Newborns are more susceptible to infection; this makes proper wound care extremely important in them. Unfortunately, in spite of successful surgery, patients can die as a result of wound area infections. Herein, we report a case in which a combined therapy of chlorhexidine (a disinfectant) and saline (a cleansing agent used in wound care) was used effectively to treat the wound in a newborn inf...

BACKGROUND The incidence of postoperative wound infection is usually not the cause of death but it increases the length of hospital stay and cost of care and morbidity. Since their introduction a century ago there is still controversy about primary purpose of the facemasks as whether they provide protection for the patient from surgical team or weather they protect surgical team from the patien...

OBJECTIVE To evaluate whether resident participation in operations influences postoperative outcomes. BACKGROUND : Identification of potential differences in outcome associated with resident participation in operations may facilitate planning from educational and health resource perspectives. METHODS From the National Surgical Quality Improvement Program database (2005-2007), postoperative ...

BACKGROUND Despite improvements in antibiotic prophylaxis, surgical site infections represent the most common postoperative complication with important clinical consequences for patients. AIM The hypothesis that a bacterial analysis of the surgical wound in the operating room could predict the likelihood of developing a clinical infection, and might allow a tailored and preemptive approach, a...

BACKGROUND Surgical wound infection is an important complication of spinal surgery. Antibiotic prophylaxis has served to decrease its rates significantly, with the ensuing reduction in hospital stay, costs, and morbidity and mortality. To date, a large assessment of the degree of compliance with antibiotic prophylaxis in spinal fusion surgery has not been undertaken in Spain with large prospect...

he risk of infection is generally based on the susceptibility of a surgical wound to microbial contamination. Clean surgery carries a 1-5% risk of postoperative wound infection, and in dirty procedures that are significantly more susceptible to endogenous contamination, 27% risk of infection has been estimated.1 The Guideline for Prevention of Surgical Site Infection, 1999 issued by the Centers...

Inguinal hernia repair is a clean surgical procedure and surgical site infection (SSI) rate is generally below 2%. Antibiotic prophylaxis is not routinely recommended, but it may be a good choice for institutions with high rates of wound infection (>5%). Typical prophylaxis is the intravenous application of first or second-generation cephalosporins before the skin incision. However, SSI rate re...

Advanced wound management of complex surgical wounds remains a significant challenge as more patients are being hospitalized with infected wounds. Reducing recurrent infections and promoting granulation tissue formation is essential to overall wound healing. Wounds with acute infection and critical colonization require advanced multimodal approaches including systemic antibiotics, surgical debr...

It has been estimated that 15% of patients who have elective surgery and 30% of patients whose surgery was classed as ‘contaminated’ suffer from surgical site infections (SSIs) (Bruce et al, 2001). Patients with SSIs will have extended hospital stays, they will have a greater risk of morbidity and mortality, and treatment costs will be increased (Kirkland et al, 1999). Wound management programm...

Post-discharge surveillance of surgical site infection is necessary if accurate rates of infection following surgery are to be available. We undertook a prospective study of 376 knee and hip replacements in 366 patients in order to estimate the rate of orthopaedic surgical site infection in the community. The inpatient infection was 3.1% and the post-discharge infection rate was 2.1%. We conclu...