Sökning: L773:1435 4373 OR L773:0934 9723 >
Bacterial growth an...
Bacterial growth and wound infection following saphenous vein harvesting in cardiac surgery : a randomized controlled trial of the impact of microbial sealant
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- Falk-Brynhildsen, Karin, 1959- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Cardiothoracic and Vascular Surgery, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden,Preoperativ omvårdnad
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- Söderquist, Bo, 1955- (författare)
- Örebro universitet,Institutionen för läkarutbildning,Region Örebro län,Department of Laboratory Medicine, Clinical Microbiology ,Örebro University Hospital, Örebro, Sweden
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- Friberg, Örjan (författare)
- Region Örebro län,Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden
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- Nilsson, Ulrica, 1960- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Preoperativ omvårdnad
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(creator_code:org_t)
- 2014-06-08
- 2014
- Engelska.
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Ingår i: European Journal of Clinical Microbiology and Infectious Diseases. - : Springer. - 0934-9723 .- 1435-4373. ; 33:11, s. 1981-1987
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- The aim of the present study was to compare microbial skin sealant versus bare skin on the leg regarding intraoperative bacterial presence in the surgical wound and time to recolonization of the adjacent skin at the saphenous vein harvesting site. A second aim was to evaluate the incidence of leg wound infection 2 months after surgery. In this randomized controlled trial, 140 patients undergoing coronary artery bypass grafting (CABG) between May 2010 and October 2011 were enrolled. Bacterial samples were taken preoperatively and intraoperatively at multiple time points and locations. OF the patients, 125 (92.6 %) were followed up 2 months postoperatively regarding wound infection. Intraoperative bacterial growth did not differ between the bare skin (n = 68) and the microbial skin sealant group (n = 67) at any time point. At 2 months postoperatively, 7/61 patients (11.5 %) in the skin sealant versus 14/64 (21.9 %) in the bare skin group (p = 0.120) had been treated with antibiotics for a verified or suspected surgical site infection (SSI) at the harvest site. We found almost no intraoperative bacterial presence on the skin or in the subcutaneous tissue, irrespective of microbial skin sealant use. In contrast, we observed a relatively high incidence of late wound infection, indicating that wound contamination occurred postoperatively. Further research is necessary to determine whether the use of microbial skin sealant reduces the incidence of leg wound infection at the saphenous vein harvest site.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Mikrobiologi inom det medicinska området (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Microbiology in the medical area (hsv//eng)
Nyckelord
- intra-operative
- skin sealant
- saphenous vein graft harvesting
- SSI
- contamination
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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