Quantitative bacteriology of intraoperative wound tissue in contaminated surgery

✍ Scribed by Gary D. Becker; Dr. William D. Welch

• Book ID: 102237513
• Publisher: John Wiley and Sons
• Year: 1990
• Tongue: English
• Weight: 394 KB
• Volume: 12
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.2880120403

✦ Synopsis

This study was designed to evaluate the predictive value of quantitative bacteriology of intraoperative wound tissue in identifying the patient likely to develop wound infection, as well as its subsequent flora. Forty-one patients undergoing contaminated cancer surgety of the head and neck were studied. Intraoperatively, a sample of wound tissue was cultured and anaerobic and aerobic bacterial isolates quantitated. The wound infection rate was 22% (9 of 41). There was no significant correlation between intraoperative tissue bacterial density and subsequent wound infection, or contaminating and infecting bacteria. HEAD & NECK 12:293-297,1990

I n spite of the use of perioperative antibiotics, wound infection remains a major source of morbidity after contaminated head and neck cancer surgery. Current standard of care guidelines suggest all patients undergoing contaminated surgery receive prophylactic antibiotics, even though a substantial portion of those receiving placebo do not become infected.lP2 Methods designed to differentiate between these high-and