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https://www.readbyqxmd.com/read/27917219/experience-of-collaboration-between-a-dutch-surgical-team-in-a-ghanaian-orthopaedic-teaching-hospital
#1
T K Timmers, E Kortekaas, Bpc Beyer, E Huizinga, S M V Hezik van, E Twagirayezu, M Bemelman
BACKGROUND: Surgery is an indivisible, indispensable part of healthcare. In Africa, surgery may be thought of as the neglected stepchild of global public health. We describe our experience over a 3-year period of intensive collaboration between specialized teams from a Dutch hospital and local teams of an orthopaedic hospital in Effiduase-Koforidua, Ghana. INTERVENTION: During 2010-2012, medical teams from our hospital were deployed to St. Joseph's Hospital. These teams were completely self-supporting...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27906610/infectious-complications-after-cytoreductive-surgery-and-hyperthermic-intra-peritoneal-chemotherapy
#2
Naciye Cigdem Arslan, Selman Sokmen, Vildan Avkan-Oguz, Funda Obuz, Aras Emre Canda, Cem Terzi, Mehmet Fuzun
BACKGROUND: The aim of this study was to review the post-operative and infectious complications and determine the risk factors associated with infections in cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC). PATIENTS AND METHODS: Between October 2007 and December 2013, patients who underwent CRS and HIPEC with a curative intent were included in the study. The Centers for Disease Control and Prevention's National Nosocomial Infections Surveillance System definitions were used to identify post-operative nosocomial infections...
December 1, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27891450/age-and-environment-determined-children-s-preference-towards-dentist-attire-a-cross-sectional-study
#3
Dhanalakshmi Ravikumar, Deepa Gurunathan, Shanmugaavel Karthikeyan, Emg Subbramanian, Victor A Samuel
INTRODUCTION: The attire of the dentist has an influence on child's behaviour in dental setup. Recent research has shown that the children have preferences towards the outfit worn by the dentist. AIM: The aim of the study was to determine the preference of children towards dentists' attire based on various age groups and environment. MATERIALS AND METHODS: A total of 534 children aged between 6-11 years participated in the study. Children were divided into three groups based on their age as younger, middle and older age groups...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27890067/clinical-issues-december-2016
#4
Lisa Spruce, Amber Wood
Head coverings Key words: head cover, bouffant, skull cap, hair, scalp. Skin preps Key words: skin preps, antiseptics, cesarean delivery, surgical site infections, abdomen. Pediatric surgical counts Key words: pediatrics, counts, surgical, retained surgical items, policy. Sterile set up Key words: sterile table, sterile set up, covering, monitoring, contamination. Surgical hand antisepsis Key words: surgical hand rub, application, surgical scrub, scrubbed areas.
December 2016: AORN Journal
https://www.readbyqxmd.com/read/27817826/the-impact-of-surgical-hand-antisepsis-technique-on-surgical-site-infection
#5
Brad S Oriel, Qi Chen, Kamal M F Itani
BACKGROUND: Limited evidence exists regarding the effect on superficial and deep incisional surgical site infections (SDSSIs) of alcohol-based hand rubs (ABR) versus traditional aqueous surgical scrubs (TSS). User preferences and practice are unknown. METHODS: A retrospective cohort study examining SDSSIs using VA Surgical Quality Improvement Program cases before ABR implementation (2007-2009, TSS group) and after (2013-2014, ABR group). A descriptive survey. RESULTS: SDSSI rates were 1...
October 8, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27777314/integrating-lean-exploration-loops-into-healthcare-facility-design-schematic-phase
#6
Kendra Johnson, Lukasz Mazur, Janet Chadwick, Pegah Pooya, Alison Amos, John McCreery
PURPOSE: To explore how Lean can add value during the schematic phase of design through providing additional resources and support to project leadership and the architectural design team. BACKGROUND: This case study-based research took place at one large academic hospital during design efforts of surgical tower to house 19 operating rooms (ORs) and support spaces including pre- and post-op, central processing and distribution, and materials management. Surgical services project leadership asked for Lean practitioners' support during the design process...
October 24, 2016: HERD
https://www.readbyqxmd.com/read/27684083/visibility-of-tinted-chlorhexidine-gluconate-skin-preparation-on-varied-skin-pigmentations
#7
Claire M McDaniel, Ryan W Churchill, Evan Argintar
Preoperative skin preparation with antimicrobial agents decreases the risk of surgical site infection, but concerns have been raised about the visibility of a common surgical preparatory agent (ChloraPrep; Becton, Dickinson & Co, Franklin Lakes, New Jersey), depending on skin pigmentation. Poor visibility may lead to failure to identify inadequately prepared skin, increasing the risk of surgical site infection. This study was conducted to determine whether different tints of ChloraPrep and different skin pigmentations affect the ability of orthopedic surgeons to identify the adequacy of skin preparation...
September 29, 2016: Orthopedics
https://www.readbyqxmd.com/read/27668974/a-study-of-vitom-in-pediatric-surgery-and-urology-evaluation-of-technology-acceptance-and-usability-by-operating-team-and-surgeon-musculoskeletal-discomfort
#8
Philip K Frykman, Andrew L Freedman, Timothy D Kane, Zhi Cheng, Mikael Petrosyan, Kenneth Catchpole
INTRODUCTION: We studied operating team acceptability of Video Telescopic Monitor (VITOM(®)) exoscope by exploring the ease of use of the device in two centers. We also assessed factors affecting surgeon musculoskeletal discomfort. METHODS: We focused on how the operating team interacted with the VITOM system with surrogate measures of usefulness, image quality, ease of use, workload, and setup time. Multivariable linear regression was used to model the relationships between team role, experience, and setup time...
September 26, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27661850/effect-of-hand-antisepsis-agent-selection-and-population-characteristics-on-surgical-site-infection-pathogens
#9
Brad S Oriel, Qi Chen, Kevin Wong, Kamal M F Itani
BACKGROUND: Selection of a pre-operative hand antisepsis agent has not been studied in relation to surgical site infection (SSI) culture data. In our hospital, we introduced an alcohol-based hand rub (ABR) in 2012 as an alternative to traditional aqueous surgical scrubs (TSS). It was the goal of this study to review any effect of this implementation on SSI pathogen characteristics. In addition, we sought to compare our SSI culture data with available National Healthcare Safety Network (NHSN) data...
September 23, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27598433/operating-room-traffic-as-a-modifiable-risk-factor-for-surgical-site-infection
#10
Brendan T Wanta, Amy E Glasgow, Elizabeth B Habermann, Daryl J Kor, Robert R Cima, Elie F Berbari, Timothy B Curry, Michael J Brown, Joseph A Hyder
BACKGROUND: Surgical site infections (SSI) contribute to surgical patients' morbidity and costs. Operating room traffic may be a modifiable risk factor for SSI. We investigated the impact of additional operating room personnel on the risk of superficial SSI (sSSI). PATIENTS AND METHODS: In this matched case-control study, cases included patients in whom sSSI developed in clean surgical incisions after elective, daytime operations. Control subjects were matched by age, gender, and procedure...
September 6, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27569784/video-recording-with-a-gopro-in-hand-and-upper-extremity-surgery
#11
Alexander D Vara, John Wu, Alexander Y Shin, Gregory Sobol, Brett Wiater
Video recordings of surgical procedures are an excellent tool for presentations, analyzing self-performance, illustrating publications, and educating surgeons and patients. Recording the surgeon's perspective with high-resolution video in the operating room or clinic has become readily available and advances in software improve the ease of editing these videos. A GoPro HERO 4 Silver or Black was mounted on a head strap and worn over the surgical scrub cap, above the loupes of the operating surgeon. Five live surgical cases were recorded with the camera...
October 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27568540/evidence-appraisal-of-liu-lq-mehigan-s-the-effects-of-surgical-hand-scrubbing-protocols-on-skin-integrity-and-surgical-site-infection-rates-a-systematic-review-aorn-j-2016-103-5-468-482
#12
https://www.readbyqxmd.com/read/27508334/surgical-hand-antisepsis-and-surgical-site-infections
#13
Brad S Oriel, Kamal M F Itani
BACKGROUND: Surgical site infections (SSI) remain a significant problem to both the patients and the healthcare system. Value care and standardized quality measures continue to promote improvement in surgical asepsis, but certain debates remain unresolved in the field of surgical hand antisepsis. METHODS: Review of relevant accounts and literature. RESULTS: Controversy has existed regarding the U.S. Food and Drug Administration (FDA)'s 1994 Tentative Final Monograph (TFM), which defined how surgical hand antisepsis products are assessed...
August 10, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27498438/surgical-safety-checklists-briefings-perceived-efficacy-and-team-member-involvement
#14
D S McDowell, S McComb
Researchers have shown inconsistencies in compliance, outcomes and attitudes of surgical team members related to surgical safety checklist briefings. The purpose of this study was to examine surgical circulator and scrub practitioners' perceptions of safety checklist briefings and team member involvement, and to identify potential improvements in the process based on those perceptions. An anonymous survey was conducted with members of the Association of periOperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST)...
June 2016: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/27461780/can-applied-external-fixators-be-sterilized-for-surgery-a-prospective-cohort-study-of-orthopaedic-trauma-patients
#15
David Hardeski, Greg Gaski, Manjari Joshi, Richard Venezia, Jason W Nascone, Marcus F Sciadini, Robert V O'Toole
BACKGROUND: Temporary external fixators are often used to stabilize fractures when definitive fracture surgery must be delayed. Sometimes, external fixators are left in place during repeat operations, including definitive internal fixation of tibial pilon and tibial plateau fractures. It is unknown how well current surgical preparation sterilizes these devices, which become part of the surgical field. Our hypothesis was that our institution's standard surgical preparation creates a low rate of culture-positive environments on external fixators at the time of surgical skin incision...
December 2016: Injury
https://www.readbyqxmd.com/read/27381739/students-to-surgeons-increasing-matriculation-in-surgical-specialties
#16
Karan Grover, Prateek Agarwal, Nitin Agarwal, Marcia D Tabakin, Kenneth G Swan
Introduction Our nation suffers from a shortage in surgeons. This deficiency must be addressed at the medical student level. Increasing faculty and resident interaction with junior students augments surgical interest. Our surgical interest group has recently redefined its role to address these concerns. Methods A multifocal approach has been implemented to increase interest in the surgical specialties. Each academic year, senior students recruit first and second year students to our group to establish early exposure...
December 2016: Surgical Innovation
https://www.readbyqxmd.com/read/27375059/chlorhexidine-avoids-skin-bacteria-recolonization-more-than-triclosan
#17
Juan H Macias, Mildred F Alvarez, Virginia Arreguin, Juan M Muñoz, Alejandro E Macias, Jose A Alvarez
BACKGROUND: We do not know whether differences exist between the residual effect of 2% chlorhexidine in 70% isopropyl alcohol when compared with 1% triclosan in 70% isopropyl alcohol. METHODS: Using an analytic, longitudinal, controlled, and comparative experimental trial, with blinded measurements, we recruited healthy, adult volunteers from the University of Guanajuato who completed a stabilization phase of skin microbiota and had no history of skin allergies...
December 1, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27348430/intraoperative-handoffs-and-postoperative-complications-among-patients-undergoing-gynecologic-oncology-operations
#18
Kemi M Doll, Jessica A Lavery, Anna C Snavely
There is evidence that systems-based factors influence surgical outcomes of intraoperative and postoperative morbidity. The goal of this study was to provide an exploratory analysis of systems-based variables and their associations with surgical outcomes in gynecologic oncology patients. We merged electronic records from operating room software with billing claims from major surgeries performed from 2011 to 2013, at a tertiary care academic medical center. Univariate and bivariate analyses were performed to evaluate the relationship between baseline demographic and clinical covariates (age, comorbidity, procedure type, and surgeon volume), the main exposure variables (case start time, case order, and personnel handoffs), and the primary outcome of 30-day postoperative complications...
June 24, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27334323/the-role-of-highly-selective-implant-retention-in-the-infected-hip-arthroplasty
#19
Moataz El-Husseiny, Fares S Haddad
BACKGROUND: There is debate around how to treat patients with periprosthetic joint infection of the hip. When there is an ingrown component on one side of the arthroplasty and a loose component on the other, treatment is typically revision of the entire construct. There is an argument to retain an ingrown implant in instances in which removal would result in severe bone damage. However, little has been reported on the likelihood of success with this approach. QUESTIONS/PURPOSES: Among carefully selected patients presenting with an infected total hip arthroplasty (THA) who were treated with joint débridement and at least partial implant retention: (1) What proportion remained apparently free of infection at a minimum of 5 years of followup? (2) What were the Harris hip scores of patients thus treated? METHODS: Between January 2000 and December 2010, a total of 293 patients were treated surgically at one hospital for a periprosthetic joint infection of the hip...
October 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27307204/is-it-time-to-switch-on-or-off-the-green-light-for-ultraviolet-induced-red-fluorescence-as-a-surrogate-marker-for-propionibacterium-acnes-in-vivo
#20
Oleg A Alexeyev
Despite over 100 years of history, the role of P. acnes in acne vulgaris is still controversial. Numerous studies have been published providing arguments for or against the role of P. acnes. Various sampling and detection techniques have been used to support the claims. P. acnes has been sampled by skin swab, scrub, cyanoacrylate gel biopsy, tape stripping, direct lesion extraction and surgical skin biopsy with subsequent culture, 16S rDNA analysis and direct visualisation by immunofluorescence and in situ hybridization (1)...
June 16, 2016: Experimental Dermatology
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