BACKGROUND Cardiopulmonary bypass induces a nonspecific inflammatory response. Procalcitonin has been advocated as a specific biomarker for infection. The authors studied the accuracy of procalcitonin to diagnose postoperative infection after cardiac surgery and compared it with those of C-reactive protein, white blood cell count, and interleukins 6 and 8. METHODS The authors prospectively in...

INTRODUCTION Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery. MATERIALS AND METHODS Fifty candidates for bimaxillary orthognathic surgery were divi...

We determined if infection indicators were sufficiently consistent across health plans to allow comparison of hospitals' risks of infection after coronary artery bypass surgery. Three managed care organizations accounted for 90% of managed care in eastern Massachusetts, from October 1996 through March 1999. We searched their automated inpatient and outpatient claims and outpatient pharmacy disp...

BACKGROUND Over 70% of Canadian carpal tunnel syndrome (CTS) operations are performed outside of the main operating room (OR) with field sterility and surgeon-administered pure local anesthesia [LeBlanc et al., Hand 2(4):173-8, 14]. Is main OR sterility necessary to avoid infection for this operation? This study evaluates the infection rate in carpal tunnel release (CTR) using minor procedure r...

Delirium is a syndrome consisting of cloudiness of consciousness,attention deficit,and cognitive impairment,with quick onset,but varring paths in its progression .delirium is more common after major surgeries in the elderly and hospitalized patients,resuting in high morbidity and mortality rates.the incidence rate that has been reported  in previous studies varies from 1-3% in cataract surgery ...

OBJECTIVE The present paper reports about the content and evaluation of a psycho-educational group intervention for children growing up with a history of cancer, Op Koers Oncologie (OK Onco). OK Onco is aimed at empowerment of survivors of childhood cancer by teaching disease-related skills. The purpose of this pilot study is to evaluate whether OK Onco was appropriate for use among paediatric ...

Hospital Physician September 2007 47 H ospital-acquired pneumonia (HAP) is defined as pneumonia that develops 48 hours or more after hospital admission, which was not incubating at the time of admission (Table 1). Ventilator-associated pneumonia (VAP) refers to pneumonia that develops more than 48 to 72 hours after endotracheal intubation. Postoperative pneumonia is HAP or VAP that occurs in a ...

OBJECTIVES To evaluate the effect of preoperative statin therapy on the incidence of postoperative infection.  METHODS This systematic review of the literature was carried out in August 2015. Studies were retrieved via PubMed, Embase, and the Cochrane Library (1980 to 2015), and the reference files were limited to English-language articles. We used a standardized protocol, and a meta-analysis ...

OBJECTIVES To undertake a tri-Service questionnaire survey to examine the commanders' understanding of, and attitudes to, stress and stress-related problems. METHODS A questionnaire was designed to elicit information on: Personal experience of stress and stress-related problems; Stress education; Pre-deployments briefings; and Post-incident stress debriefing. A total of 9,020 questionnaires w...