Section: Discussionmentioning

confidence: 58%

Wound infections in day-case hand surgery: a prospective study

Hashemi¹,

Blakeley²

2004

Ann R Coll Surg Engl

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“…They concluded that debridement and conscientious wound control rather than antibiotics were key points to minimize infection [1]. Swanson, Platt and Page noticed an increased infection rate in contaminated hand wounds, responsive to antibiotics [9,14]. Intravenous flucloxacillin appeared to reduce the rate of postoperative stiffness at a very significant level in this study.…”

Section: Discussionmentioning

confidence: 53%

“…Staphylococcus species are the most common organisms found on the skin of the hand [8,10]. Platt and Page managed to reduce the infection rate in hand injuries with perioperative antibiotics [9]. In our study, no case of infection was documented and of the cases who had received intravenous flucloxacillin none developed stiffness.…”

Section: Discussionmentioning

confidence: 56%

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Flucloxacillin Reduces Stiffness Following Flexor Tendon Repair

Schumacher

James

2008

Hand (New York, N,Y.)

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To determine the benefit of antibiotic prophylaxis on postoperative mobility in flexor tendon repairs, case notes of 72 flexor tendon injuries in twenty four patients were analyzed retrospectively (2001)(2002)(2003). Only patients with non-contaminated injuries from sharp instruments in flexor zone 2 were included in the study; 57% were male, average age was 31 years, and 24% were smokers. The majority of injuries were caused by metal blades (45%). Most tendons were repaired with modified Kessler technique (69%). Twenty-five percent received intravenous flucloxacillin or co-amoxiclav perioperatively. Reduced total active motion (TAM, found in 25% of patients more than 7weeks after surgical repair) significantly complicated patients without perioperative intravenous flucloxacillin cover. The use of intravenous perioperative flucloxacillin is a plausible adjunct in surgery to prevent postoperatively reduced mobility.

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“…In addition, the Joint Commission's Surgical Care Improvement Project has issued a list of procedure-specific prophylactic antibiotics. Studies have shown that compliance with these guidelines varies across institutions and procedures and regimens not in compliance have involved both undertreated and over treated cohorts [11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Two or More Antibiotics Regimen Versus One or No Antibiotic Regimen in Post-Operative Surgery

Mihirkumar¹,

Ashley²,

Nawaz³

et al. 2017

Int J Pharm Pharm Sci

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Objective: Surgical site infections [SSI] are the leading cause of hospital-acquired infections. The objective of this study was to evaluate whether surgical site infections can be reduced with twoormoreantibioticsregimenversusoneornoantibioticregimeninpost-operativesurgery. Methods:The patients were grouped into 2 groups. Group A (two or more antibiotics regimen) and Group B (one or no antibiotic regimen). Then the patients were followed on 1st, 2nd, 3rd and 4th week respectively after surgery to check for any surgical site infection by direct interviewing the patients. Results:The overall surgical site infection rate was 48.3% (58 out of 120 patients).However, this study was more dominated by female patientsthere were 63% female patients compared to 37% male patients enrolled in this study. Also, the post-operative surgical site infection was comparatively observed more in female patients than in male. General surgery department too had many gynaecology related patients followed by Orthopaedic and Endocrinology surgeries. Results revealed that the patients in Group A (Two or more antibiotics) had significantly lower number of surgical site infections when compared with Group B (One or no antibiotics) with p<0.001. Conclusion:Our study concludes that patients receiving two or more antibiotics had significantly less number of post-operative surgical site infections when compared to patients receiving one or no antibiotics and following two or more antibiotics can reduce the excess hospital cost.

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Post-Operative Infection Following Hand Surgery

Cited by 73 publications

References 25 publications

Wound infections in day-case hand surgery: a prospective study

Wound infections in day-case hand surgery: a prospective study

Flucloxacillin Reduces Stiffness Following Flexor Tendon Repair

Assessment of Two or More Antibiotics Regimen Versus One or No Antibiotic Regimen in Post-Operative Surgery

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