open access

Vol 15, No 2 (2013)
Original articles
Published online: 2014-09-23
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Preoperative bacteriological swab from a groin as a part of prevention of infection in patients undergoing arterial reconstructive surgery

Tomasz Ruciński, Janusz Kuśmierz, Rafał Boczej, Marek Motyka
Chirurgia Polska 2013;15(2):118-123.

open access

Vol 15, No 2 (2013)
Original articles
Published online: 2014-09-23

Abstract

Introduction: The aim of the study was to assess the effect of preoperative groin swab as one of the factors that eliminate a potential source of infection and allows preparing a patient for peripheral arterial reconstructive surgery.
Material and methods: In this study, bacteriological swabs from macroscopically intact groin skin were collected from 490 patients before planned operations of peripheral arterial reconstruction.
Results: A positive bacteriological swab from a macroscopically intact skin of the groin was obtained in 32 out of 490 patients (which represents 6.5% of all patients). In the collected material, methicillin-sensitive Staphylococcus aureus (MSSA) was found in twenty seven patients, methicillin-resistant Staphylococcus aureus (MRSA) in one patient, group C beta-haemolytic Streptococcus in two patients and group G beta-haemolytic Streptococcus in two patients.
Conclusions: Preparing a patient for peripheral arterial reconstructive surgery requires an interdisciplinary approach. It involves an intensive treatment of comorbidities and eliminating potential sources of vascular graft infection. It is very important to prepare the skin of the operated area properly; therefore preoperative groin swabs should become an essential part of the diagnostic algorithm. This procedure will not only reduce the risk of vascular graft infection, amputation or death, but also allow avoiding the huge cost of treatment of such complications.

Abstract

Introduction: The aim of the study was to assess the effect of preoperative groin swab as one of the factors that eliminate a potential source of infection and allows preparing a patient for peripheral arterial reconstructive surgery.
Material and methods: In this study, bacteriological swabs from macroscopically intact groin skin were collected from 490 patients before planned operations of peripheral arterial reconstruction.
Results: A positive bacteriological swab from a macroscopically intact skin of the groin was obtained in 32 out of 490 patients (which represents 6.5% of all patients). In the collected material, methicillin-sensitive Staphylococcus aureus (MSSA) was found in twenty seven patients, methicillin-resistant Staphylococcus aureus (MRSA) in one patient, group C beta-haemolytic Streptococcus in two patients and group G beta-haemolytic Streptococcus in two patients.
Conclusions: Preparing a patient for peripheral arterial reconstructive surgery requires an interdisciplinary approach. It involves an intensive treatment of comorbidities and eliminating potential sources of vascular graft infection. It is very important to prepare the skin of the operated area properly; therefore preoperative groin swabs should become an essential part of the diagnostic algorithm. This procedure will not only reduce the risk of vascular graft infection, amputation or death, but also allow avoiding the huge cost of treatment of such complications.
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Keywords

vascular graft infection, bacteriological swab from the groin, artery reconstructive operations

About this article
Title

Preoperative bacteriological swab from a groin as a part of prevention of infection in patients undergoing arterial reconstructive surgery

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 15, No 2 (2013)

Pages

118-123

Published online

2014-09-23

Bibliographic record

Chirurgia Polska 2013;15(2):118-123.

Keywords

vascular graft infection
bacteriological swab from the groin
artery reconstructive operations

Authors

Tomasz Ruciński
Janusz Kuśmierz
Rafał Boczej
Marek Motyka

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