Surgical infections最新文献

{"title":"<i>Letter:</i> Paragonimiasis Presenting as an Abdominal Mass.","authors":"Bo Sun, Jiaqi Deng, Rong Kuang, Jing Zhou","doi":"10.1177/10962964261442060","DOIUrl":"10.1177/10962964261442060","url":null,"abstract":"","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"587-588"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Documented Penicillin Allergy Is Associated with Increased Post-Operative Complications Following Lower Extremity Fracture Fixation.","authors":"Cameron Foster, Blake Hamil, Shane Weatherford, Landon Richardson, Rodrigo Alcala, Sean Pedersen, Xinlin Lu, Gopi Patel, Porter Young","doi":"10.1177/10962964261493899","DOIUrl":"https://doi.org/10.1177/10962964261493899","url":null,"abstract":"<p><strong>Introduction: </strong>Penicillin allergy is a risk factor for infection in an elective orthopedic surgical procedure, but this has not been studied in orthopedic trauma. We hypothesize there will be an increase in deep surgical site infections in patients sustaining lower extremity fractures with documented penicillin allergy.</p><p><strong>Methods: </strong>A retrospective cohort study was performed at an academic, level-one trauma center of patients who underwent surgical fixation of lower extremity fractures. Cohorts were divided based on the documented presence of a penicillin allergy in the medical record. The primary outcome analyzed was deep infection. Multi-variable logistic regression and propensity score matching were performed to control for confounding patient baseline characteristics.</p><p><strong>Results: </strong>Of the 2,559 patients reviewed, 2,085 met the inclusion criteria: A total of 234 with documented penicillin allergy and 1,851 without. The penicillin-allergic cohort had higher rates of tobacco use (64.1% vs. 53.4%, p = 0.002), diabetes mellitus (23.1% vs. 16.9%, p = 0.02), peripheral vascular disease (9.8% vs. 3.8%, p < 0.001), and chronic kidney disease (14.5% vs. 9.0%, p = 0.007). After matching for confounding factors, penicillin allergy was not associated with deep infection (odds ratio [OR] = 1.01; p = 0.859) but was significantly associated with increased risk of superficial infection (OR = 2.05; p = 0.002), overall complication (OR = 2.20; p = 0.006), delayed wound healing (OR = 3.77; p < 0.001), and amputation (OR = 5.62; p = 0.002).</p><p><strong>Conclusions: </strong>Our results suggest that documented penicillin allergy is a risk factor for post-operative complications in lower extremity trauma cases. Surgeons should consider these findings when determining pre-operative antibiotic agent prophylaxis and during patient counseling.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261493899"},"PeriodicalIF":1.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Letter:</i> Rectovaginal Fistula Due to Cytomegalovirus Proctitis in an Immunocompetent Elderly Patient.","authors":"Christina R Woods, Suzanne Abdelazim, Nima Sharifai, Hugo J R Bonatti","doi":"10.1177/10962964261490199","DOIUrl":"https://doi.org/10.1177/10962964261490199","url":null,"abstract":"","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261490199"},"PeriodicalIF":1.7,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Letter:</i> Syphilis Granulomatous Hepatitis.","authors":"Lijuan Liu, Ying Si, Fuli Huang","doi":"10.1177/10962964261490212","DOIUrl":"https://doi.org/10.1177/10962964261490212","url":null,"abstract":"","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261490212"},"PeriodicalIF":1.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Letter:</i> Intraoperative Antimicrobial Redosing Compliance: An Overlooked Surgical Site Infection Prevention Metric.","authors":"Shahla Ghasemi Gharyeh Ali, Mohammad Reza Roustaei","doi":"10.1177/10962964261490213","DOIUrl":"https://doi.org/10.1177/10962964261490213","url":null,"abstract":"","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261490213"},"PeriodicalIF":1.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Silent Killer in an Unlikely Place: Necrotizing Fasciitis of the Breast.","authors":"Mitchell Read, Jason Diab, Natalia Garibotto","doi":"10.1177/10962964261490203","DOIUrl":"https://doi.org/10.1177/10962964261490203","url":null,"abstract":"<p><p><i>Background:</i> Primary necrotizing fasciitis (NF) of the breast is a rare, life-threatening soft tissue infection that is frequently misdiagnosed due to its non-specific early presentation and uncommon anatomical location.<i>Objective:</i> We report a case of primary NF of the breast to highlight the diagnostic challenges posed by atypical risk factors and the critical importance of timely surgical intervention and antibiotic cover.<i>Methods:</i> A 66-year-old female presented with breast pain, erythema, and systemic symptoms in the setting of hidradenitis suppurativa (HS) being treated with adalimumab and long-standing tobacco use. Clinical assessment, laboratory investigations, and computed tomography (CT) imaging were performed, followed by surgical exploration.<i>Results:</i> Initial concerns included abscess formation, cellulitis, or a HS flare. However, clinical instability and CT imaging demonstrated a gas-filled structure in the medial left breast with a developing gas-filled collection. Surgical exploration revealed extensive necrotising fasciitis involving the medial quadrant of the inner breast and underlying fascia, necessitating emergent surgical debridement and broad-spectrum antimicrobial therapy. The patient required further debridement and wound management, followed by delayed reconstruction.<i>Conclusion:</i> This case illustrates how underlying risk factors, particularly immunosuppression, may predispose patients to atypical presentations of NF and reinforces the importance of early surgical and antibiotic intervention when clinical suspicion is high.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261490203"},"PeriodicalIF":1.7,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing Surgical Site Infections: Ethical and Operational Imperatives for the Global Health Agenda.","authors":"Massimo Sartelli, Philip S Barie, Kemal Rasa, Keita Morikane, Claire Kilpatrick, Miguel A Cainzos, Peter M Nthumba, Emmanuel Adoyi Ameh, Federico Coccolini, Francesco Maria Labricciosa, Ines Rubio Perez, Sanjay Marwah, Alberto R Ferreres, Vihar Kotecha, Fausto Catena, Carlos R V Kiffer, Jeremiah Seni, Divya Kewalramani, Mayur Narayan, Robert G Sawyer","doi":"10.1177/10962964261488660","DOIUrl":"https://doi.org/10.1177/10962964261488660","url":null,"abstract":"<p><p><i>Background:</i> Surgical site infections (SSIs) remain a major cause of morbidity, mortality, and inequity worldwide. Many SSIs are preventable and represent an important indicator of surgical quality and patient safety.<i>Methods:</i>Evidence and implementation experiences on SSI prevention were reviewed, focusing on infection prevention and control (IPC), antimicrobial stewardship (AMS), antimicrobial resistance (AMR), quality improvement, surveillance, safety culture, human factors, and emerging technologies.<i>Results:</i>Multimodal, context-adapted IPC interventions can substantially reduce SSI incidence without major capital investment. Persistent gaps in infrastructure, guideline implementation, surveillance, and environmental controls remain important challenges. AMR further emphasizes the need to integrate AMS into surgical safety frameworks. Artificial intelligence and objective diagnostic technologies may improve surveillance and early SSI detection.<i>Summary:</i>SSI prevention is both a clinical necessity and an ethical imperative. Global surgery strategies should integrate IPC, AMS, surveillance, safety culture, and innovative technologies to advance equity, quality, and safety in surgical care worldwide.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261488660"},"PeriodicalIF":1.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended Antibiotic Prophylaxis Is Not Associated with Improved Outcomes after Traumatic Neck Aerodigestive Repair.","authors":"Tyler L Holliday, Christian D Cain, Logan N Gonsalves, James E Wiseman, Daniel L Horwitz, Bethany L Strong, Shailvi Gupta, Eric J Ley","doi":"10.1177/10962964261485011","DOIUrl":"https://doi.org/10.1177/10962964261485011","url":null,"abstract":"<p><strong>Background: </strong>Extended post antibiotics do not reduce infectious complications after traumatic facial injuries or elective clean-contaminated head and neck operation. However, the optimal duration of antibiotic prophylaxis following operative repair of traumatic neck aerodigestive injuries remains uncertain. This study compared outcomes between perioperative (≤24 hours) and extended (>24 hours) antibiotic prophylaxis and hypothesized that extended prophylaxis would not reduce local infectious complications.</p><p><strong>Methods: </strong>Using a Level I and II university-based trauma system registry, patients undergoing operative repair of traumatic neck aerodigestive injuries (oropharynx, hypopharynx, larynx, esophagus, and trachea) were identified over an 8-year period (2017-2024). Demographics, injury characteristics, management strategies, and antibiotic use were collected. Patients were stratified by antibiotic prophylaxis duration (perioperative vs. extended). The primary outcome was local infectious complications. Secondary outcomes included leak, stenosis, reintervention, length of stay, and mortality.</p><p><strong>Results: </strong>Sixty-five patients with operative penetrating or blunt neck aerodigestive injuries were identified: 35 received perioperative antibiotics and 30 received an extended course. Most injuries were penetrating (93.8%). Extended antibiotics were prescribed more frequently in older patients (40.5 vs. 29 years, <i>p</i> < 0.01), while injury characteristics and adjunctive management strategies were otherwise similar. Local infectious complication rates did not differ significantly between the perioperative and extended antibiotic groups (5.7% vs. 20%, <i>p</i> = 0.13). Rates of leak, stenosis, reintervention, length of stay, and mortality were also similar. No patient, injury, or management factor was associated with local infectious complications.</p><p><strong>Conclusions: </strong>Extended post antibiotic prophylaxis was not associated with lower infection rates or improved clinical outcomes following operative repair of traumatic neck aerodigestive injuries. Prospective multicenter studies are needed to validate these findings and refine antibiotic protocols for these injuries.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"10962964261485011"},"PeriodicalIF":1.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Management of Necrotizing Pneumonia in Pediatric Patients. A Retrospective Analysis in a Third-Level Center.","authors":"Mónica Martínez-Ferman, Amelia Fernández-Avendaño, Pablo Gomes-da Silva de Rosenzweig, Luis Fernando Arana-Bolaños, Xcaret Luna-Vargas, Johana Ramírez-Cruz, Christian Elena Archivaldo-García, Francina Valezka Bolaños-Morales","doi":"10.1177/10962964261436961","DOIUrl":"10.1177/10962964261436961","url":null,"abstract":"<p><strong>Introduction: </strong>Necrotizing pneumonia (NP) is a rare entity seen to occur in 0.9%-7% of cases of community-acquired pneumonia in the pediatric population. Medical management remains the cornerstone of treatment. However, the destruction of both parenchyma and blood vessels impairs blood flow, limiting antibiotic concentrations and allowing the infection to persist. Although surgical management remains debated, some authors advocate for it in cases of medical treatment failure or extensive disease. The objective of this study was to present the surgical outcomes of our experience in treating NP in the pediatric population.</p><p><strong>Methods: </strong>A retrospective and observational study was conducted on all cases of NP in children who required surgical management between January 2022 and June 2024.</p><p><strong>Results: </strong>During the study period, a total of 142 pediatric thoracic surgeries were performed, of which 25 involved patients with NP, who were included in our analysis. The median age was 3 years (2-4), with a nearly equal gender distribution (52% female, n = 13). The median duration of symptoms prior to the surgical procedure was 27 days (22-36), antibiotic therapy duration ranged from 5 to 18 days. On the basis of computed tomography findings regarding the extent of parenchymal involvement, 17 patients underwent sublobar resections, while 8 required lobar resections. While no statistically significant differences were observed in post-operative outcomes between groups, it is noteworthy that patients who underwent lobectomy experienced a higher frequency of complications.</p><p><strong>Conclusion: </strong>Surgical intervention, typically involving resection of necrotic lung tissue, may be considered in carefully selected pediatric patients who demonstrate persistent clinical deterioration despite optimized medical therapy and exhibit extensive parenchymal destruction on imaging. It is critical to tailor the treatment plan to the patient's clinical status and disease progression.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"489-494"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-Disciplinary and Protocol-Driven Post-Operative Care Reduces Incidence of Post-Sternotomy Mediastinitis.","authors":"David Fernández-de-Velasco, Manuel Carnero-Alcázar, Fernando-Jose Reguillo-Lacruz, Juan-Miguel Miranda Torrón, Cristina Villamor-Jiménez, Jorge Calleja-Sanz, Pilar Ruiz-Álvarez, Luis Maroto-Castellanos, Sally Moores, Maria Arantzazu Álvarez-de-Arcaya","doi":"10.1177/10962964261428654","DOIUrl":"10.1177/10962964261428654","url":null,"abstract":"<p><strong>Background: </strong>Post-sternotomy mediastinitis (PSM) is a rare but life-threatening complication of cardiac surgical procedures. This study evaluated the impact of a structured multi-disciplinary post-discharge care bundle on PSM incidence.</p><p><strong>Methods: </strong>A single-center, retrospective cohort study compared the incidence of PSM two years before and after implementation of a care bundle led by a multi-disciplinary team. The intervention included telephonic monitoring, a specialized wound-care clinic, and a standardized two-phase wound management protocol incorporating single-use negative pressure wound therapy. Outcomes were assessed using chi-square tests and logistic regression adjusted with propensity scores and inverse probability weighting. To rule out a temporal trend in newly identified wound infections, we performed a linear regression using bimonthly incident counts as the outcome.</p><p><strong>Results: </strong>A total of 1,197 patients underwent median sternotomy between May 1, 2018, and April 30, 2022. The crude incidence of PSM was 3.32% in the pre-implementation group and 1.56% in the post-implementation group (p = 0.058). After adjustment with inverse probability of treatment weighting, the care bundle was associated with a significant reduction in PSM rate (absolute risk difference 1.96%, 95% confidence interval [CI]: 0.54-3.87; p = 0.044; relative reduction 59%, 95% CI: 16.3%-116%), despite a higher baseline surgical risk in the post-implementation cohort (higher EuroSCORE II, more urgent procedures, greater need for vasoactive support). The rate of newly identified wound infections did not exhibit a significant time trend (β = -0.43; p = 0.299).</p><p><strong>Conclusion: </strong>Implementation of a multi-disciplinary care bundle is significantly associated with a reduction in PSM incidence in cardiac sternotomy patients, underscoring the importance of structured outpatient wound surveillance.</p>","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":" ","pages":"510-516"},"PeriodicalIF":1.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}