EurekaMag.com logo
+ Site Statistics
References:
53,517,315
Abstracts:
29,339,501
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Staphylococcus epidermidis as a cause of postoperative wound infection after cardiac surgery: assessment of pathogenicity by a wound-scoring method



Staphylococcus epidermidis as a cause of postoperative wound infection after cardiac surgery: assessment of pathogenicity by a wound-scoring method



British Journal of Surgery 75(2): 168-170



Wound infection after clean surgery prolongs hospital stay but the organism most commonly isolated from wound discharge, Staphylococcus epidermidis, is often dismissed as a contaminant or commensal. The wounds of 517 patients were assessed, after cardiac surgery, by a wound-scoring method ('ASEPSIS') and a close comparison was made of the appearance and clinical outcome of 89 wounds, from which bacteria were isolated. There was no significant difference in the scores of 49 wounds, where S. epidermidis was the sole isolate (9.5 per cent of all wounds, 95 per cent CI 6.9-12.0 per cent), and 13 wounds infected with Staphylococcus aureus (2.5 per cent, 95 per cent CI 1.2-3.9 per cent). Repeat cultures were obtained from 21 of the 49 wounds and, in 16 of these, the second isolate showed the same biochemical reactions and antibiotic resistance pattern as the first. Infection of sternal wounds is commoner with coagulase-negative staphylococci than with S. aureus and, clinically, is just as severe.

(PDF same-day service: $19.90)

Accession: 041425563

Download citation: RISBibTeXText

PMID: 3349309

DOI: 10.1002/bjs.1800750228



Related references

The use of the wound scoring method 'ASEPSIS' in postoperative wound surveillance. Journal of Hospital Infection 16(4): 297-309, 1990

Source and route of methicillin-resistant Staphylococcus epidermidis transmitted to the surgical wound during cardio-thoracic surgery. Possibility of preventing wound contamination by use of special scrub suits. Journal of Hospital Infection 47(4): 266-276, 2001

Wound infections after cardiac surgery--a wound scoring system may improve early detection. Scandinavian Cardiovascular Journal 36(1): 60-64, 2002

Wound Infections after Cardiac Surgery - a Wound Scoring System may Improve Early Detection. Scandinavian Cardiovascular Journal 36(1): 60-64, 2002

Biofilm inhibitory and eradicating activity of wound care products against Staphylococcus aureus and Staphylococcus epidermidis biofilms in an in vitro chronic wound model. Journal of Applied Microbiology 114(6): 1833-1842, 2014

A clinical trial of teicoplanin compared with a combination of flucloxacillin and tobramycin as antibiotic prophylaxis for cardiac surgery: the use of a scoring method to assess the incidence of wound infection. Journal of Hospital Infection 7 Suppl A: 105-112, 1986

Leg wound infections following cardiac surgery: a scoring system for assessment and management. Journal of Wound Care 14(7): 337-340, 2005

Evaluation of a wound scoring method for patients undergoing cardiac surgery. Journal Of Hospital Infection. 33(2): 139-144, 1996

Postoperative wound infection relation to different types of operation and wound contamination categories in orthopedic surgery. Journal of Hospital Infection 13(4): 387-394, 1989

Deep sternal wound infection after cardiac surgery: a comparison of three different wound infection types and an analysis of antibiotic resistance. Journal of Thoracic Disease 10(1): 377-387, 2018

Prophylactic Groin Wound Vacuum-assisted Therapy in Vascular Surgery Patients at Enhanced Risk for Postoperative Wound Infection. Annals of Vascular Surgery, 2017

The association between tracheostomy and sternal wound infection in postoperative cardiac surgery patients. Canadian Journal of Anaesthesia 60(7): 684-691, 2013

Preoperative carriage and postoperative same-species sternal wound infection after cardiac surgery. Interactive Cardiovascular and Thoracic Surgery 13(4): 381-385, 2012

Postoperative wound infection after total abdominal hysterectomy: a controlled study of the increased duration of hospital stay and trends in postoperative wound infection. American Journal of Infection Control 21(4): 201-204, 1993

Negative-pressure wound therapy following cardiac surgery: bleeding complications and 30-day mortality in 176 patients with deep sternal wound infection. Interactive Cardiovascular and Thoracic Surgery 12(2): 117-120, 2011