PMID: 9181403Jun 1, 1997Paper

The challenge of postoperative infections: does the surgeon make a difference?

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
R G HolzheimerA Schwarzkopf

Abstract

Postoperative infections remain a challenge in many surgical procedures despite improved surgical technique and powerful antibiotics. The number of sepsis cases has tripled from 1979 to 1992 due to increased invasive procedures in older and immune-suppressed patients. Increasingly, in recent years, outbreaks of resistant pathogens have been published, provoking the question of how postoperative infections and resistant pathogens should be dealt with. Wound classification and risk stratification were developed to identify patients at risk for postoperative infection. However, other important intrinsic factors of the patient were not included, and further attempts have been made to increase sensitivity and specificity (eg, Study on the Efficacy of Nosocomial Infection Control project, National Nosocomial Infection Surveillance System score); the American Society of Anesthesiologists preoperative assessment score and the operation duration for specific procedures were introduced into the system as risk stratifiers. Advances in immunology have identified new ways in which the surgeon can moderate the immune response (eg, hemorrhage and blood transfusion-induced immune suppression). The increased rate of resistance in enterococci an...Continue Reading

Citations

Sep 21, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A B CronquistE L Larson
Oct 31, 1998·AORN Journal·F Pryor, P R Messmer
Mar 6, 2012·Scandinavian Journal of Infectious Diseases·Su Jin JeongJune Myung Kim
Jul 18, 2000·The Journal of Hospital Infection·E T Smyth, A M Emmerson
May 20, 1999·AORN Journal·R E GilderS McBride
Aug 2, 2002·AACN Clinical Issues·Judith SeltzerDenise M Korniewicz

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