Original articleInfections and bacteriological data after laparoscopic and open gallbladder surgery
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2020, Surgery (United States)Citation Excerpt :This implies a multifactorial pathogenesis for wound infections and suggests looking to other variables in addition to wound contamination. Multiple studies of various surgical procedures have demonstrated a low predictive value of the intraoperative culture results, a high false-positive rate, and lack of culture concordance with wound infections.13-16 This suggests that wound infections are not solely caused by intraoperative contamination and instead are multifactorial.
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2020, International Journal of Orthopaedic and Trauma NursingCitation Excerpt :The definitions of these classifications are provided in Box 1. The diagnosis of infection can also be based on numerical systems such as the Southampton Wound Assessment Scoring Scale (SWASS) (Bailey et al., 1992), and the scales proposed by Fenton-Lee et al. (1994), den Hoed et al. (1998), Wikblad and Anderson (1995), Barber et al. (1995), and Jewesson et al. (1997), among others. The SWASS helps to classify wounds into 6 grades, from ‘0’ (normal healing) to ‘V’ (deep or severe wound infection, with or without tissue breakdown; haematoma requiring aspiration).
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2020, The Lancet Infectious DiseasesCitation Excerpt :Today, an elective laparoscopic cholecystectomy is an outpatient procedure with a more than 1·0% SSI rate, and many have suggested that prophylactic antibiotic use is unnecessary.11 Studies in which bile is routinely cultured during a laparoscopic or open cholecystectomy again show no correlation between the bile cultures and the pathogens involved in the SSI.12,13 The organism most commonly associated with a prosthetic-related orthopaedic SSI is Staphylococcus aureus, presumed to be from the skin adjacent to the surgical site.14,15
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