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The researchers aimed to understand why surgical site infections (SSIs), which occur in about 1 in 30 surgeries, have not decreased despite infection prevention measures. They analyzed preoperative patient microbiomes and postoperative SSI samples using genomic analysis. [10] Of the 210 patients, 14 (6.8%) developed SSIs.
There is insufficient evidence to show that whether applying cyanoacrylate microbial sealants on the wound site before operation is effective in reducing surgical site infection post surgery. [27] There is no evidence that one type of hand antisepsis is better than the other in preventing surgical site infection. [28] [17]
Methods to decrease surgical site infections in spine surgery include the application of antiseptic skin preparation (a.g. Chlorhexidine gluconate in alcohol which is twice as effective as any other antiseptic for reducing the risk of infection [9]), judicious use of surgical drains, prophylactic antibiotics, and vancomycin. [10]
For example, an infection due to a burn or penetrating trauma (the root cause) is a secondary infection. Primary pathogens often cause primary infection and often cause secondary infection. Usually, opportunistic infections are viewed as secondary infections (because immunodeficiency or injury was the predisposing factor). [60]
Nosocomial infections can cause severe pneumonia and infections of the urinary tract, bloodstream and other parts of the body. [9] [10] Many types display antimicrobial resistance, which can complicate treatment. [11] In the UK about 300,000 patients were affected in 2017, and this was estimated to cost the NHS about £1 billion a year. [12]
It is the official journal of the Surgical Infection Society, [1] the Surgical Infection Society Europe, [2] the Surgical Infection Society Latin America, and the Chinese Society of Surgical Infection and Intensive Care. [3] Surgical Infections "provides information on the biology, prevention, and management of post-operative infections."
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
Postoperative fever refers to an elevated body temperature (≥ 38.5 °C) occurring after a recent surgical procedure. Diagnosing the cause of postoperative fever can sometimes be challenging; while fever in this context may be benign, self-limited, or unrelated to the surgical procedure, it can also be indicative of a surgical complication, such as infection.