{"title":"Infection Indicated by Urinary Odor","authors":"S. L. Loss","doi":"10.1017/S0195941700066364","DOIUrl":"https://doi.org/10.1017/S0195941700066364","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"16 1","pages":"305 - 305"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0195941700066364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57195853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Ortona, G Federico, M Fantoni, F Pallavicini, F Ricci, A Antinori
{"title":"A study on the incidence of postoperative infections and surgical sepsis in a university hospital.","authors":"L Ortona, G Federico, M Fantoni, F Pallavicini, F Ricci, A Antinori","doi":"10.1017/s0195941700066418","DOIUrl":"https://doi.org/10.1017/s0195941700066418","url":null,"abstract":"<p><p>Reported are the results of a study on the incidence of nosocomial surgical infections in ten wards of the university hospital A. Gemelli, Rome. One thousand, five hundred five patients were studied and the overall incidence of surgical infections was 8.7%. Factors that influenced infection rates included age, immunosuppressive diseases, and immunosuppressive therapy. We assessed the inutility of antibiotic prophylaxis in clean operations and its usefulness in clean operations with insertion of prostheses or other devices. The importance of the duration of preoperative hospitalization and of the length of the operation were also noted. The most frequent etiological agents proved to be Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli. The average hospital stay for patients with surgical infection was more than double that of patients with no infection (25.7 days v 11.7 days).</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 8","pages":"320-4"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14774603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of surveillance stool cultures during periods of severe neutropenia.","authors":"C L Wells, P Ferrieri, D J Weisdorf, F S Rhame","doi":"10.1017/s0195941700066406","DOIUrl":"https://doi.org/10.1017/s0195941700066406","url":null,"abstract":"<p><p>The correlation of fecal gram-negative bacilli (GNB), neutropenia, and bacteremia was studied in 45 bone marrow transplant recipients. Weekly stool cultures were prospectively monitored for GNB resistant to routine prophylactic and empiric antimicrobial agents. Seven cases of GNB bacteremia occurred in 45 patients described as follows. Twenty-three patients had no fecal or blood GNB. Fifteen patients had fecal GNB and no blood GNB; three of these latter patients had less than or equal to 50/mm3 circulating white blood cells (WBC) at the time of isolation of fecal GNB but two of the three were concurrently receiving appropriate empiric antibiotics. Two patients had blood GNB but no fecal GNB: one patient had a trimethoprim/sulfamethoxazole (TMP-SMZ)-sensitive isolate that would not be detectable in the feces by our methodology and one patient had feces analyzed only after the bacteremic event. Five patients had fecal GNB and blood GNB: one of these patients did not have a fecal sample analyzed prior to bacteremia but the remaining four patients had the same species/antibiogram of GNB isolated from the feces two to three days prior to the detection of bacteremia. Thus, the fecal GNB could have been used to predict the antibiogram of the subsequent blood GNB. In addition, all four of these latter bacteremic patients had less than or equal to 50/mm3 circulating WBC at the time of documented fecal GNB. Thus, bone marrow transplant recipients with fecal GNB coupled with severe neutropenia (less than or equal to 50/mm3 circulating WBC) were more likely to develop bacteremia (P less than 0.02) than were those with fecal GNB and greater than 50/mm3 circulating WBC.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 8","pages":"317-9"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14436206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Authors","authors":"","doi":"10.1017/s0195941700066339","DOIUrl":"https://doi.org/10.1017/s0195941700066339","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 1","pages":"303 - 303"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57195311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shoe covers and tacky mats.","authors":"L L Davidson","doi":"10.1017/s0195941700066340","DOIUrl":"https://doi.org/10.1017/s0195941700066340","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 8","pages":"305"},"PeriodicalIF":0.0,"publicationDate":"1987-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14774669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of long-term storage on sterile status of devices in surgical packs.","authors":"N A Klapes, V W Greene, A C Langholz, C Hunstiger","doi":"10.1017/s0195941700066261","DOIUrl":"https://doi.org/10.1017/s0195941700066261","url":null,"abstract":"<p><p>We investigated the effect of the following on the sterile integrity of surgical packs: four wrapping materials (two-ply reusable, nonbarrier wovens, both new and previously used; disposable, barrier nonwovens; and polypropylene peel pouches), dustcovers, two storage locations, and storage times ranging from 2 to 50 weeks. Two hundred sixty-three packs containing stainless steel coupons were prepared, wrapped, sterilized, and stored. Half of the packs were dustcovered prior to storage. At monthly intervals for a year, packs of each type were opened in a laminar flow hood, and the coupons inoculated into trypticase soy broth. The coupon contamination probabilities were 0.019 for reusable, woven packs; 0.017 for disposable, nonwoven packs; and 0.016 for peel pouches. These differences were not significant. The probability of finding a contaminated coupon in any pack after 50 weeks was 0.018. No trend toward increased probability of contamination over time was observed for any of the pack types studied.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"289-93"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14771697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A J van Griethuysen, H A Clasener, E J Vollaard, M Niessen
{"title":"Colonization resistance: a guide to antibiotic policy in the ICU.","authors":"A J van Griethuysen, H A Clasener, E J Vollaard, M Niessen","doi":"10.1017/s0195941700066212","DOIUrl":"https://doi.org/10.1017/s0195941700066212","url":null,"abstract":"","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"269-70"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14771692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M J Gil-Egea, M T Pi-Sunyer, A Verdaguer, F Sanz, A Sitges-Serra, L T Eleizegui
{"title":"Surgical wound infections: prospective study of 4,468 clean wounds.","authors":"M J Gil-Egea, M T Pi-Sunyer, A Verdaguer, F Sanz, A Sitges-Serra, L T Eleizegui","doi":"10.1017/s0195941700066236","DOIUrl":"https://doi.org/10.1017/s0195941700066236","url":null,"abstract":"<p><p>A prospective four-year study on the infection rate of clean operative wounds is presented. From January 1982 to June 1985, a nurse epidemiologist and a medical team assessed 4,468 operative procedures, from the day of surgery to the patients' discharge from the hospital. The infection rate was 3.2%. A higher incidence of wound infection was detected in patients requiring emergency operations (5.1%), in drained wounds (5.4%), and in patients with conditions thought to predispose to infection, such as advanced cancer, hepatic cirrhosis, diabetes, nephrotic syndrome, previous splenectomy, and treatment with immunosuppressive drugs (7.8%). Age over 65 did not influence infection rates. There were up to tenfold differences in infection indices between surgeons performing the same clean procedures. The continued monitoring of clean wound infection rates allowed the early detection and control of infection outbreaks. Providing periodic information on infection rates to the different surgical services was associated with decreasing infection rates over time.</p>","PeriodicalId":77726,"journal":{"name":"Infection control : IC","volume":"8 7","pages":"277-80"},"PeriodicalIF":0.0,"publicationDate":"1987-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0195941700066236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14771694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}