Clinical Characteristics of Lower Extremity Surgical Site Infections in Dermatologic Surgery Based Upon 24-month Retrospective Review PDF Download
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Author: Omar Bari Publisher: ISBN: Category : Languages : en Pages : 18
Book Description
Dermatologic surgery performed on the lower extremities has an increased risk for surgical site infections (SSI). Our objective was to evaluate the clinical characteristics associated with SSI following Mohs micrographic surgery (MMS) and wide local excisions (WLE) performed below the knee. We performed a single-center retrospective chart review of patients (n=271) that underwent these procedures. Within 14 days of the lower extremity procedure, four of 175 MMS patients (2.3%) developed SSI compared to eight of 96 WLE patients (8.3%) (p=0.029). Subcuticular sutures and vertical mattress sutures as a group were associated with reduced 30-day infection rate when compared to other suture methods (p=0.006). Comparison of patients on prophylactic antibiotics to control patients without antibiotics did not reveal a statistically significant difference in infection rate. MMS infection rates trended lower as compared to WLE in the 14-day post-operative window. Doxycycline prophylaxis did not produce a statistically significantly lower rate of SSI, though results approached significance. A prospective study may be warranted to further compare cephalexin and doxycycline for dermatologic surgery below the knee. Subcuticular or vertical mattress sutures may be preferred when closing wounds due to their association with reduced infection rate.
Author: Omar Bari Publisher: ISBN: Category : Languages : en Pages : 18
Book Description
Dermatologic surgery performed on the lower extremities has an increased risk for surgical site infections (SSI). Our objective was to evaluate the clinical characteristics associated with SSI following Mohs micrographic surgery (MMS) and wide local excisions (WLE) performed below the knee. We performed a single-center retrospective chart review of patients (n=271) that underwent these procedures. Within 14 days of the lower extremity procedure, four of 175 MMS patients (2.3%) developed SSI compared to eight of 96 WLE patients (8.3%) (p=0.029). Subcuticular sutures and vertical mattress sutures as a group were associated with reduced 30-day infection rate when compared to other suture methods (p=0.006). Comparison of patients on prophylactic antibiotics to control patients without antibiotics did not reveal a statistically significant difference in infection rate. MMS infection rates trended lower as compared to WLE in the 14-day post-operative window. Doxycycline prophylaxis did not produce a statistically significantly lower rate of SSI, though results approached significance. A prospective study may be warranted to further compare cephalexin and doxycycline for dermatologic surgery below the knee. Subcuticular or vertical mattress sutures may be preferred when closing wounds due to their association with reduced infection rate.
Author: Rajiv Nijhawan Publisher: Elsevier Health Sciences ISBN: 0323682847 Category : Medical Languages : en Pages :
Book Description
This issue of Dermatologic Clinics, guest edited by Drs. Divya Srivastava and Rajiv Nijhawan of UT Southwestern Medical Center, is devoted to Cutaneous Oncology and Dermatologic Surgery. Articles in this important issue include: Squamous cell carcinoma: updates on staging and management; AFX/UPS: updates on classification and management; EMPD: updates on management; Merkel Cell Carcinoma: updates on staging and management; The management of skin cancer in the elderly; Topical and systemic modalities for chemoprevention; Medications that increase risk for skin cancer development; Dermatologic surgery in the pregnant or lactating patient; Optimizing patient safety in dermatologic surgery; Perioperative antibiotic use in dermatologic surgery; Post-operative pain management in dermatologic surgery; Novel skin substitutes and surgical dressings; Optimizing the patient experience and patient satisfaction in dermatologic surgery; Surgical and Non-invasive Modalities for Scar Revision; and Pearls for dermatologic surgery in pediatric patients.
Author: Néstor P. Sánchez Publisher: Springer Science & Business Media ISBN: 1461406889 Category : Medical Languages : en Pages : 160
Book Description
Atlas of Dermatology in Internal Medicine is the only concise text-atlas to cover the most common and most important cutaneous manifestations of systemic disease in children and adults. It features more than 150 clinical photographs that are accompanied by format-driven, clinically focused text on the diagnosis and management of cutaneous manifestations of connective tissue, pulmonary, renal, GI, endocrine, malignant, infectious, and HIV disease. There is also a separate chapter on skin diseases commonly seen in the ICU. A special feature is its systematic coverage of clinically relevant dermatopathology. The book is a helpful tool for physicians and trainees in internal medicine, family medicine, pediatrics, emergency medicine, and critical care medicine, as well as family, emergency, and critical care nurse practitioners.
Author: Domenico Bonamonte Publisher: Springer ISBN: 3319485385 Category : Medical Languages : en Pages : 404
Book Description
This well-illustrated book is a comprehensive guide to the cutaneous clinical presentations of mycobacterial infections. The Mycobacterium genus includes over 170 species, nontuberculous mycobacteria (NTM) having been added to the obligate human pathogens such as M. tuberculosis and M. leprae. NTM are widely distributed in the environment with high isolation rates worldwide; the skin is a major target with variable clinical manifestations. A current resurgence in tuberculosis is aggravated by the synergy with human immunodeficiency virus, the breakdown of health care systems, and the rise in multidrug-resistant disease, as the incidence of leprosy remains stable, at around 250,000 new cases annually, regardless of effective antibiotic therapy. Presentations of various cutaneous infections caused by mycobacteria may be overlooked by clinicians owing the lack of familiarity with tuberculosis, leprosy, and the related NTM clinical features. This handy guide will help the dermatologist to spot the different clinical manifestations, make a prompt diagnosis, and apply effective treatment.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309459575 Category : Medical Languages : en Pages : 483
Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: Robert C. Moellering Publisher: S Karger Ag ISBN: 9783805561631 Category : Medical Languages : en Pages : 0
Book Description
This volume provides an excellent survey of the chemistry, microbiology, pharmacology and clinical use of the oral cephalosporins in general and the newer agents in particular. The cephalosporins have long provided satisfactory treatment for many disorders without causing serious side effects; and over the past fifty years forms with different antimicrobial, pharmacologic and toxicologic properties have been developed. Despite the broad spectrum of their activity against a large variety of gram-positive and gram-negative bacteria, the third-generation oral cephalosporins including the prodrug esters do not work against Pseudomonas aeruginosa, methicillin-resistant staphylococci, enterococci or Bacteroides species. Many, however, are suitable for treating infections of the respiratory and urinary tracts and of the skin and its structure, as well as certain sexually-transmitted diseases. Authors consider other possible uses, against multi-resistant Enterobacteriaceae for instance, but also point out the limitations of the oral cephalosporins. For those working in the fields of infectious disease, bacteriology, chemotherapy, pharmaceutics and pharmacokinetics, this book is a valuable source of authoritative information.
Author: Keyvan Nouri Publisher: Springer Science & Business Media ISBN: 144712152X Category : Medical Languages : en Pages : 558
Book Description
This book is written for dermatologists, otolaryngologists, facial plastic surgeons and any physician who want to provide state of the art treatment for skin cancer patients. Considering the high incidence of non-melanoma skin cancers such as Basal Cell Carcinoma and Squamous Cell Carcinoma (accounting for over one million cases per year in the United States) and since Mohs Micrographic Surgery has become the treatment of choice for these skin cancers, the popularity of this technique has been increasing dramatically, worldwide.
Author: Jeffrey P. Callen Publisher: Elsevier Health Sciences ISBN: 0323358314 Category : Medical Languages : en Pages : 452
Book Description
The new edition of Dermatological Signs of Systemic Disease helps you identify a full range of common and rare systemic diseases early on so they can be managed as effectively as possible. Formerly titled Dermatological Signs of Internal Disease, it takes an evidence-based approach to diagnosis and treatment, offering dependable clinical recommendations that enable you to attain definitive diagnoses of internal diseases that manifest on the skin. Allows you to attain definitive diagnoses of internal diseases that manifest on the skin. Uses a consistent, user-friendly format for easy reference. Covers hot topics such as lupus erythematosus, dermatomyositis, autoinflammatory diseases, eosinophilic and neutrophilic dermatoses, and psoriasis therapies and co-morbidities. Highlights newer therapies and treatment options for most diseases. Includes over 500 full-color illustrations - 200 new to this edition - that provide the best possible representations of diseases as they appear in the clinic. Features more viewpoints from an expanded team of nationally recognized experts in their respective fields.
Author: Didier Raoult Publisher: CRC Press ISBN: 142001997X Category : Medical Languages : en Pages : 400
Book Description
The only available reference to comprehensively discuss the common and unusual types of rickettsiosis in over twenty years, this book will offer the reader a full review on the bacteriology, transmission, and pathophysiology of these conditions. Written from experts in the field from Europe, USA, Africa, and Asia, specialists analyze specific patho
Author: Donald Lalonde Publisher: CRC Press ISBN: 1498714803 Category : Medical Languages : en Pages : 279
Book Description
Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery. The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chapters written by worldwide experts, making it the definitive guide to wide awake hand surgery.
Author: Omar Bari
Author: Omar Bari
Author: Rajiv Nijhawan
Author: Néstor P. Sánchez
Author: Domenico Bonamonte
Author: National Academies of Sciences, Engineering, and Medicine
Author: Robert C. Moellering
Author: Keyvan Nouri
Author: Jeffrey P. Callen
Author: Didier Raoult
Author: Donald Lalonde