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JOURNAL ARTICLE
Hong Tham Pham, Tuong-Anh Mai-Phan, Anh Dung Nguyen, Van-Quang-Huy Nguyen, Minh-Hoang Tran
BACKGROUND: Antimicrobial Stewardship Programs (ASP) have been applied widely in high-resource countries to prevent surgical site infections (SSI). Evidence favoring ASP interventions (ASPi) in gastrointestinal surgeries from low and middle-income countries has been limited, especially in antimicrobial prophylaxis. We aimed to investigate this gap at a Vietnamese tertiary hospital. METHODS: We conducted a retrospective cohort study on patients undergoing clean-contaminated surgeries in 2015 who received standard of care (SoC) or SoC + ASPi...
2024: Frontiers in Medicine
#2
JOURNAL ARTICLE
Zewdu Dagnew, Zeleke Mengist, Cheru Tesema, Tegegne Temesgen, Lake Kumlachew, Abraham Teym, Getasew Yirdaw, Yenewa Bewket, Zemene Addisie, Kemachew Ayele, Agernesh Ayele, Balew Adane, Eniyew Tegegne
BACKGROUND: Growth failure is a common feature of children living with HIV/AIDS. This study was intended to assess the level of stunting and its associated factors among children living with HIV/AIDS. METHODS: An institution-based cross-sectional study was conducted among 218 children living with HIV/AIDS. An interviewer-administered data collection tools and anthropometric measurements were used to collect data. Bivariable and multivariable logistic regression analyses were used to identify independent variables...
May 2024: Annals of Medicine and Surgery
#3
REVIEW
Lee M Jeys, Joachim Thorkildsen, Vineet Kurisunkal, Ajay Puri, Pietro Ruggieri, Matthew T Houdek, Richard A Boyle, Walid Ebeid, Eduardo Botello, Guy V Morris, Minna K Laitinen, Adesegun Abudu, Keisuke Ae, Manish Agarwal, Vivek Ajit Singh, Toru Akiyama, Jose I Albergo, John Alexander, Bugra Alpan, Ahmed Aoude, Apichat Asavamongkolkul, William Aston, Thomas Baad-Hansen, Tessa Balach, Joseph Benevenia, Peter Bergh, Nicholas Bernthal, Odion Binitie, Michele Boffano, Jos Bramer, Harriet Branford White, Bernadette Brennan, Jorge Cabrolier, Jose A Calvo Haro, Domenico A Campanacci, Rodrigo Cardoso, Richard Carey Smith, Nicolas Casales Fresnga, Jose M Casanova, Oscar Ceballos, Chung M Chan, Yang-Guk Chung, Miguel A Clara-Altamirano, Gillian Cribb, Solomon Dadia, Dietmar Dammerer, Marieke de Vaal, Javier Delgado Obando, Shaneel Deo, Claudia Di Bella, Davide M Donati, Makoto Endo, Levent Eralp, Bulent Erol, Scott Evans, Will Eward, Fabrice Fiorenza, Joao Freitas, Philipp T Funovics, Marcos Galli Serra, Michelle Ghert, Kanishka Ghosh, Luis C Gomez Mier, Jesus Gomez Vallejo, Anthony Griffin, Ashish Gulia, Maurice Guzman, Jendrik Hardes, John Healey, Adriana Hernandez, Asle Hesla, Chindanai Hongsaprabhas, Francis Hornicek, Keith Hosking, Shintaro Iwata, Jake Jagiello, Luke Johnson, Andy Johnston, Min Joo, Paul Jutte, Bilal Kapanci, Zeeshan Khan, Hiroshi Kobayashi, Yehuda Kollender, Sebastian Koob, Daniel Kotrych, Louis-Romee Le Nail, Pawel Legosz, Burkhard Lehner, Andreas Leithner, Valerae Lewis, Peng Lin, Francisco Linares, Santiago Lozano Calderon, Ashish Mahendra, Ferdiansyah Mahyudin, Eric Mascard, Jean-Camille Mattei, Louise McCullough, Manuel R Medellin Rincon, Rhidian Morgan-Jones, Diego J Moriel Garcesco, Sophie Mottard, Robert Nakayama, Prashant Narhari, Gary O'Toole, Oliveira Vania, André Olivier, Mohamed Omar, Eduardo Ortiz-Cruz, Harzem Ozger, Korhan Ozkan, Emanuela Palmerini, Panayiotis Papagelopoulos, Michael Parry, Sam Patton, Michael M Petersen, Gerard Powell, Mark Puhaindran, Anand Raja, Raja B Rajasekaran, Lauris Repsa, Mickael Ropars, Andrea Sambri, Thomas Schubert, Ahmad Shehadeh, Geoffrey Siegel, Scott Sommerville, Andre Spiguel, Jonathan Stevenson, Gwen Sys, Thomas Temple, Frank Traub, Hiroyuki Tsuchiya, Juan Valencia, Michel Van de Sande, Gualter Vaz, Roberto Velez Villa, Oleg Vyrva, Hazem Wafa, Wan I Wan Faisham Numan, Edward Wang, David Warnock, Joel Werier, Kwok-Chuen Wong, Yamamoto Norio, Ye Zhaoming, Suraya Zainul Abidin, Tomas Zamora, Juan P Zumarraga, Ghaith Abou-Nouar, Carsten Gebert, R L Randall
Chondrosarcoma is the second most common surgically treated primary bone sarcoma. Despite a large number of scientific papers in the literature, there is still significant controversy about diagnostics, treatment of the primary tumour, subtypes, and complications. Therefore, consensus on its day-to-day treatment decisions is needed. In January 2024, the Birmingham Orthopaedic Oncology Meeting (BOOM) attempted to gain global consensus from 300 delegates from over 50 countries. The meeting focused on these critical areas and aimed to generate consensus statements based on evidence amalgamation and expert opinion from diverse geographical regions...
May 1, 2024: Bone & Joint Journal
#4
JOURNAL ARTICLE
Jacqueline M Causbie, Piotr Wisniewski, Ryan C Maves, Cristin A Mount
Prolonged casualty care (PCC), previously known as prolonged field care, is a system to provide patient care for extended periods of time when evacuation or mission requirements surpass available capabilities. Current guidelines recommend a 7-10-day course of ertapenem or moxifloxacin, with vancomycin if methicillin-resistant Staphylococcus aureus is suspected, for all penetrating trauma in PCC. Data from civilian and military trauma have demonstrated benefit for antibiotic prophylaxis in multiple types of penetrating trauma, but the recommended regimens and durations differ from those used in PCC, with the PCC guidelines generally recommending broader coverage...
May 1, 2024: Journal of Trauma and Acute Care Surgery
#5
JOURNAL ARTICLE
B Es Dawoud, T Hampson, R Barrow, L G Mercuri
Temporomandibular disorders include a wide spectrum of extra-articular and intra-articular conditions affecting the temporomandibular joint (TMJ). In salvage cases involving intra-articular end-stage disease, alloplastic temporomandibular joint replacement (TMJR) is a management option which can be utilised to rehabilitate a disabled joint's function and form. Whilst post-TMJR infection is rare, it is one of the most serious complications. The principles governing TMJR surgery antibiotic prophylaxis have been based on those established in orthopaedic surgery literature...
March 24, 2024: British Journal of Oral & Maxillofacial Surgery
#6
JOURNAL ARTICLE
Mengistu G Mengesha, Shanmuganathan Rajasekaran, Karthik Ramachandran, Vetrivel Chezian Sengodan, Nor Faissal Yasin, Luke Michael Williams, Maritz Laubscher, Kota Watanabe, O Z M Dastagir, Akinola Akinmadr, Hizkyas K Fisseha, Amer Aziz, Ratko Yurac, Ephrem Gebrehana, Mohammed AlSaifi, Kalaventhan Pathinathan, G Sudhir, Amran Ahmed Shokri, Yong Chan Kim, Sharif Ahmed Jonayed, Gonzalo R Kido, Jose Manuel Ignacio, Matiyas Seid Mohammed, Kabir Abubakar, Jonaed Hakim, Sailendra Kumar Duwal Shrestha, Abdullah Al Mamun Choudhury, Malick Diallo, Marcelo Molina, Sandeep Patwardhan, Yong Hai, Ali M Ramat, Momotaro Kawai, Jae Hwan Cho, Rosan Prasad Shah Kalawar, Sung-Woo Choi, Baron Zarate-Kalfopulos, Alfredo Guiroy, Nelson Astur, AlexisD B Buunaaim, Anton L Human, Atiq Uz Zaman
PURPOSE: Improper utilization of surgical antimicrobial prophylaxis frequently leads to increased risks of morbidity and mortality.This study aims to understand the common causative organism of postoperative orthopedic infection and document the surgical antimicrobial prophylaxis protocol across various institutions in to order to strengthen surgical antimicrobial prophylaxis practice and provide higher-quality surgical care. METHODS: This multicentric multinational retrospective study, includes 24 countries from five different regions (Asia Pacific, South Eastern Africa, Western Africa, Latin America, and Middle East)...
September 2024: Journal of Orthopaedics
#7
REVIEW
Makeen Baroudi, Mohammad Daher, Russell D Parks, Jerzy George Gregoryczyk, Mariah Balmaceno-Criss, Christopher L McDonald, Bassel G Diebo, Alan H Daniels
Cutibacterium acnes (C. acnes) previously named Propionibacterium acnes (P. acnes) has been increasingly recognized by spine surgeons as a cause of indolent post-surgical spinal infection. Patients infected with C acnes may present with pseudarthrosis or nonspecific back pain. Currently, microbiological tissue cultures remain the gold standard in diagnosing C. acnes infection. Ongoing research into using genetic sequencing as a diagnostic method shows promising results and may be another future way of diagnosis...
April 26, 2024: Spine Journal: Official Journal of the North American Spine Society
#8
JOURNAL ARTICLE
Mariusz Kowalewski, Michalina M Kołodziejczak, Tomasz Urbanowicz, Maria Elena De Piero, Silvia Mariani, Michał Pasierski, Maged Makhoul, Maria Comanici, Emil Julian Dąbrowski, Matteo Matteucci, Giulio Massimi, Radosław Litwinowicz, Adam Kowalówka, Wojciech Wańha, Federica Jiritano, Gennaro Martucci, Giuseppe Maria Raffa, Pietro Giorgio Malvindi, Łukasz Kuźma, Piotr Suwalski, Roberto Lorusso, Paolo Meani, Harold Lazar
Despite evidence suggesting the benefit of prophylactic regional antibiotic delivery (RAD) to sternal edges during cardiac surgery, it is seldom performed in clinical practice. The value of topical vancomycin and gentamicin for sternal wound infections (SWI) prophylaxis was further questioned by recent studies including randomized controlled trials (RCTs). The aim of this systematic review and meta-analysis was to comprehensively assess the safety and effectiveness of RAD to reduce the risk of SWI.We screened multiple databases for RCTs assessing the effectiveness of RAD (vancomycin, gentamicin) in SWI prophylaxis...
April 27, 2024: Scientific Reports
#9
JOURNAL ARTICLE
Céline Van Den Daele, Delphine Martiny, Isabelle Etienne, Delphine Kemlin, Ana Roussoulières, Youri Sokolow, Desislava Germanova, Thierry Gustot, Leda Nobile, Maya Hites
The epidemiology, diagnostic methods and management of infectious complications after solid-organ transplantation (SOT) are evolving. The aim of our study is to describe current infectious complications in the year following SOT and risk factors for their development and outcome. We conducted a retrospective study in adult SOT recipients in a Belgian university hospital between 2018 and 2019. We gathered demographic characteristics, comorbidities leading to transplantation, clinical, microbiological, surgery-specific and therapeutic data concerning infectious episodes, and survival status up to one year post-transplantation...
April 9, 2024: Microorganisms
#10
JOURNAL ARTICLE
Avanish Yendluri, Jiwoo Park, Priya Singh, Kyle Rako, Brocha Z Stern, Jashvant Poeran, Darwin D Chen, Calin S Moucha, Brett L Hayden
INTRODUCTION: Despite an increase in outpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA), large-scale data are lacking on current practice for antibiotic prophylaxis prescribing. We aimed to describe current oral antibiotic prophylaxis practices nationally for outpatient THA and TKA. METHODS: This nationwide retrospective cohort study included primary outpatient THA or TKA procedures in patients aged 18 to 64 years from 2018 to 2021 using a national claims database...
April 22, 2024: Journal of Arthroplasty
#11
JOURNAL ARTICLE
Wolfram Demmer, Emanuel Meyer, Elias Volkmer, Denis Ehrl, Elisabeth M Haas-Lützenberger, Constanze Kuhlmann, Riccardo E Giunta, Nikolaus Wachtel
BACKGROUND: Wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist conditions. While perioperative antibiotic prophylaxis (PAP) is not generally recommended for elective hand surgery, there is no official standard for elective wrist arthroscopy. This study aimed to determine the actual clinical use of PAP in elective wrist arthroscopy in Germany and relate it to the structural conditions of clinics performing this procedure. MATERIAL AND METHODS: We conducted a systematic search of all facilities in Germany offering wrist arthroscopy...
April 24, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
#12
JOURNAL ARTICLE
Haichao Wu, Long Zhou, Qiang Wang, Tao Wang, Siyuan Liang
The article aimed to compare the efficiency and safety of aspirin with low-molecular-weight heparin (LMWH) for thromboprophylaxis in orthopaedic surgery patients. According to the inclusion and exclusion criteria, PubMed, Embase and Cochrane Library database were searched for studies comparing aspirin and LMWH in venous thromboembolism (VTE) prophylaxis until 25 April 2023. The outcome measures included deep venous thrombosis(DVT)/Pulmonary embolism(PE) events, major bleeding events, wound complications, wound infection and death...
April 17, 2024: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
#13
JOURNAL ARTICLE
Terry C Xia, Gersham J Rainone, Cody J Woodhouse, Dallas E Kramer, Alexander C Whiting
OBJECTIVE: Closed-suction drains are commonly placed after thoracolumbar surgery to reduce the risk of post-operative hematoma and neurologic deterioration, and may stay in place for a longer period of time if output remains high. Prolonged maintenance of surgical site drains, however, is associated with an increased risk of surgical site infection (SSI). The present study aims to examine the literature regarding extended duration (≥24 h) prophylactic antibiotic use in patients undergoing posterior thoracolumbar surgery with closed-suction drainage...
July 2024: World neurosurgery: X
#14
JOURNAL ARTICLE
Robin Dupré, Stéphanie Baillif, Romain Lotte, Raymond Ruimy, Jacques Lagier, Yasmina Berrouane, Tamer Gawdat, Mehdi Fendri, Arnaud Martel
PURPOSE: To assess whether oculoplastic surgeries can be performed without any topical and systemic antibiotics, in a "100% antibiotic free" fashion. METHOD: We conducted a multicenter retrospective study between November 2017 and December 2022. Patients who underwent an oculoplastic procedure were screened. Patients who received preoperative or postoperative systemic antibiotics were excluded. Intraoperative IV antibiotics were allowed. Patients were divided into two groups: those who were treated with local antibiotics ointments (LATB group) and those who were treated without local antibiotics ointments (LATB free group) postoperatively...
April 21, 2024: Graefe's Archive for Clinical and Experimental Ophthalmology
#15
JOURNAL ARTICLE
Diana Andronic, Octavian Andronic, Elias Ammann, Edward Pravin, Rachael Cubberley
INTRODUCTION: There are currently different management guidelines for patients undergoing elective total hip arthroplasty (THA) or total knee arthroplasty (TKA) that are on long-term anticoagulation. The timing of discontinuation and restarting the anticoagulation is challenging during the postoperative care, which often involves general practitioners and physiotherapists. METHODS: The systematic review followed the PRISMA guidelines and included 3 databases: PubMed/MEDLINE, EMBASE, and Web of Science Core Collection...
April 19, 2024: Family Practice
#16
JOURNAL ARTICLE
L Andreani, E Ipponi, G Varchetta, A D Ruinato, S De-Franco, F R Campo, A D'Arienzo
INTRODUCTION: Periprosthetic joint infection (PJI) represents a serious burden in orthopaedic oncology. Through the years, several local expedients have been proposed to minimise the risk of periprosthetic infection. In this study, we report our outcomes using topical vancomycin powder (VP) with the aim to prevent PJIs. MATERIALS AND METHODS: Fifty oncological cases treated with massive bone resection and the implant of a megaprosthesis were included in our study...
March 2024: Malaysian Orthopaedic Journal
#17
JOURNAL ARTICLE
Omer Faruk Egerci, Aliekber Yapar, Fırat Dogruoz, Huseyin Selcuk, Ozkan Kose
The increasing frequency of total hip (THA) and knee arthroplasties (TKA) is marred by the rise in periprosthetic joint infections (PJIs) and surgical site infections (SSIs), with PJIs incurring costs over $1.62 billion as of 2020 and individual case management averaging $90,000. SSIs additionally burden the U.S. healthcare economy with billions in expenses annually. PJI prevalence in primary THA and TKA ranges from 0.5% to 2.4%, spiking to 20% in revisions and representing 25% of TKA revision causes. Projections estimate up to 270,000 annual PJI cases by 2030...
April 18, 2024: Archives of Orthopaedic and Trauma Surgery
#18
JOURNAL ARTICLE
H Guanche Garcell, F J Aragón Palmero, D A Marquez Reyna, N Seoane Perez, R M Desdin Rodriguez, O R Exposito Reyes, W Martinez Martinez, A Villanueva Arias, S I Gonzalez Perez, T M Fernandez Hernandez, A M Felipe Garmendia
BACKGROUND: Improper compliance with antibiotic prophylaxis (AP) in surgery is associated with an increased risk of surgical site infection (SSI), and impacts the efficiency of healthcare. OBJECTIVE: Evaluate the impact of an intervention in compliance with AP in selected surgical procedures and its effect on antibiotic consumption and cost. METHODS: A prospective interventional study was performed in a community hospital from January to December 2022...
April 13, 2024: Journal of Healthcare Quality Research
#19
REVIEW
Guillermo Cuervo, Eduard Quintana, Ander Regueiro, Andrés Perissinotti, Barbara Vidal, Jose M Miro, Larry M Baddour
During the past 6 decades, there have been numerous changes in prosthetic valve endocarditis (PVE), currently affecting an older population and increasing in incidence in patients with transcatheter-implanted valves. Significant microbiologic (molecular biology) and imaging diagnostic (fluorine-18 fluorodeoxyglucose-positron emission tomography/computed tomography) advances have been incorporated into the 2023 Duke-International Society for Cardiovascular Infectious Diseases infective endocarditis diagnostic criteria, thus increasing the diagnostic sensitivity for PVE without sacrificing specificity in validation studies...
April 16, 2024: Journal of the American College of Cardiology
#20
JOURNAL ARTICLE
Anne Knisely, Maria D Iniesta, Claire A Marten, Gary Chisholm, Kathleen M Schmeler, Jolyn S Taylor
BACKGROUND: Surgical site infection (SSI) is one of the most common complications of gynecologic cancer surgery. Current guidelines recommend the administration of cefazolin pre-operatively to reduce SSI rates for patients undergoing clean-contaminated surgeries such as hysterectomy. OBJECTIVE: To evaluate the impact of a quality improvement project adding metronidazole to cefazolin for antibiotic prophylaxis on SSI rate for women undergoing gynecologic surgery at a comprehensive cancer center...
April 8, 2024: American Journal of Obstetrics and Gynecology
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