The comparison of bacteremia and amount of bleeding during septoplasty

Abstract

The aim of this study was to investigate the relationship between the amount of bleeding and bacteremia during nasal septal surgery. Seventy-one patients undergoing septoplasty were enrolled in the present study. The amount of bleeding was measured and recorded for each patient. Preoperative and postoperative blood cultures were collected immediately after the induction of anesthesia and 20 min after the operation, respectively. While none of the blood cultures taken preoperatively were positive for any organism, the cultures obtained postoperatively were positive in 9 (12.7%) of 71 patients who underwent septoplasty, and bacteremia was more frequent among those with a greater amount of bleeding during the surgery. The results of this study suggest that although bacteremia had no clinical consequences for patients, patients with more bleeding have an increased risk of developing bacteremia which may cause complications in higher risk individuals.

The role of antibiotic therapy and nasal packing in septoplasty

“…Finally, an interesting relationship was observed by Koc et al [11] between the amount of bleeding during septoplasty and subsequent bacteremia. Bacteremia was detected in 9 patients out of 71 who underwent septoplasty and it was more frequently encountered among those patients with a greater amount of bleeding during surgery.…”

The Comparison of Bacteremia and Amount of Bleeding During Tympanomastoidectomy

“…Koç et al [5,13], evaluated the relationship between bacteremia and amount of bleeding during septoplasty and tonsillectomy. They reported that bacteremia was more frequently encountered among those with a greater amount of bleeding during the both surgery.…”

Nasal Carriage of 200 Patients with Nasal Bone Fracture in Korea

“…S. aureus bacteremia appears to be of endogenous origin since the bacteria originate from colonies in the nasal mucosa [ 13 ]. Actually bacteremia was more frequently encountered among those with a greater amount of bleeding during the nasal surgery by Koc et al [ 8 ]. Patients with bleeding have an increased risk of developing bacteremia that could produce systemic complications, and Perl [ 20 ] described advances in the prevention of S. aureus infections from endogenous colonization in 2003.…”

“…Routine antibiotic prophylaxis was found to be redundant because the infection rate after elective nasal surgery (e.g. corrective rhinoplasty) was very low according to the review of Koc et al [ 8 ]. However, patients with nasal bone fracture who had external wounds on their nose had an increased risk of infection compared with corrective rhinoplasty.…”

“…Staphylococcus aureus ( S. aureus ) is known to be the most common pathogen in the nasal cavity through many laboratory studies [ 2 3 ], and the cause of TSS [ 4 ]. Much research has been published on the effect of nasal carriage in special situations, for example the infection rate in patients with chronic sinusitis [ 5 ] and the nosocomial infection rate [ 6 ], the correlation of the prevalence rate of S. aureus with epistaxis [ 7 ], and the correlation of the prevalence rate of bacteremia with bleeding during septoplasty [ 8 ]. Plastic surgeons have also been concerned about infectious complications by S. aureus during nasal surgery.…”