[Monitoring of postoperative infections using ADP].
Infection, local or general, is the most frequent complication after surgery. This paper summarizes several prospective computerized studies undertaken in our surgical department. Various factors increase the risk of septic complications. Contamination of the wounds is present in sixty percent of the patients of the visceral surgery and thirty percent of the bone surgery. Among 541 surgical patients, 31 developed a wound abscess. Using adhesive sheets doesn't improve the results. The patient's immune defence state plays a role. Elderly patients are at risk when presenting malnutrition, cardio-vascular diseases, dementia, high dependency or are operated in emergency. Prophylactic measures: The use of suprapubic rather than an urethral catheter, as well as preoperative enteral feeding in malnourished patient avoid some infections complications.
Tschantz
P
P
Département de Chirurgie, Hôpital des Cadolles, Neuchâtel.
Bally
F
F
D000368:Aged; D006801:Humans; D007239:Infections / Q000453:epidemiology*; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control; D007507:Therapeutic Irrigation / Q000379:methods
Uberwachung der postoperativen Infekte mit EDV.