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JOURNAL ARTICLE
Pietro Giacopelli, Alessandra Cristaudi, Pietro Majno, Raffaello Roesel, Fabiano Iaquinandi, Francesco Mongelli
INTRODUCTION: During the Sars-Cov-2 crisis, some of the resources committed to emergency surgery services were transiently reallocated to the care of patients with severe COVID-19, preserving immediate treatment of mostly non-deferrable conditions. Moreover, the fear of contracting infections or hindering the treatment of critical COVID-19 patients has caused many individuals to defer seeking emergency care. This situation has then possibly modified the standard of care of some common surgical conditions and the relative outcomes...
2024: Frontiers in Surgery
#2
JOURNAL ARTICLE
Swapnil Shah, Nikolas Block-Wheeler, Kalena Liu, Miranda Ritterman Weintraub, W Bradford Williams
BACKGROUND: The existing data on the link between body mass index (BMI), operative characteristics, and surgical outcomes across orthognathic surgery are limited. PURPOSE: The purpose was to measure the association between BMI and early postoperative outcomes in orthognathic surgery. STUDY DESIGN, SETTING, AND SAMPLE: This is a retrospective cohort study of patients (n = 118) aged > 14 years undergoing bimaxillary orthognathic surgery between 2015 and 2018 by a single surgeon within the Kaiser Permanente Northern California-integrated healthcare system...
April 4, 2024: Journal of Oral and Maxillofacial Surgery
#3
JOURNAL ARTICLE
Saehah Yi, Hyokeun Song, Woo-Hyun Kim, Soomin Lee, Jae-Ho Guk, JungHa Woo, Seongbeom Cho
On-farm dairy processing plants, which are situated close to farms and larger dairy processing facilities, face unique challenges in maintaining environmental hygiene. This can impact various stages of dairy processing. These plants operate on smaller scales and use Low-Temperature-Long-Time (LTLT) pasteurization, making them more susceptible to microbial contamination through direct and indirect contact. Antimicrobial-resistant bacteria found on dairy farms pose risks to human health by potentially transferring resistance via dairy products...
April 14, 2024: International Journal of Food Microbiology
#4
JOURNAL ARTICLE
Monique Motta, Nikitha Garapaty, Margaret Savage, Joann Segarra, Shenae Samuels, Joshua P Parreco, Tamar Levene
Currently, there is no universally accepted, standardized protocol for pre-operative antibiotic administration in the setting of appendectomy for complicated appendicitis among pediatric patients. Strategies to mitigate surgical site infections (SSIs) must be balanced with optimal antibiotic use and exposure. We conducted a retrospective chart review to compare outcomes between patients treated pre-operatively with a single pre-operative dose of antibiotics with those who received additional antibiotics prior to laparoscopic appendectomy for complicated appendicitis between 2020 and 2022...
April 18, 2024: American Surgeon
#5
JOURNAL ARTICLE
Marc C den Heijer, Gonneke E Joustra, Karin M Vermeulen, Astrid G W Korsten-Meijer, Robert A Feijen
OBJECTIVES: Existing knowledge on health-related quality of life (HRQoL) after surgical removal of sinonasal inverted papilloma (IP) is limited. Moreover, predictors for a better or worse post-operative HRQoL outcome are not known. Our aim was to assess HRQoL in all three health domains (physical, psychological, and social), track its post-operative trajectory, investigate if pre-operative observations could predict distinct post-operative HRQoL outcomes, and evaluate whether physicians' interventions could contribute to improved post-operative HRQoL...
April 13, 2024: Clinical Otolaryngology
#6
REVIEW
David A Hart
For much of human evolution, the average lifespan was <40 years, due in part to disease, infant mortality, predators, food insecurity, and, for females, complications of childbirth. Thus, for much of evolution, many females did not reach the age of menopause (45-50 years of age) and it is mainly in the past several hundred years that the lifespan has been extended to >75 years, primarily due to public health advances, medical interventions, antibiotics, and nutrition. Therefore, the underlying biological mechanisms responsible for disease risk following menopause must have evolved during the complex processes leading to Homo sapiens to serve functions in the pre-menopausal state...
March 30, 2024: International Journal of Molecular Sciences
#7
JOURNAL ARTICLE
Jesse D De Groot, Roy G B Brokelman, Bas L Fransen, Tim U Jiya, Dean F M Pakvis
Background : Antibiotic prophylaxis (AP) is considered to be the gold standard for revision total hip arthroplasty (R-THA) due to the high incidence of prosthetic joint infection (PJI). To diagnose PJI, intraoperative tissue biopsies for culture are of particular importance. However, antibiotic interference could theoretically lead to less reliable culture results. Currently, there is no consensus on whether AP should be administered before or after tissue biopsy. In this study, we aimed to investigate the effect of AP timing on culture results and PJI rates in presumed aseptic R-THA...
2024: Journal of Bone and Joint Infection
#8
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
#9
REVIEW
Ahmed S A Albalawi, Bader M Alharbi, Faisal G Alruwaili, Shahad A Alanazi, Futun E Alanazi, Asrar H Alanazi, Rakhi Issrani, Mohammad K Alam, Namdeo Prabhu
The novel coronavirus (COVID-19) has inundated the whole world by causing severe acute respiratory syndrome in humans, thus posing serious public health concerns. The oral and olfactory systems are significantly impacted by the COVID-19 condition, in addition to the respiratory and digestive systems. Oral symptoms of COVID-19 can be caused by a loss in oral hygiene, immune system suppression, a decline in general health, and candidiasis due to prolonged antibiotic use. Because many aerosols and droplets are produced during various dental operations, dental professionals and dentists are at a significant risk of contracting the COVID-19 infection...
February 2024: Journal of Pharmacy & Bioallied Sciences
#10
JOURNAL ARTICLE
Semiha Çelik Ekinci, Ercan Yenilmez, Gülfem Akengin Öcal, Meliha Çağla Sönmezer, Arzu Tarakçı, Cemanur Aygün, Damla Akdağ, Derya Seyman, Cansu Aşık, Esra Zerdali, Fatma Yılmaz Karadağ, Şafak Kaya, Mehmet Çelik, Şeyma Çifci, İlknur Esen Yıldız, Fatma Çölkesen, Fethiye Akgül, Özlem Aldemir, Merve Bozdağ, Deniz Özer, Lokman Hızmalı, Esra Canbolat Ünlü, Deniz Gür Altunay, Ahmet Şahin, Gülten Ünlü, Ayşe Eda Gençalioğlu, Sema Tekin Şahin, Yeliz Özdemir, Sibel Ünlü, Sarp Singil, Jale Altıntaş, Sinem Akkaya Işık, Özlem Gül, Nazan Tuna, Sümeyra Şimşek, Müge Özgüler, Pınar Elbir Kılıç, Mehmet Emirhan Işık, Ayşe Karakuş, Kazım Kıratlı, Ahmet Cem Yardımcı, Serkan Volkan, Yıldız Olçar, Yasemin Çakır, Nermin Özer Yılmaz, Serhat Karaayvaz, Ayşe Batırel, Zeynep Cansu Duran, Hüseyin Kemal Raşa, Şükran Köse
Background: Surgical antimicrobial prophylaxis (SAP) is the peri-operative administration of antimicrobial agents. Compliance rates vary worldwide from 15% to 84.3%, with studies in Turkey not exceeding 35%. The aim of this multicenter study was to determine the rate of appropriate antibiotic class, timing, and duration as well as discharge prescriptions in Turkey. Thus, we aimed to determine the rate of full compliance with SAP procedures in our country Patients and Methods: This multicenter, prospective, observational, descriptive study was conducted in 47 hospitals from 28 provinces in seven different regions of Turkey...
April 2024: Surgical Infections
#11
JOURNAL ARTICLE
Larrey Kasereka Kamabu, Franck Katembo Sikakulya, Louange Maha Kataka, Bives Nzanzu Mutume Vivalya, Hervé Monka Lekuya, Doomwin Oscar Deogratius Obiga, Juliet Nalwanga Sekabunga, Godfrey S Bbosa
INTRODUCTION: Brain abscesses are rare but potentially fatal condition and can be associated with cyanotic congenital heart disease of which 5-18.7% of these patients that develop cerebral abscess commonly have tetralogy of Fallot (TOF). CASE PRESENTATION: We report a case of 3-year-old Muganda male that presented with convulsions, cyanosis and difficulty in breathing. The patient had a combination intervention of medical treatment and surgical drainage of the abscess...
March 28, 2024: Journal of Medical Case Reports
#12
JOURNAL ARTICLE
Yu-San Chien, Hsiang-Ting Chen, Hsiu-Tzy Chiang, Tz-Shin Luo, Hung-I Yeh, Jin-Cherng Sheu, Jiun-Yi Li
BACKGROUND Care bundles for infection control consist of a set of evidence-based measures to prevent infections. This retrospective study aimed to compare surgical site infections (SSIs) from a single hospital surveillance system between 2017 and 2020, before and after implementing a standardized care bundle across specialties in 2019. It also aimed to assess whether bundle compliance affects the rate of SSIs. MATERIAL AND METHODS A care bundle consisting of 4 components (peri-operative antibiotics use, peri-operative glycemic control, pre-operative skin preparation, and maintaining intra-operative body temperature) was launched in 2019...
March 25, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
#13
JOURNAL ARTICLE
Elias Ayoub, Stessy Kutchukian, Pierre Bigot, Aurélien Dinh, Bastien Gondran-Tellier, Humphrey Robin, Marc Françot, Stéphane de Vergie, Jérôme Rigaud, Mathilde Chapuis, Laurent Brureau, Camille Jousseaume, Omar Karray, Fares T Kosseifi, Shahed Borojeni, Aurélien Descazeaud, Harrison-Junior Asare, Maxime Gaullier, Baptiste Poussot, Thibault Tricard, Michael Baboudjian, Éric Lechevallier, Pierre-Olivier Delpech, Héloïse Ducousso, Simon Bernardeau, Franck Bruyère, Maxime Vallée
INTRODUCTION: In the era of increased bacterial resistance, the main strategy is to reduce the prescription of antibiotics when possible. Nowadays, it is highly recommended to screen for asymptomatic bacteriuria (ABU), prior to urological surgery with potential mucosal breach or urine exposure. Screening and treating urinary colonization is a strategy widely adopted before radical and partial nephrectomy but without any evidence. Our main end point in this study is to analyze the relationship between preoperative urine culture and the risk of postoperative febrile urinary tract infection (UTI) or surgical-site infection (SSI) in partial or radical nephrectomy patients...
March 20, 2024: World Journal of Urology
#14
JOURNAL ARTICLE
Willian Ito, Nicholas Choi, George Letner, Nicholas Genz, Dillon Prokop, Crystal Valadon, Mihaela E Sardiu, Holly Smith, Bristol B Whiles, Wilson R Molina
PURPOSE: We aimed to assess whether the presence of contaminants in the pre-operative urine culture (preop-UC) predicts postoperative urinary tract infection (postop-UTI) in patients undergoing elective ureteroscopy with laser lithotripsy. METHODS: A retrospective chart review was performed from 01/2019 to 12/2021 examining patients with unilateral stone burden ≤ 2 cm who underwent ureteroscopy with laser lithotripsy and had a preop-UC within 3 months...
March 15, 2024: World Journal of Urology
#15
JOURNAL ARTICLE
Mengchao Wei, Wenjie Yang, Weifeng Xu, Guanghua Liu, Yi Xie, Jie Dong, Zhigang Ji
BACKGROUND: To investigate the role of antimicrobial prophylaxis in laparoscopic nephrectomy for renal cell carcinoma. METHODS: We retrospectively enrolled 1000 patients who underwent laparoscopic nephrectomy from August 2019 to November 2021 in the Peking Union Medical College Hospital. Patients were divided into group without antimicrobial prophylaxis (n = 444) and group with antimicrobial prophylaxis (n = 556). Outcomes including 30-day postoperative infection rate, the increase rate of pre- and post-operative white blood cell counts and hospital stay were analyzed...
March 13, 2024: BMC Urology
#16
JOURNAL ARTICLE
Jeanne Simon, François Kleinclauss, Éric Chabannes, Kevin Bouiller, Alexandre Frontczak
Prevalence of kidney stones is increasing worldwide, flexible ureterorenoscopy (f-URS) is the most common surgical treatment. Postoperative urinary tract infection (PUTI) is the primary complication. Some risk factors are classically associated with PUTI, especially preoperative positive urinalysis (POPU). We aimed to identify risk factors for PUTI after f-URS for urolithiasis in patients with treated POPU, and to identify the different pre and postoperative pathogens. Retrospective, single-center study of all f-URS for urolithiasis between January 2004 and December 2020...
March 11, 2024: Urolithiasis
#17
JOURNAL ARTICLE
Xinxin Wang, Yu Lu, Yiwen Yan, Ru Wang, Yuhang Wang, Hua Li, Lixiang Zhou, Guanyu Zheng, Yifeng Zhang
Pre-acidification has been shown to be crucial in attenuating antibiotic resistance genes (ARGs) during the conditioning of sewage sludge. However, it is of great significance to develop alternative conditioning approaches that can effectively eliminate sludge-borne ARGs without relying on pre-acidification. This is due to the high investment costs and operational complexities associated with sludge pre-acidification. In this study, the effects of Fe2+ /Ca(ClO)2 conditioning treatment on the enhancement of sludge dewaterability and the removal of ARGs were compared with other conditioning technologies...
March 4, 2024: Water Research
#18
JOURNAL ARTICLE
L Massimi, G Cinalli, P Frassanito, V Arcangeli, C Auer, V Baro, A Bartoli, F Bianchi, S Dietvorst, F Di Rocco, P Gallo, F Giordano, J Hinojosa, S Iglesias, V Jecko, G Kahilogullari, F Knerlich-Lukoschus, R Laera, D Locatelli, D Luglietto, M Luzi, M Messing-Jünger, R Mura, P Ragazzi, L Riffaud, J Roth, A Sagarribay, M Santos Pinheiro, P Spazzapan, P Spennato, N Syrmos, G Talamonti, L Valentini, M L Van Veelen, M Zucchelli, G Tamburrini
BACKGROUND: COVID-19 pandemic is thought to have changed the epidemiology of some pediatric neurosurgical disease: among them are the intracranial complications of sinusitis and otitis (ICSO). According to some studies on a limited number of cases, both streptococci-related sinusitis and ICSO would have increased immediately after the pandemic, although the reason is not clear yet (seasonal changes versus pandemic-related effects). The goal of the present survey of the European Society for Pediatric Neurosurgery (ESPN) was to collect a large number of cases from different European countries encompassing the pre-COVID (2017-2019), COVID (2020-2021), and post-COVID period (2022-June 2023) looking for possible epidemiological and/or clinical changes...
March 8, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
#19
JOURNAL ARTICLE
Drew J Braet, Kian Pourak, Luciano Delbono, Chloe Powell, Margaret E Smith, David Schechtman, Andrea T Obi, Dawn M Coleman, Matthew A Corriere
OBJECTIVES: Decision making regarding level of lower extremity amputation is sometimes challenging. Selecting an appropriate anatomic level for major amputation requires consideration of tradeoffs between postoperative function and risk of wound complications that may require additional operations, including debridement and/or conversion to above-knee amputation (AKA). We evaluated the utility of common, non-invasive diagnostic tests used in clinical practice to predict need for reoperations among patients undergoing primary, elective below knee-amputations (BKA) by vascular surgeons...
February 29, 2024: Journal of Vascular Surgery
#20
JOURNAL ARTICLE
Naeem Jagani, Mohamed Fagir, Neel Dalal, Leroy A James
PURPOSE: The primary aim is to assess the efficacy of the surgical callus distraction technique of the metatarsus in paediatric patients. Secondary objectives are to assess complications and treatment duration. We have also described the details of our surgical technique. MATERIALS AND METHODS: A case series review of paediatric patients who had metatarsal lengthening at our unit between 2014 and 2022. Patient demographics, duration of time in frame, complications and metatarsal length achieved were recorded...
March 1, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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