Surgical Site Infection in General and Thoracic Surgery: Surveillance of 2 663 Cases in a Japanese Teaching Hospital

Yoshida, Junichi; Shirakawa, Masahiro; Ishikawa, Masakazu; Matsuo, Keitaro

doi:10.1007/s00595-005-3120-6

Cited by 18 publications

(14 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 HAI costs the NHS £1 billion/year and postoperative SSI has been estimated to cost an extra £1594 per SSI, with an average extra length of stay for infected patients of an addi- 14 A number of pre-operative and operative risk factors for the development of a SSI have been identified in association with colorectal surgical patients. 3,[15][16][17][18][19][20][21][22] However, evidence is now emerging of the relationship between healthcare environmental bacterial contamination and resultant HAI.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bacterial Contamination of Hospital Bed-Control Handsets in a Surgical Setting: A Potential Marker of Contamination of the Healthcare Environment

Brady

Kalima

Damani

et al. 2007

annals

View full text Add to dashboard Cite

Ann R Coll Surg Engl 2007; 89: 656-660 656Colorectal surgical patients have one of the highest incidences of surgical site infection (SSI), second only to limb amputation surgery. Some 10% of operative procedures in the UK involving the large or small bowel will result in a SSI. 1These rates are higher still in those undergoing operative resection for rectal tumours 2,3 and an independent effect on the 5-year survival rates in patients with colon cancer has also been reported, 4 although this association has been disputed. 5SSI is the third most commonly reported hospital-acquired infection (HAI) and accounts for 14-16% of all HAIs amongst hospital in-patients. 6 Of all general surgery patients, 2-5% will develop a SSI 1 and recent reports cite increasing evidence of a relationship between the presence of bacteria known to cause nosocomial infection in the patient's healthcare environment and subsequent development of HAI. 7-9We undertook a prospective, cross-sectional study to examine bacterial contamination in the healthcare environment in the proximity of colorectal surgical patients. In order to control for potential variations achieved from a variety of hospital surfaces, materials and devices, we aimed to examine a uniform surface that was identical and present in all individual patient environments in our colorectal surgery ward setting.A previous study by Young et al.,10 in an American healthcare institution, reported that electronic hospital bed-control handsets are a high-touch surface, which have the potential to be contaminated by bacteria known to cause Ann R Coll Surg Engl 2007; 89: 656-660 INFECTION CONTROL

show abstract

Section: Discussionmentioning

confidence: 99%

“…These rates are higher still in those undergoing operative resection for rectal tumours 2,3 and an independent effect on the 5-year survival rates in patients with colon cancer has also been reported, 4 although this association has been disputed.…”

mentioning

confidence: 92%

Bacterial Contamination of Hospital Bed-Control Handsets in a Surgical Setting: A Potential Marker of Contamination of the Healthcare Environment

Brady

Kalima

Damani

et al. 2007

annals

View full text Add to dashboard Cite

show abstract

“…Surgical site infection of the sternal wound was classifi ed according to the guidelines based on the CDC as either superfi cial, with skin and subcutaneous tissue involvement, or deep, with muscle and bone involvement or mediastinitis. 10 Wound culture was done of all SSIs to confi rm the microorganisms responsible. Intravenous antibiotics were given until the chest and pericardial tubes were removed.…”

Section: Observation and Follow-upmentioning

confidence: 99%

A new hydrocolloid dressing prevents surgical site infection of median sternotomy wounds

et al. 2009

View full text Add to dashboard Cite

show abstract

“…The rate of SSI in thoracic operations is reported to be 1.5%, which is lower than that in other general surgeries, including esophagectomy, biliary operations, gastrectomy, and colectomy. 1 Therefore, PTSS after thoracic surgery is estimated to be extremely rare, even though this syndrome has been described in several studies associated with a variety of surgical procedures. 2 To the best of our knowledge, no reports describing PTSS after thoracic surgery have ever been previously published.…”

Section: Introductionmentioning

confidence: 99%

Toxic Shock Syndrome Following Thoracic Surgery for Lung Cancer: Report of a Case

et al. 2007

View full text Add to dashboard Cite

Postoperative toxic shock syndrome (PTSS) caused by toxin-producing Staphylococcus aureus has incidentally been reported to be experienced following various surgical procedures or wounds. This syndrome includes sudden high fever, headache, muscle ache, a sunburn-like rash, hypotension, and tachycardia, while also often showing a rapid progression and a fatal outcome. To date, no such cases have ever been reported after thoracic surgery. We herein describe a highly probable case of PTSS in a 61-year-old man who underwent a pulmonary resection for lung cancer. The patient recovered after immediate and intensive antibiotic and steroid therapies. PTSS can occur incidentally even in the field of thoracic surgery; therefore, thoracic surgeons should be aware of this possible onset in order to recognize and treat this disease in a timely manner.

show abstract

Surgical Site Infection in General and Thoracic Surgery: Surveillance of 2 663 Cases in a Japanese Teaching Hospital

Abstract: The NNIS system risk indices should separate rectal surgery from colorectal surgery, and separate esophagectomy from other gastrointestinal surgery. Age should also be included as an SSI risk index.

Cited by 18 publications

References 8 publications

Bacterial Contamination of Hospital Bed-Control Handsets in a Surgical Setting: A Potential Marker of Contamination of the Healthcare Environment

Bacterial Contamination of Hospital Bed-Control Handsets in a Surgical Setting: A Potential Marker of Contamination of the Healthcare Environment

A new hydrocolloid dressing prevents surgical site infection of median sternotomy wounds

Toxic Shock Syndrome Following Thoracic Surgery for Lung Cancer: Report of a Case

Contact Info

Product

Resources

About