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postoperative infection of the skull base surgical site due to suppurative parotitis:A case report

World Journal of Clinical Cases 2022年第15期10卷 4991-4997页

作者： Yong Zhao Yang Zhao Li-Qin Zhang Guo-Dong Feng Department of Otorhinolaryngology-Head and Neck Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

BACKGROUND Paraganglioma occurring at the lateral skull base is a rare *** is the primary treatment of benign *** infection of the surgical site at the lateral skull base is very dangerous and hard to *** SUMMARY A 30-year-old man with a 1-year history of left-side progressive hearing loss,tinnitus,facial palsy,and choking failed conventional treatment and is the focus of this case *** revealed a mass around the left jugular foramen that was approximately 47 mm×38 mm×34 mm in size and had eroded the bone of the vertebral and horizontal segments of the internal carotid *** tumor breached the meninges and occupied the cerebella pontine region.A two-stage surgery was designed for the resection of the *** the first-stage,the epidural portion of the mass was *** abdominal fat and the temporal muscle flap were transposed within the surgical *** surgery was successful;however,25 d after surgery,he developed suppurative parotitis,and the infection spread to the surgical site at the skull ***-spectrum antibiotics were used,and debridement was *** that,the wound was cleaned *** months after the first-stage surgery,the wound was still unclosed,and there was intermittent purulent exudation within the surgical *** sealing drainage(VSD)was used,and the wound healed in a *** year after the first surgery,the second-stage of the operation was performed to remove the intracranial portion of the *** of the tumor was not detected after a 6-month *** After a lateral skull base surgery,suppurative parotitis can spread into the operative cavity leading to infection of the surgical *** can help to effectively heal the infected wound.A two-stage surgical approach offers a safer option for removing the lateral skull base paraganglioma that involves the meninges.

关键词： postoperative infection Lateral skull base Suppurative parotitis Vacuum sealing drainage Two-stage surgery Case report

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Value of inflammatory mediator profiles and procalcitonin in predicting postoperative infection in patients with hypertensive cerebral hemorrhage

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World Journal of Clinical Cases 2022年第35期10卷 12936-12945页

作者： Rang-Hua Yin Bin Zhang Xing-He Zhou Lu-Ping Cao Ming Li Department of Surgery Ji’an City Hospital of Traditional Chinese MedicineJi’an 343000Jiangxi ProvinceChina

BACKGROUND Hypertensive cerebral hemorrhage(HICH)is a common clinical cerebrovascular disease and one of the most serious complications of *** warning of the occurrence of infection during treatment and timely anti-infective treatment are of great significance for the early prevention and treatment of postoperative infection in patients with *** in the levels of inflammatory mediators,which are closely related to the occurrence and development of postoperative infection,and procalcitonin(PCT),which is a sensitive indicator for diagnosing bacterial infections,are widely used in clinical *** To explore the application value of inflammatory mediator profiles and PCT in predicting postoperative infection in patients with *** A total of 271 patients who underwent HICH surgery at our hospital between March 2019 and March 2021 were selected and divided into the infection(n=80)and non-infection(n=191)groups according to whether postoperative infection *** postoperative infection status and etiological characteristics of the infective pathogens in the infection group were *** in inflammatory mediator profile indices and PCT levels were compared between the two groups,pre-and *** A total of 109 strains of pathogenic bacteria were detected in the infection group,including 67 strains(61.47%)of gram-negative bacteria,32 strains(29.36%)of gram-positive bacteria,and 10 strains(9.17%)of *** main infection site of the patients in the infection group was the respiratory system(63.75%).Preoperative interleukin(IL)-4,IL-6,IL-10,tumor necrosis factor-α,interferon-γ,and PCT levels were higher in the infection group than in the non-infection group(P0.05).The inflammatory mediator profile indices and PCT levels were higher in the two groups of patients on the first postoperative day than preoperatively(P<0.05)

关键词： Hypertensive cerebral hemorrhage postoperative infection Inflammatory mediator profiles Procalcitonin Prediction Immune function

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Effects of cooperative nursing and patient education on postoperative infection and self-efficacy in gastrointestinal tumors

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World Journal of Clinical Cases 2021年第7期9卷 1610-1618页

作者： Li Qiao Shu-Qian Zeng Ning Zhang Department of Gastrointestinal Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022Hubei ProvinceChina

BACKGROUND Gastrointestinal tumors have a high incidence *** application value of the cooperative nursing care system of medical care has received widespread attention in recent ***,there are few studies on the value of the joint application of collaborative nursing care and self-efficacy *** To explore the effect of cooperative nursing care management/self-efficacy education on postoperative infection and self-efficacy in gastrointestinal tumor surgery *** A total of 102 patients with gastrointestinal tumors treated in our hospital from October 2018 to February 2020 were selected and divided into a conventional group(n=51)and a combined group(n=51)according to the nursing *** routine group adopted routine nursing,and the joint group adopted the medical care cooperative responsibility system nursing management combined with selfefficacy *** self-efficacy scores,coping style scores,self-experience burden scores,and postoperative complication rates of the two groups before and after intervention were *** After intervention,the daily life behavior management,cognitive symptom management,and disease management scores of the two groups were higher than those before the intervention,and those of the combined group were higher than those of the conventional group(all P=0.000).After the intervention,the positive response scores of the two groups were higher than those before the intervention,the negative response scores were lower than those before the intervention,and the combined group was better than the conventional group(all P=0.000).After the intervention,the two groups’emotional,economic,and physical factor scores were lower than those before the intervention,and the combined group was lower than the conventional group(all P=0.000).The incidence of infection in the combined group(1.96%)was lower than that in the conventional group(15.69%)(P=0.036).CONCLUSION Cooperative nursing care management and self-

关键词： Medical care cooperative responsibility system nursing management Selfefficacy education Gastrointestinal neoplasms postoperative infection Self-efficacy Nursing

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The Place of Nursing Theory in the Management of Post-Operative infections in a Hospital Environment: Case of Cibitoke District Hospital

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Open Journal of Nursing 2024年第5期14卷 225-238页

作者： Onésime Nduwimana Le Béni Bugingo Arlette Ntigura Ishimwe Abias Nibaruta Faculty of Health Sciences Hope Africa University Bujumbura Burundi Faculty of Health Sciences Integrated Polytechnic University Cibitoke Burundi

Introduction: Post-operative infections, such as surgical site infections (SSIs), are a significant concern in healthcare settings. Nurses play a crucial role in the prevention and management of these infections. The use of nursing theory could contribute to the prevention of SSIs. The aim of this study was to evaluate the role of nursing theory in the management of surgical site infections (SSIs) in a hospital environment. Method: A cross-sectional study was conducted using descriptive and analytical methods to assess the role of nursing theory in the management of Post-operative infections (POI) in a hospital setting in October 2023. The study population consisted of nurses working in the Surgery, Emergency, and Maternity units at Cibitoke District Hospital. A sample size of 71 nurses working full or part time in the Surgery were invited to participate in this study. A questionnaire was used to collect the data, and SPSS version 21.0 software was used for analysis. Results: The study found that nursing theory did not have any statistically significant place in the management of POI (p-value = 0.523). However, the results showed that experience was the only significant factor influencing the management of POI (p-value = 0.004). This is explained by the analysis of the net effects of the explanatory variable where we noticed that those who had more experience were more likely to manage post-operative infections. The participants’ knowledge regarding nursing theory in the management was poor as they scored less than 30% in all the variables used to measure their knowledge. Conclusion: The study revealed that nurses’ knowledge of nursing theories and their applications in the management of SSIs was poor. Continuing professional development, curriculum review, and in-service training were highly recommended.

关键词： Nurses postoperative infection Surgical Site infections Management Nursing Theory

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Evidence-based independent risk factors for surgical site infections after spinal surgery:a systematic review

Evidence-based independent risk factors for surgical site in...

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第二十届全国中西医结合骨伤科学术研讨会、第二届中国医师协会中西医结合医师分会骨伤科学术年会、第十九届浙江省中西医结合骨伤科专业委员会学术年会

作者： Dan Xing Xin-Long Ma Jian-Xiong Ma Jie Wang Yang Chen Wei-Guo Xu Department of Orthopaedics Tianjin Medical University General Hospital Department of Orthopaedics Tianjin Gongan Hospital Department of Orthopaedics Institute Tianjin Hospital

Objective To identify the independent risk factors for the patients with surgical site infections (SSI) after spinal surgery based on available evidence in the literature. *** site infections(SSI) lead to higher morbidity,mortality and increased healthcare *** risk factors influence the postoperative *** which factors lead to an increased risk of SSI is of importance for the development of prophylactic protocols to counter this ***,these factors have neither been well synthesized or summarised according to methodological quality of studies evaluating risk factors for SSI. Methods Non-interventional studies evaluating the independent risk factors for the patients with SSI following spinal surgery were searched in Medline,Embase,Sciencedirect and *** of included studies were assessed by a modified quality assessment tool,which was previously designed for observational *** effects of studies were combined with the study quality score using a model of best-evidence synthesis. Results 35 observational studies involving 24,774 subjects were *** studies covered a wide range of indications and surgical *** articles published between 1998 to *** to the quality assessment criteria for included studies,14 studies were deemed as high quality studies,5 as moderate quality studies,and 16 as low quality studies.A total of 46 different type of independent factors were evaluated for the risk of *** were strong evidence for 6 factors,including obesity/BMI,longer operation time,diabetes,smoking,history of previous SSI and type of surgery *** also identified 8 moderate evidence,31 limited evidence and one conflicting evidence factors. Conclusion Whilst there is no conclusive evidence for the postoperative SSI,these data provide evidence to guide the clinician to admit patients who will have spinal operation and to choice a optimal prophylactic *** rese

关键词： surgical site infection spinal surgery postoperative infection risk factors systematic review

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A methodological,systematic review of evidence-based independent risk factors for surgical site infections after spinal surgery

A methodological,systematic review of evidence-based indepen...

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第25届全国脊柱脊髓学术会议暨2013年贵州省骨科年会

作者：邢丹马信龙马剑雄王杰陈阳杨阳朱少文马宝意冯睿天津市天津医院骨科天津医科大学总医院骨科

Objective:To identify the independent risk factors,based on available evidence in theliterature,for patients developing surgical site infections(SSI)after spinal ***:Non-interventional studies evaluating the independent risk factors for patients developing SSI following spinal surgery were searched in Medline,Embase,Sciencedirect and *** quality of the included studies was assessed by a modified quality assessment tool that had been previously designed for observational *** effects of studies were combined with the study quality score using a best-evidence synthesis ***:Thirty-six observational studies involving 2439 patients with SSI after spinal surgery were *** included studies covered a wide range of indications and surgical *** articles were published between 1998 and *** to the quality assessment criteria for included studies,15 studies were deemed to be high-quality studies,5 were moderate-quality studies,and 16 were low-quality studies.A total of 46 independent factors were evaluated for risk of *** was strong evidence for 6 factors,including obesity/BMI,longer operation times,diabetes,smoking,history of previous SSI and type of surgical *** also identified 8 moderate-evidence,31 limited-evidence and one conflictingevidence ***:Although there is no conclusive evidence for why postoperative SSI occurs,these data provide evidence to guide clinicians in admitting patients who will have spinal operations and to choose an optimal prophylactic *** research is still required to evaluate the effects of these above risk factors.

关键词： surgical site infection spinal surgery postoperative infection risk factors systematic review

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