Surgical infections最新文献_第7页

Letter To The Editor:Post-Operative Intestinal Obstruction in Infants: Beware of Appendicitis. 致编辑的信：婴儿术后肠梗阻：小心阑尾炎。

IF 2 4区医学

Surgical infections Pub Date : 2024-06-01 Epub Date: 2024-05-16 DOI: 10.1089/sur.2024.062

Mohamed Zouari, Manar Hbaieb, Wiem Rhaiem, Mariem Boukattaya, Mahdi Ben Dhaou, Riadh Mhiri

引用次数: 0

Letter to the Editor: Superficial Angiomyxoma of the Neck With Infection. 致编辑的信：颈部浅表血管瘤伴感染。

IF 2 4区医学

Surgical infections Pub Date : 2024-06-01 Epub Date: 2024-04-29 DOI: 10.1089/sur.2024.094

Bo Sun, Jiaqi Deng, Rong Kuang, Jing Zhou

引用次数: 0

Factors Associated With Pelvic Infection After Pre-Peritoneal Pelvic Packing for Hemodynamically Unstable Pelvic Fractures. 血液动力学不稳定骨盆骨折腹膜前骨盆填塞术后骨盆感染的相关因素

IF 2 4区医学

Surgical infections Pub Date : 2024-06-01 Epub Date: 2024-05-14 DOI: 10.1089/sur.2023.360

Jennifer E Baker, Husayn A Ladhani, Caitlyn McCall, Chelsea R Horwood, Nicole L Werner, Barry Platnick, Clay Cothren Burlew

{"title":"Factors Associated With Pelvic Infection After Pre-Peritoneal Pelvic Packing for Hemodynamically Unstable Pelvic Fractures.","authors":"Jennifer E Baker, Husayn A Ladhani, Caitlyn McCall, Chelsea R Horwood, Nicole L Werner, Barry Platnick, Clay Cothren Burlew","doi":"10.1089/sur.2023.360","DOIUrl":"10.1089/sur.2023.360","url":null,"abstract":"Background: Preperitoneal pelvic packing (PPP) and external fixation has led to improved mortality after devastating pelvic trauma. However, there is limited literature on infection after this intervention. We aim to study the risk factors associated with pelvic infection after PPP. Patients and Methods: A retrospective review of patients who underwent PPP at a single level 1 trauma center was performed. Results: Over the 18-year study period, 222 patients were identified. Twenty-three percent of patients had an open fracture. Pelvic angiography was performed in 24% of patients with 16% requiring angioembolization (AE). The average time to packing removal was two (one to two days) days, although 10% of patients had their pelvis re-packed. Overall infection rate was 14% (n = 31); if pelvic re-packing was performed, the infection rate increased to 45%. Twenty-two of the patients with an infection required additional procedures for their infection, and ultimately hardware removal occurred in eight patients. On univariable analysis, patients with pelvic infections had more open fractures (55% vs. 17%; p < 0.01), underwent AE more frequently (29% vs. 14%; p = 0.04), were more likely to undergo repacking (32% vs. 6%; p < 0.01), and had packing in place for longer (2 [1,2] vs. 2 [2,3]; p = 0.01). On logistic multivariable regression analysis, open fracture (odds ratio [OR], 5.8; 95% confidence interval [CI], 2.4-14.1) and pelvic re-packing (OR, 4.7; 95% CI, 1.2-18.5) were independent risk factors for pelvic infection. Conclusions: Pelvic infection after PPP is a serious complication independently associated with open fracture and re-packing of the pelvis. Re-intervention was required in most patients with infection.","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944789","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}

引用次数: 0

Precision in Prevention: Tailoring Single-Use Negative Pressure Wound Therapy Utilization Through Artificial Intelligence-Based Surgical Site Complications Risk and Cost Modeling. 精准预防：通过基于人工智能的手术部位并发症风险和成本建模，调整一次性负压伤口疗法的使用。

IF 2 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-05-02 DOI: 10.1089/sur.2023.274

Barrett J Larson, Ashley Roakes, Steve Yurick, Nathan A Netravali

{"title":"Precision in Prevention: Tailoring Single-Use Negative Pressure Wound Therapy Utilization Through Artificial Intelligence-Based Surgical Site Complications Risk and Cost Modeling.","authors":"Barrett J Larson, Ashley Roakes, Steve Yurick, Nathan A Netravali","doi":"10.1089/sur.2023.274","DOIUrl":"10.1089/sur.2023.274","url":null,"abstract":"Background: Surgical site complications (SSCs) are common, yet preventable hospital-acquired conditions. Single-use negative pressure wound therapy (sNPWT) has been shown to be effective in reducing rates of these complications. In the era of value-based care, strategic allocation of sNPWT is needed to optimize both clinical and financial outcomes. Materials and Methods: We conducted a retrospective analysis using data from the Premier Healthcare Database (2017-2021) for 10 representative open procedures in orthopedic, abdominal, cardiovascular, cesarean delivery, and breast surgery. After separating data into training and validation sets, various machine learning algorithms were used to develop pre-operative SSC risk prediction models. Model performance was assessed using standard metrics and predictors of SSCs were identified through feature importance evaluation. Highest-performing models were used to simulate the cost-effectiveness of sNPWT at both the patient and population level. Results: The prediction models demonstrated good performance, with an average area under the curve of 76%. Prominent predictors across subspecialities included age, obesity, and the level of procedure urgency. Prediction models enabled a simulation analysis to assess the population-level cost-effectiveness of sNPWT, incorporating patient and surgery-specific factors, along with the established efficacy of sNPWT for each surgical procedure. The simulation models uncovered significant variability in sNPWT's cost-effectiveness across different procedural categories. Conclusions: This study demonstrates that machine learning models can effectively predict a patient's risk of SSC and guide strategic utilization of sNPWT. This data-driven approach allows for optimization of clinical and financial outcomes by strategically allocating sNPWT based on personalized risk assessments.","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870062","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}

引用次数: 0

Letter to the Editor: A Case Report of Biliary Obstruction Caused by Live Fasciola hepatica. 致编辑的信：活体肝包虫引起胆道梗阻的病例报告。

IF 1.4 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-03-06 DOI: 10.1089/sur.2023.278

Hui Wei, Jianhao Huang, Xiaoli Yang, Kai He

引用次数: 0

Epidemiology and Management of Infections in Liver Transplant Recipients. 肝移植受者感染的流行病学和管理。

IF 1.4 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.1089/sur.2023.346

Waseem Amjad, Syed Hamaad Rahman, Thomas D Schiano, Syed-Mohammed Jafri

引用次数: 0

Letter to the Editor: Delayed-Onset Mycobacterium tuberculosis Infection After Total Knee Arthroplasty. 致编辑的信：全膝关节置换术后迟发性结核分枝杆菌感染。

IF 1.4 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-04-29 DOI: 10.1089/sur.2024.028

Xin Zhang, Fuli Huang

引用次数: 0

Infection Is Not Associated With Plasma or Cryoprecipitate Transfusion Volumes in Trauma: A Retrospective Study Using the National Trauma Data Bank. 感染与创伤中的血浆或低温沉淀物输注量无关：利用国家创伤数据库进行的回顾性研究。

IF 2 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI: 10.1089/sur.2023.273

Jacob C O'Dell, C Cameron McCoy, Robert D Winfield, Sue Min Lai, Edward F Ellerbeck, Christopher A Guidry

{"title":"Infection Is Not Associated With Plasma or Cryoprecipitate Transfusion Volumes in Trauma: A Retrospective Study Using the National Trauma Data Bank.","authors":"Jacob C O'Dell, C Cameron McCoy, Robert D Winfield, Sue Min Lai, Edward F Ellerbeck, Christopher A Guidry","doi":"10.1089/sur.2023.273","DOIUrl":"10.1089/sur.2023.273","url":null,"abstract":"Background: Packed red blood cell (PRBC) transfusion has been shown to increase nosocomial infection risk in the injured population; however, the post-traumatic infectious risk profiles of non-PRBC blood products are less clear. We hypothesized that plasma (fresh frozen plasma [FFP]), platelet (PLT), and cryoprecipitate administration would not be associated with increased rates of nosocomial infections. Patients and Methods: We performed a retrospective, matched, case-control study utilizing the American College of Surgeons National Trauma Data Bank data for 2019. We included all patients who received any volume of PRBC within four hours of presentation. Our outcome of interest was any infection. Controls were matched to cases using individual matching with a desired 1:3 case:control ratio. Bivariable analysis according to infection status, and multivariable logistic regression modeling the development of infection were then performed upon the matched data. Results: A total of 1,563 infectious cases were matched to 3,920 non-infectious controls. First four-hour transfusion volumes for FFP, PLT, and cryoprecipitate in the infection group exceeded those in the control group. The first four-hour FFP transfusion volume (per unit odds ratio [OR], 1.02; 95% confidence interval [CI], 0.99-1.04; p = 0.28) and cryoprecipitate transfusion volume (per unit OR, 1.01; 95% CI, 0.99-1.02; p = 0.43) were similar in cases and controls whereas PLT transfusion volume (per unit OR, 0.92; 95% CI, 0.86-0.98; p = 0.01) was lower in cases of infection than in controls. Conclusions: Fresh frozen plasma, PLT, and cryoprecipitate transfusion volumes were not independent risk factors for the development of nosocomial infection in a trauma population. PLT transfusion volume was associated with less infection.","PeriodicalId":22109,"journal":{"name":"Surgical infections","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874852","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}

引用次数: 0

Letter to the Editor: Inferior Vena Cava Leiomyomatosis With Infection. 致编辑的信：伴有感染的下腔静脉雷诺瘤病。

IF 1.4 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-04-29 DOI: 10.1089/sur.2024.073

Jiaqi Deng, Bo Sun, Rong Kuang, Tian Xia, Jing Zhou

引用次数: 0

Letter to the Editor: Retroperitoneal Tuberculosis: A Rare Site of a Common Disease. 致编辑的信腹膜后结核病：常见疾病的罕见部位。

IF 1.4 4区医学

Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-04-29 DOI: 10.1089/sur.2023.376

Ying Si, Ke Xiao, Yongmao Huang

引用次数: 0