A prospective analysis of the association between indwelling surgical drains and surgical site infection in plastic surgery.
Ann Plast Surg
; 71(5): 561-5, 2013 Nov.
Article
en En
| MEDLINE
| ID: mdl-23187707
ABSTRACT
INTRODUCTION:
Many surgeons fear that closed-suction drains serve as a portal for bacterial entry into surgical spaces. Despite a lack of supporting evidence, postoperative antibiotics are often prolonged while drains remain in place.METHODS:
Medical records of all patients who underwent intraoperative Jackson-Pratt drain placement and sterile removal over a 12-month period were prospectively analyzed.RESULTS:
Fifty-four patients with 101 drains were included. Drains were in place for 5 to 43 days [mean (SD), 13.5 (6.3) days]. Sixty-three percent of drains had positive cultures. All patients received perioperative antibiotics. Thirty-nine patients received postoperative antibiotics [mean (SD), 13.8 (13.8) days]. There were 2 cases of cellulitis. One patient required reoperation.CONCLUSIONS:
Sixty-six drains (65.3%) were placed in the presence of prosthetic material. Although nearly two thirds of drains were colonized with bacteria, our wound infection rate was extremely low (5.6%). Thus, closed-suction drains may be left in place for an extended period without increasing the risk of infection, even in the presence of prosthetic material.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cuidados Posoperatorios
/
Succión
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Infección de la Herida Quirúrgica
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Cicatrización de Heridas
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Catéteres de Permanencia
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Procedimientos de Cirugía Plástica
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2013
Tipo del documento:
Article