Clinical Significance of Intraoperative Cultures of Aneurysm Walls and Contents in Elective Abdominal Aortic Aneurysmectomy
To investigate the clinical significance of intraoperative cultures in elective abdominal aortic aneurysmectomy, we cultured the aneurysmal wall and contents in 90 patients undergoing vascular graft surgery. Prosthetic graft infection was documented in 1 out of 62 patients with negative cultures and...
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Veröffentlicht in: | European journal of epidemiology 1989-12, Vol.5 (4), p.521-525 |
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creator | Brandimarte, C. Santini, C. Venditti, M. Baiocchi, P. Serra, P. Gallo, P. d'Amati, G. Rizzo, L. Speziale, F. Fiorani, P. |
description | To investigate the clinical significance of intraoperative cultures in elective abdominal aortic aneurysmectomy, we cultured the aneurysmal wall and contents in 90 patients undergoing vascular graft surgery. Prosthetic graft infection was documented in 1 out of 62 patients with negative cultures and in none of 28 patients with positive cultures (${\rm x}^{2}=0.4$, p > 0.1). Bacterial growth was seen in neither of 2 inflammatory aneurysms, 3 of 14 atherosclerotic aneurysms and 2 of 5 aneurysms without specific features. A retrospective analysis of patients' charts aimed at finding possible risk factors failed to identify any correlation between results of cultures and length of hospitalization before surgery, time interval between angiography and surgery, route of angiography procedure or minutes of surgery before sample collection. We conclude that positive cultures may not imply clinical infection at the time of surgery and that prolonged post-operative organism-specific antibiotic therapy does not appear necessary to prevent graft contamination in patients undergoing elective abdominal aortic aneurysmectomy. |
doi_str_mv | 10.1007/BF00140150 |
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Prosthetic graft infection was documented in 1 out of 62 patients with negative cultures and in none of 28 patients with positive cultures (${\rm x}^{2}=0.4$, p > 0.1). Bacterial growth was seen in neither of 2 inflammatory aneurysms, 3 of 14 atherosclerotic aneurysms and 2 of 5 aneurysms without specific features. A retrospective analysis of patients' charts aimed at finding possible risk factors failed to identify any correlation between results of cultures and length of hospitalization before surgery, time interval between angiography and surgery, route of angiography procedure or minutes of surgery before sample collection. We conclude that positive cultures may not imply clinical infection at the time of surgery and that prolonged post-operative organism-specific antibiotic therapy does not appear necessary to prevent graft contamination in patients undergoing elective abdominal aortic aneurysmectomy.</description><identifier>ISSN: 0393-2990</identifier><identifier>ISSN: 0392-2990</identifier><identifier>EISSN: 1573-7284</identifier><identifier>DOI: 10.1007/BF00140150</identifier><identifier>PMID: 2606181</identifier><language>eng</language><publisher>Netherlands: Kluwer Academic Publishers</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aneurysms ; Angiography ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Aorta, Abdominal - microbiology ; Aorta, Abdominal - surgery ; Aortic Aneurysm - microbiology ; Aortic Aneurysm - surgery ; Blood Vessel Prosthesis ; Equipment Contamination ; Female ; Humans ; Infections ; Intraoperative Period ; Male ; Middle Aged ; Ruptured aneurysm ; Staphylococcal Infections - diagnosis ; Staphylococcal Infections - drug therapy ; Staphylococcal Infections - prevention & control ; Staphylococcus ; Staphylococcus - isolation & purification ; Surgical specialties ; Thrombosis ; Tissue grafting ; Vascular grafting</subject><ispartof>European journal of epidemiology, 1989-12, Vol.5 (4), p.521-525</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-321672ed505d266f549cd652ea18e610bb7c02d1b6f4654a483ac2a84349eaa63</citedby><cites>FETCH-LOGICAL-c334t-321672ed505d266f549cd652ea18e610bb7c02d1b6f4654a483ac2a84349eaa63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3521439$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3521439$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2606181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brandimarte, C.</creatorcontrib><creatorcontrib>Santini, C.</creatorcontrib><creatorcontrib>Venditti, M.</creatorcontrib><creatorcontrib>Baiocchi, P.</creatorcontrib><creatorcontrib>Serra, P.</creatorcontrib><creatorcontrib>Gallo, P.</creatorcontrib><creatorcontrib>d'Amati, G.</creatorcontrib><creatorcontrib>Rizzo, L.</creatorcontrib><creatorcontrib>Speziale, F.</creatorcontrib><creatorcontrib>Fiorani, P.</creatorcontrib><title>Clinical Significance of Intraoperative Cultures of Aneurysm Walls and Contents in Elective Abdominal Aortic Aneurysmectomy</title><title>European journal of epidemiology</title><addtitle>Eur J Epidemiol</addtitle><description>To investigate the clinical significance of intraoperative cultures in elective abdominal aortic aneurysmectomy, we cultured the aneurysmal wall and contents in 90 patients undergoing vascular graft surgery. Prosthetic graft infection was documented in 1 out of 62 patients with negative cultures and in none of 28 patients with positive cultures (${\rm x}^{2}=0.4$, p > 0.1). Bacterial growth was seen in neither of 2 inflammatory aneurysms, 3 of 14 atherosclerotic aneurysms and 2 of 5 aneurysms without specific features. A retrospective analysis of patients' charts aimed at finding possible risk factors failed to identify any correlation between results of cultures and length of hospitalization before surgery, time interval between angiography and surgery, route of angiography procedure or minutes of surgery before sample collection. We conclude that positive cultures may not imply clinical infection at the time of surgery and that prolonged post-operative organism-specific antibiotic therapy does not appear necessary to prevent graft contamination in patients undergoing elective abdominal aortic aneurysmectomy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysms</subject><subject>Angiography</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Aorta, Abdominal - microbiology</subject><subject>Aorta, Abdominal - surgery</subject><subject>Aortic Aneurysm - microbiology</subject><subject>Aortic Aneurysm - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Equipment Contamination</subject><subject>Female</subject><subject>Humans</subject><subject>Infections</subject><subject>Intraoperative Period</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ruptured aneurysm</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Staphylococcal Infections - drug therapy</subject><subject>Staphylococcal Infections - prevention & control</subject><subject>Staphylococcus</subject><subject>Staphylococcus - isolation & purification</subject><subject>Surgical specialties</subject><subject>Thrombosis</subject><subject>Tissue grafting</subject><subject>Vascular grafting</subject><issn>0393-2990</issn><issn>0392-2990</issn><issn>1573-7284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9LHDEYhkOx6Gp76blCTh6Eab_8njluB62C4MGWHodMJlMimWRNMsLSf97RXbZHT98Hz_O-lxehLwS-EQD1_cc1AOFABHxAKyIUqxSt-RFaAWtYRZsGTtBpzo8AUEMjjtExlSBJTVboX-tdcEZ7_OD-BjcubzAWxxHfhpJ03Niki3u2uJ19mZPNr2gd7Jy2ecJ_tPcZ6zDgNoZiQ8nYBXzlrXnLrPshTi4s5euYijOH4MLjtP2EPo7aZ_t5f8_Q7-urX-1NdXf_87Zd31WGMV4qRolU1A4CxEClHAVvzCAFtZrUVhLoe2WADqSXI5eCa14zbaiuOeON1VqyM3Sx692k-DTbXLrJZWO918HGOXeq4UTVqnlXJIJzqggs4uVONCnmnOzYbZKbdNp2BLrXSbr_kyzy-b517ic7HNT9Bgv_uuOPucR0wExQwpf9XgCbL5A9</recordid><startdate>19891201</startdate><enddate>19891201</enddate><creator>Brandimarte, C.</creator><creator>Santini, C.</creator><creator>Venditti, M.</creator><creator>Baiocchi, P.</creator><creator>Serra, P.</creator><creator>Gallo, P.</creator><creator>d'Amati, G.</creator><creator>Rizzo, L.</creator><creator>Speziale, F.</creator><creator>Fiorani, P.</creator><general>Kluwer Academic Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19891201</creationdate><title>Clinical Significance of Intraoperative Cultures of Aneurysm Walls and Contents in Elective Abdominal Aortic Aneurysmectomy</title><author>Brandimarte, C. ; Santini, C. ; Venditti, M. ; Baiocchi, P. ; Serra, P. ; Gallo, P. ; d'Amati, G. ; Rizzo, L. ; Speziale, F. ; Fiorani, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-321672ed505d266f549cd652ea18e610bb7c02d1b6f4654a483ac2a84349eaa63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysms</topic><topic>Angiography</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Aorta, Abdominal - microbiology</topic><topic>Aorta, Abdominal - surgery</topic><topic>Aortic Aneurysm - microbiology</topic><topic>Aortic Aneurysm - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Equipment Contamination</topic><topic>Female</topic><topic>Humans</topic><topic>Infections</topic><topic>Intraoperative Period</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ruptured aneurysm</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Staphylococcal Infections - drug therapy</topic><topic>Staphylococcal Infections - prevention & control</topic><topic>Staphylococcus</topic><topic>Staphylococcus - isolation & purification</topic><topic>Surgical specialties</topic><topic>Thrombosis</topic><topic>Tissue grafting</topic><topic>Vascular grafting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brandimarte, C.</creatorcontrib><creatorcontrib>Santini, C.</creatorcontrib><creatorcontrib>Venditti, M.</creatorcontrib><creatorcontrib>Baiocchi, P.</creatorcontrib><creatorcontrib>Serra, P.</creatorcontrib><creatorcontrib>Gallo, P.</creatorcontrib><creatorcontrib>d'Amati, G.</creatorcontrib><creatorcontrib>Rizzo, L.</creatorcontrib><creatorcontrib>Speziale, F.</creatorcontrib><creatorcontrib>Fiorani, P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brandimarte, C.</au><au>Santini, C.</au><au>Venditti, M.</au><au>Baiocchi, P.</au><au>Serra, P.</au><au>Gallo, P.</au><au>d'Amati, G.</au><au>Rizzo, L.</au><au>Speziale, F.</au><au>Fiorani, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Significance of Intraoperative Cultures of Aneurysm Walls and Contents in Elective Abdominal Aortic Aneurysmectomy</atitle><jtitle>European journal of epidemiology</jtitle><addtitle>Eur J Epidemiol</addtitle><date>1989-12-01</date><risdate>1989</risdate><volume>5</volume><issue>4</issue><spage>521</spage><epage>525</epage><pages>521-525</pages><issn>0393-2990</issn><issn>0392-2990</issn><eissn>1573-7284</eissn><abstract>To investigate the clinical significance of intraoperative cultures in elective abdominal aortic aneurysmectomy, we cultured the aneurysmal wall and contents in 90 patients undergoing vascular graft surgery. Prosthetic graft infection was documented in 1 out of 62 patients with negative cultures and in none of 28 patients with positive cultures (${\rm x}^{2}=0.4$, p > 0.1). Bacterial growth was seen in neither of 2 inflammatory aneurysms, 3 of 14 atherosclerotic aneurysms and 2 of 5 aneurysms without specific features. A retrospective analysis of patients' charts aimed at finding possible risk factors failed to identify any correlation between results of cultures and length of hospitalization before surgery, time interval between angiography and surgery, route of angiography procedure or minutes of surgery before sample collection. We conclude that positive cultures may not imply clinical infection at the time of surgery and that prolonged post-operative organism-specific antibiotic therapy does not appear necessary to prevent graft contamination in patients undergoing elective abdominal aortic aneurysmectomy.</abstract><cop>Netherlands</cop><pub>Kluwer Academic Publishers</pub><pmid>2606181</pmid><doi>10.1007/BF00140150</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Aneurysms Angiography Anti-Bacterial Agents - therapeutic use Antibiotics Aorta, Abdominal - microbiology Aorta, Abdominal - surgery Aortic Aneurysm - microbiology Aortic Aneurysm - surgery Blood Vessel Prosthesis Equipment Contamination Female Humans Infections Intraoperative Period Male Middle Aged Ruptured aneurysm Staphylococcal Infections - diagnosis Staphylococcal Infections - drug therapy Staphylococcal Infections - prevention & control Staphylococcus Staphylococcus - isolation & purification Surgical specialties Thrombosis Tissue grafting Vascular grafting |
title | Clinical Significance of Intraoperative Cultures of Aneurysm Walls and Contents in Elective Abdominal Aortic Aneurysmectomy |
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