[Prevention and treatment of prosthesis-related sepsis in vascular surgery].
BACKGROUND
The first synthetic vascular prosthesis have been implanted 47 years ago. 5 years after have been referred the first aortoenteric fisula in connection with the synthetic vascular prosthesis implantation.
The incidence of the infection and septic postoperative complications after vascular surgery was relatively high in the past. Several authors note a reduction in the incidence with experience. Another change has been widely noted recently concerning the incidence of various strains of bacteria isolated from the infected tissue and infected prostheses. The most common strain at present is St. epidermidis, known in the past as a saprophyte. There have been also changed the methods of diagnosis and the management policy. The authors of the present paper has been tried to summarize the knowledge in this field on the background of their own experience. They have summarized the clinical classification, bacteriology and the pathophysiologic mechanism of the infection, the most common clinical features, basic diagnostic possibilities, prophylactic and therapeutic policy in the postoperative septic complications, as well.
Sefránek
V
V
Klinika cievnej chirurgic, Slovenský ustav srdcových a cievnych chorôb, Pod Krásnou Hôrkou 1, 833 48 Bratislava 37.
Tomka
J
J
Janotík
P
P
Slezák
V
V
Dulka
T
T
Slysko
R
R
D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control