SSI associated with Stifle Sx Flashcards
Ferrell
Impact of PO abs on rates of infection and implant removal after TTA
VetSurg 2019
PO infection 5%
The rate did not differ w/ or w/o PO abs
PO abs tended to oxacillin-resistant infections
~associated with the requirement for implant removal to achieve resolution
Lopez
Retrospective: factors associated with SSI after TPLO
JAVMA 2018
SSI 8%
GSD
Meniscectomy
The surgeon doing less than 20 Sx in the study
Cox
Variables associated with SSI after Lateral Suture
VCOT 2020
SSI 17%
increased body weight
induction with propofol
Giannetto
Wound dressing and SSI in TPLO
VCOT 2019
SSI 2%
MRSP most common
Bodyweight increased the risk of infection
Hagen
Contributing factors to SSI after TPLO
VetSurg 2020
SSI 11%
MRSP 28%
Protective against
~PO abs
~Timing of pre-op abs administration (>60 min b/f incision vs. >30 min b/f)
Clark
Influence of abs after TPLO
VetSurge 2020
Deep incisional SSI
~BW
~Prolonged Sx
~Surgeon
Resistance
~BW
~Prolonged Sx
Superficial incision SSI
~Prolonged Sx
PO admin abs
~not protective against SSI
~did not predispose to antibiotic resistance
Stine
Protocol changes to reduce implant TPLO
VetSurg 2018
The odds ratio decreased by 88% after the protocol change
~more MRSP noted
Protocol ~Iodophore-impregnated adhesive drape ~Cefazolin q90m & q4h PO ~Ortho gloves ~Triclosan-coated intradermal suture ~SPB with mupirocin ointment ~Use of single-use gloves PO ~Placemnt of E-collar
Lopez et al VetSurg 2020
What was the conclusion regarding subcutaneous closure in cats?
Quilting pattern had less serum formation than simple continuous or no SQ closure.
Decreased pain with SQ closure vs not
Stickney et al VetSurg 2018
What percentage of SSI were identified after discharge from the hospital
28% - infections diagnosed after discharge from the hospital
Overall infection rate - 2.83%
Kuvaldina et al VetSurg 2018
What is the mechanism of failure of the LigaSure after multiple uses?
First - increased tissue adherence, then blade problems, then vascular seal problems
Kuvaldina et al VetSurg 2018
How many times can the LigaSure be resteralized?
Impact - 16 cycles
Small Jaw - 9 cycles