THE EFFECT OF SUTURE MATERIAL IN THE DEVELOPMENT OF VASCULAR INFECTION.

Autor: Dineen, Peter
Předmět:
Zdroj: Vascular Surgery; Jan/Feb1977, Vol. 11 Issue 1, p29-33, 5p, 2 Charts
Abstrakt: Seven different suture materials were evaluated in a standard rabbit aortotomy model as to infectability. Two monofilament sutures were found to have the lowest infection rate on the suture line as compared to multifilament material. It is assumed that this result is on the basis of the physical properties of the suture material. Infection of vascular anastomeses is an extremely serious complication. In 1971, the ten year experience of this Center was reported.' The overall attack rate was low (0.25%) which represented 15 infections in 5,988 vascular procedures. However, of the 15 infected anastomoses 11 patients died--a mortality of 73%. The most common etiologic agent in these infections was Staphylococcus aureus coagulase positive. Because of the severity of the disease and also because of the steadily increasing number of vascular and cardiac procedures in major hospital centers it was decided to study intravascular infections under laboratory conditions. It was first necessary to establish a reproducible model, and then add variables to this. This report describes the animal model and the effect of various suture materials on the incidence and severity of the infection. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index