Suture thread check test for detection of surgical site contamination: a prospective study
| Autor: | Giovanna Donnarumma, Francesco Iovino, Vincenza Mallardo, Federica Calò, Nicola Coppola, Luca Dani, Alfonso Barbarisi, Pasquale Pio Auriemma |
|---|---|
| Přispěvatelé: | Iovino, Francesco, Pasquale Pio, Auriemma, Luca, Dani, Donnarumma, Giovanna, Barbarisi, Alfonso, Vincenza, Mallardo, Federica, Calo`, Coppola, Nicola |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Thread (computing) 030230 surgery Culprit Young Adult 03 medical and health sciences 0302 clinical medicine Antibiotic prophylaxi Surgical site medicine Humans Surgical Wound Infection Prospective Studies 030212 general & internal medicine Elective surgery Antibiotic prophylaxis Prospective cohort study Aged Aged 80 and over Sutures business.industry food and beverages Middle Aged Surgery Early Diagnosis Female Complication business Surgical site contamination Surgical site infection |
| Zdroj: | Journal of Surgical Research. 220:268-274 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2017.07.029 |
| Popis: | Background: Surgical site infection (SSI) is a common complication of surgical procedures.Aim: Our study aimed at investigating a new method based on assessment of suture thread colonization to identify patients developing an SSI.Materials and Methods: We prospectively enrolled 119 patients undergoing elective surgery. For each patient, a synthetic absorbable thread in Lactomer 9-1 (Polisorb Gauge 2) inserted in the surgical site at the end of surgery was sent to the microbiology laboratory after 48 h to assess colonization of its inner tract.Results: Forty (33.6% of cases) patients had a colonized thread. Antibiotic prophylaxis was administered to 66 of 79 patients who did not display a colonized thread and to 20 of the 40 patients with a colonized thread (83.5% versus 50%, respectively, P = 0.0002). An SSI was observed only in patients with a colonized thread (10% versus 0, P = 0.02). The microorganisms identified in colonized threads were the same identified in SSIs.Conclusions: Since an SSI was found only in patients with colonized threads, the method described here may be valuable for identifying patients developing an SSI. Moreover, the method can also be useful for targeting efficient antibiotic therapy to the culprit microorganisms. (C) 2017 Elsevier Inc. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect