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periarticular tissues. 32 , 33 The literature shows that about nine litres of irrigation solution should be used during debridement. 34 This volume may be increased depending on the size of the surgical site and the severity of the infection. The
Hospital Sotero del Rio, Santiago, Chile
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-analysis in spinal surgery 30 demonstrated that the topical administration of Vancomycin did not increase the rates of gram-negative bacterial or polymicrobial infections in surgical sites. Chondrocyte viability in a Vancomycin environment has also been
Department of Microbial Diseases, UCL Eastman Dental Institute, University College London, London, UK
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MSK Lab, Imperial College London, London, UK
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-organism-specific factors, host factors, surgical technique, and the perioperative environment, but what is common to all implant related infections is the colonization of the surgical site, especially the foreign implant material. Much work has been done to better
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surgical trauma (i.e. following open reduction and internal fixation of fractures), from chronic overlying open wounds or contiguous soft tissue infections. 3 , 9 In haematogenous osteomyelitis, the pathogens seed into the bone through the systemic
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infection treatments in Canada . Can J Infect Dis Med Microbiol 2004 ; 15 : 213 – 220 . 10. Anderson DJ Sexton DJ Kanafani ZA Auten G Kaye KS . Severe surgical site infection in community hospitals
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replacement in patients with rheumatoid arthritis . Arthritis Rheum 2008 ; 59 : 1713 - 20 . 94 Berbari EF , Osmon DR , Lahr B , et al. . The Mayo prosthetic joint infection risk score: implication for surgical site
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postoperative infection rate in patients undergoing foot and ankle surgery is higher in diabetics. Wukich et al analysed the outcomes of 1000 patients undergoing foot and ankle surgery and found a surgical site infection rate of 13.2% in diabetics, compared to 2
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-union, while post-operative infections and iatrogenic radial nerve palsy (iRNP) do naturally occur following surgical therapy. As complication profiles are known to differ between conservative and surgical therapy, operative techniques, and implant types, but
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commonly affected sites. 2 In anatomical sites where the bony metaphysis is intracapsular, such as the upper end of the femur, the proximal humerus, the proximal tibia and the distal fibula, there can be subperiosteal spread of infection to the
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: 1422 - 9 . 29 Pull ter Gunne AF , van Laarhoven CJ , Cohen DB . Incidence of surgical site infection following adult spinal deformity surgery: an analysis of patient risk . Eur Spine J 2010 ; 19 : 982 - 8 . 30
