[Infection involving arterial prosthesis: clinical picture, etiology, and predisposing factors].
Thirty patients were operated for arterial reconstruction with synthetic grafts. They presented one of the following complications: 1) prosthesis exposed by a cutaneous fistula; 2) prosthesis in communication with a hollow viscus; 3) prosthesis involved by pus; 4) positive culture of a fragment of the prosthesis or of the surrounding secretion. The clinical manifestations were cutaneous fistula in 21 patients (70%), external bleeding in 14 (47%), exposition of the prosthesis in five (17%), anastomotic aneurysm in five (17%), and enteric fistula in four (13%). The infection became evident during the first postoperative year in half of the patients. The most important agents of infection were staphyilococci and Gram negative bacteria.
Aguiar
E T
ET
Departamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo.
Langer
B
B
Albers
M T
MT
Fratezi
A C
AC
Basseto
F L
FL
D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D006090:Gram-Negative Bacteria; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology*; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000209:etiology
Infecção comprometendo próteses arteriais: quadro clínico, etiologia e fatores predisponentes.