[Does a correlation exist between positive wound cultures at the end of an operation and later wound and prosthetic sepsis?].
A prospective study was carried out on 51 patients in whom a reconstructive vascular procedure was performed in order to determine whether any correlation between positive wound cultures at the end of the operation and later wound and/or prosthetic sepsis exists. Swabs were taken from all surgical wounds and cultured for aerobic and anaerobic organisms. The patients were monitored for 72-89 months and all instances of wound or prosthetic sepsis thoroughly investigated. The incidence of positive wound cultures was 13%, with a variety of organisms present. No increased incidence of wound or prosthetic sepsis was observed in patients with positive wound cultures. The incidence of wound sepsis was 3.7% and of prosthetic sepsis 2%. No correlation was found between organisms cultured during operation and organisms isolated from septic wounds. The 1 case of prosthetic sepsis (at 19 months postoperatively) was probably due to secondary haematogenous infection.
De Jager
M P
MP
Department Chirurgie, Universiteit van die Oranje-Vrystaat, Bloemfontein.
Linde
S P
SP
Nel
C J
CJ
D006801:Humans; D011446:Prospective Studies; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000382:microbiology; D013530:Surgical Wound Infection / Q000150:complications* / Q000382:microbiology; D014656:Vascular Surgical Procedures
Bestaan daar 'n verband tussen positiewe wondkwekings by operasie en latere wonden prostesesepsis?