[Bacterial environment and infectious complications of arterial prostheses. Retrospective study of 111 cases]. / Environnement bactérien et complications infectieuses des prothèses artérielles. Etude rétrospective de 111 observations.

ABSTRACT

648 pre-, per-, or post-operative bacteriological sample or 111 arterial prosthesis operated in a general surgical word were reviewed. Per operative cultures were positive in 2,5 per cent (intra-arterial thrombus or aneurysm wall), systematic post-operative cultures in 2,7 per cent (IV and urinary catheters, drains) and clinically oriented post-operative cultures in 10 per cent. No correlation between open pre-operative infection or bacterial contamination far from the wound and prosthetic infection was noted. Never the less, positive per-operative cultures or drains cultures has to be considered as a potential sepsis. According to the prevention of infection in a word including septic patients, the rate of prosthetic contamination was 1,8 per-cent and the rate of sub-cutaneous wound infection was 3,6 per-cent, which does not seem to be greater than usual results.