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https://www.readbyqxmd.com/read/28121042/economic-case-for-intraoperative-interventions-to-prevent-surgical-site-infection
#1
REVIEW
B M Gillespie, W Chaboyer, A Erichsen-Andersson, R M Hettiarachchi, S Kularatna
BACKGROUND: Surgical-site infection (SSI) occurs in 1-10 per cent of all patients undergoing surgery; rates can be higher depending on the type of surgery. The aim of this review was to establish whether (or not) surgical hand asepsis, intraoperative skin antisepsis and selected surgical dressings are cost-effective in SSI prevention, and to examine the quality of reporting. METHODS: The authors searched MEDLINE via Ovid, CINAHL via EBSCO, Cochrane Central and Scopus databases systematically from 1990 to 2016...
January 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28102918/medication-administration-errors-and-related-deviations-from-safe-practice-an-observational-study
#2
Alwiena J Blignaut, Siedine K Coetzee, Hester C Klopper, Suria M Ellis
AIMS AND OBJECTIVES: To determine the incidence of medication administration errors, medication administration related deviations from safe practice as well as factors associated with these errors in medical and surgical units of public hospitals in the Gauteng Province of South Africa. BACKGROUND: Several studies have been published on the incidence of medication administration errors, but only a few have studied the incidence of medication administration related deviations from safe practice...
January 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28076992/the-issue-of-delivery-room-infections-in-the-italian-law-a-brief-comparative-study-with-english-and-french-jurisprudence
#3
Simona Zaami, Gianluca Montanari Vergallo, Simona Napoletano, Fabrizio Signore, Enrico Marinelli
Delivery room infections are frequent, and many of them could be avoided through higher standards of care. The authors examine this issue by comparing it to English and French reality. Unlike England, in Italy and France the relationship established between health facility, physician and patient is outlined in a contract. In England, the judges' decisions converge toward a better and higher protection of the patient-the actor-and facilitate the probative task. In case of infections, including those occurring in the delivery room, three issues are evaluated: the hospital's negligent conduct, damages if any and causal nexus...
January 31, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28045240/what-should-we-expect-from-the-hybrid-room
#4
Adrien Hertault, Jonathan Sobocinski, Rafaëlle Spear, Richard Azzaoui, Matthieu Delloye, Dominique Fabre, Stephan Haulon
The concept of hybrid room was defined as an optimized surgical theater, offering the best compromise between asepsis criteria from standard surgical rooms and high quality imaging equipment from fixed radiological suites. This review aimed at summarizing what vascular surgeons should expect from hybrid rooms in daily practice and in the near future.
January 3, 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27878623/history-of-internal-fixation-part-1-early-developments-with-wires-and-plates-before-world-war-ii
#5
REVIEW
Philippe Hernigou, Jacques Pariat
Though the date at which an orthopaedic implant was first used cannot be ascertained with any certainty, the fixation of bone fracture using an iron wire was reported for the first time in a French manuscript in 1775. The first techniques of operative fracture treatment were developed at the end of the 18th and in the beginning of the 19th centuries. The use of cerclage wires to fix fractures was the most frequent fixation at this time. The French Berenger-Feraud (1832-1900) had written the first book on internal fixation...
November 23, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27866249/investigation-of-endophytic-bacterial-community-in-supposedly-axenic-cultures-of-pineapple-and-orchids-with-evidence-on-abundant-intracellular-bacteria
#6
Natalia Pimentel Esposito-Polesi, Monita Fiori de Abreu-Tarazi, Cristina Vieira de Almeida, Siu Mui Tsai, Marcílio de Almeida
Asepsis, defined as the absence of microbial contamination, is one of the most important requirements of plant micropropagation. In long-term micropropagated cultures, there may occasionally occur scattered microorganism growth in the culture medium. These microorganisms are common plant components and are known as latent endophytes. Thus, the aim of this research was to investigate the presence of endophytic bacteria in asymptomatic pineapple and orchid microplants, which were cultivated in three laboratories for 1 year...
January 2017: Current Microbiology
https://www.readbyqxmd.com/read/27800587/evaluation-of-antibiotic-pressurized-pulse-lavage-for-contaminated-retromuscular-abdominal-wall-reconstruction
#7
Arnab Majumder, Heidi J Miller, Parita Patel, Yuhsin V Wu, Heidi L Elliott, Yuri W Novitsky
BACKGROUND: Despite patient risk factors such as diabetes and obesity, contamination during surgery remains a significant cause of infections and subsequent wound morbidity. Pressurized pulse lavage (PPL) has been utilized as a method to reduce bacterial bioburden with promising results in many fields. Although existing methods of lavage have been utilized during abdominal operations, no studies have examined the use of PPL during complex hernia repair. METHODS: Patients undergoing abdominal wall reconstruction (AWR) in clean-contaminated or contaminated fields with antibiotic PPL, from January 2012 to May 2013, were prospectively evaluated...
October 31, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27642477/-meningitis-after-spinal-anesthesia
#8
Issam Mouchrif, Adnane Berdaii, Ismail Labib, Moustapha Harrandou
Meningitis is a rare but serious complication of epidural and spinal anesthesia. Bacterial meningitis is mainly caused by Gram-positive cocci, implying an exogenous contamination which suggests a lack of asepsis. The evolution is usually favorable after treatment, but at the expense of increased health care costs and, sometimes, of significant neurological sequelae. We report a case of bacterial meningitis after spinal anesthesia for caesarean section.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27591996/antibiotic-prophylaxis-for-open-mesh-repair-of-groin-hernia-systematic-review-and-meta-analysis
#9
REVIEW
E Erdas, F Medas, G Pisano, A Nicolosi, P G Calò
PURPOSE: A meta-analysis was performed to asses whether antibiotic prophylaxis is effective in reducing the incidence of surgical site infection (SSI) after open mesh repair of groin hernia. METHODS: A literature search for randomized controlled trials (RCT) evaluating the effectiveness of antibiotic prophylaxis in adult patients undergoing open mesh repair of groin hernia was performed in November 2015. Incidence of overall and deep SSI was considered as primary and secondary outcome measures, respectively...
December 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27587419/silver-impregnated-dressings-for-sternotomy-incisions-to-prevent-surgical-site-infections-in-children
#10
Sandra Staveski, Claire Abrajano, May Casazza, Ellen Bair, Hanson Quan, Emily Dong, Amy Petty, Katie Felix, Stephen J Roth
BACKGROUND: The consequences of surgical site infections can be severe and range from short-term delays in discharge from the hospital to life-threatening infections such as mediastinitis. OBJECTIVES: To evaluate the effectiveness of silver-impregnated dressings in decreasing surgical site infections in children after cardiac surgery. METHODS: A randomized, controlled trial was used to compare silver-impregnated dressings (59 participants) with standard dressings (58 participants)...
September 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27508922/improvement-of-nursing-students-learning-outcomes-through-scenario-based-skills-training
#11
Nurcan Uysal
OBJECTIVE: this study analyzed the influence of scenario-based skills training on students' learning skills. METHOD: the author evaluated the nursing skills laboratory exam papers of 605 sophomores in nursing programs for seven years. The study determined the common mistakes of students and the laboratory work was designed in a scenario-based format. The effectiveness of this method was evaluated by assessing the number of errors the students committed and their achievement scores in laboratory examinations...
August 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27508334/surgical-hand-antisepsis-and-surgical-site-infections
#12
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...
December 2016: Surgical Infections
https://www.readbyqxmd.com/read/27492064/unblinded-randomized-control-trial-on-prophylactic-antibiotic-use-in-gustilo-ii-open-tibia-fractures-at-kenyatta-national-hospital-kenya
#13
Joshua Nyaribari Ondari, Moses Muia Masika, Richard Bwana Ombachi, John Ernest Ating'a
OBJECTIVE: To determine the difference in infection rate between 24h versus five days of prophylactic antibiotic use in management of Gustilo II open tibia fractures. DESIGN: Unblinded randomized control trial. SETTING: Accident and Emergency, orthopedic wards and outpatient clinics at Kenyatta National Hospital (KNH). PATIENTS: The study involved patients aged 18-80 years admitted through accident and emergency department with Gustilo II traumatic open tibia fractures...
October 2016: Injury
https://www.readbyqxmd.com/read/27434277/outbreak-of-achromobacter-xylosoxidans-and-ochrobactrum-anthropi-infections-after-prostate-biopsies-france-2014
#14
Skerdi Haviari, Pierre Cassier, Cédric Dananché, Monique Hulin, Olivier Dauwalder, Olivier Rouvière, Xavier Bertrand, Michel Perraud, Thomas Bénet, Philippe Vanhems
We report an outbreak of healthcare-associated prostatitis involving rare environmental pathogens in immunocompetent patients undergoing transrectal prostate biopsies at Hôpital Édouard Herriot (Lyon, France) during August 13-October 10, 2014. Despite a fluoroquinolone-based prophylaxis, 5 patients were infected with Achromobacter xylosoxidans and 3 with Ochrobactrum anthropi, which has not been reported as pathogenic in nonimmunocompromised persons. All patients recovered fully. Analysis of the outbreak included case investigation, case-control study, biopsy procedure review, microbiologic testing of environmental and clinical samples, and retrospective review of hospital records for 4 years before the outbreak...
August 2016: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/27343794/perioperative-management-of-a-morbidly-obese-pregnant-patient-undergoing-cesarean-section-under-general-anesthesia-case-report
#15
Márcio Luiz Benevides, Verônica Cristina Moraes Brandão, Jacqueline Ivonne Arenas Lovera
BACKGROUND AND OBJECTIVES: The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index >50kg/m(2), who underwent cesarean section under general anesthesia. CASE REPORT: Pregnant woman in labor, 35 years of age, body mass index 59.8kg/m(2). Cesarean section was indicated due to the presumed fetal macrosomia...
July 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27310020/establishment-and-maintenance-of-asepsis-in-endodontics-a-review-of-the-literature
#16
REVIEW
Leona Malmberg, Annika Elisabeth Björkner, Gunnar Bergenholtz
OBJECTIVES: Successful endodontic treatment depends on effective measures to eliminate and prevent infection of root canals. Initially treatment should start with isolation and disinfection of the operating field. This review makes an inventory of the available knowledge regarding its establishment and maintenance. MATERIALS AND METHODS: A literature search was conducted in the PubMed database in order to identify clinical trials examining disinfection or unintentional contamination of the endodontic operative field...
August 2016: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/27257676/antibioprophylaxis-in-prevention-of-endophthalmitis-in-intravitreal-injection-a-systematic-review-and-meta-analysis
#17
Cédric Benoist d'Azy, Bruno Pereira, Geraldine Naughton, Frédéric Chiambaretta, Frédéric Dutheil
Despite endophthalmitis being the most feared complication, antibioprophylaxis remains controversial in intravitreal injections. Therefore, we conducted a systematic review and meta-analysis on the effects of antibioprophylaxis in intravitreal injections in the prevention of endophthalmitis. The PubMed, Cochrane Library, Embase and Science Direct databases were searched for studies comparing groups with and without antibiotics in intravitreal injection, with the use of the following keywords: "antibiotic*", "endophthalmitis" and "intravitreal injection*"...
2016: PloS One
https://www.readbyqxmd.com/read/27249528/reducing-bacterial-contamination-in-an-orthopedic-theatre-ventilated-by-natural-ventilation-in-a-developing-country
#18
Stephanie Thomas, Rish Palmer, Edward Phillipo, Geoffrey Chipungu
INTRODUCTION: All surgical procedures have the potential for infection and some of the main sources are contamination from airborne particles, theatre personnel and the theatre environment.  There is strong evidence that the use of ultra-clean air flow systems in orthopedic operating theatres reduces the incidence of deep sepsis after surgery. In the developing world however, this is often an unrealistic solution. The aim of this study was to establish baseline levels of contamination in a working orthopedic theatre, at the Queen Elizabeth Central Hospital, Blantyre, Malawi...
May 31, 2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27160631/cutaneous-and-systemic-complications-associated-with-tattooing
#19
REVIEW
Nicolas Kluger
Tattooing can result in a wide variety of complications, whose prevalence and incidence remain still unclear. Hypersensitivity reactions (or allergies) to tattoo pigments are currently the most common complication on a tattoo, however they are not predictable. Infections are nowadays directly related to the lack of asepsis and hygiene during the tattooing procedure or during the healing phase. Patients with a known cutaneous disease should be warned of a potential risk of localization of their disease to the tattoo...
June 2016: La Presse Médicale
https://www.readbyqxmd.com/read/27134018/musculoskeletal-interventional-radiology-ultrasound-and-ct
#20
J Martel Villagrán, Á Bueno Horcajadas, E Agrela Rojas
We aim to describe imaging-guided (ultrasound and CT) interventional techniques in the musculoskeletal system that can be performed by general radiologists, whether in hospitals, primary care clinics, private offices, or other settings. The first requirement for doing these procedures is adequate knowledge of the anatomy of the musculoskeletal system. The second requirement is to inform the patient thoroughly about the technique, the risks involved, and the alternatives available in order to obtain written informed consent...
May 2016: Radiología
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