Abstract
I take issue with Hunter being considered the father or founder of scientific surgery and propose Joseph Lister (1827-1912) as the one who should receive this consideration. Hunter was a skilled surgeon, an inquisitive innovator, keen observer, great naturalist, and astute thinker, who made no surgi...
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PMID: 20232999
PDF is available here.
Abstract
For the control of the observance of the defined pre-operative prevention measures, a check list with 12 items was developed, named the "infection prevention check-in". The check list is authorised by the responsible surgeon be-fore each operation. For the surveillance of the general hygiene in the...
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PMID: 19911345
PDF is available here.
Rabih O Darouiche,
Matthew J Wall,
Kamal M F Itani,
Mary F Otterson,
Alexandra L Webb,
Matthew M Carrick,
Harold J Miller,
Samir S Awad,
Cynthia T Crosby,
Michael C Mosier,
Atef Alsharif and
David H Berger
Abstract
Preoperative cleansing of the patient's skin with chlorhexidine-alcohol is superior to cleansing with povidone-iodine for preventing surgical-site infection after clean-contaminated surgery. (ClinicalTrials.gov number, NCT00290290.)
2010 Massachusetts Medical Society...
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PMID: 20054046
PDF is available here.
Abstract
Iconic accounts of the "bacteriological revolution" presented it as a radical change in the understanding of the natural world. Scientist had discovered that human being shared their environment with billions of invisible living beings which shape life phenomena, health and disease. They also learned...
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PMID: 21425657
PDF is available here.
Abstract
A significant effect of ''time'' on StrepM concentration in saliva and plaque was observed (P<0.000). In subjects with successful eradication of StrepM at 1 week (N=17 plaque samples), StrepM infection recurrence occurred within 3-6 months. CONCLUSION: The results of the present study demonstrated t...
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PMID: 19516234
PDF is available here.
Abstract
We reviewed the beginnings of abdominal gynecologic surgery in Spain in order to shed light on aspects that are still unclear in medical historiography and that are often wrongly presented. We consulted a large number of sources that allowed us to follow events in the last quarter of the nineteenth...
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PMID: 19580130
PDF is available here.
Abstract
The first wound an wound treatments were described five millennia ago. Since then, various principles of wound care have been passed on from generation to generation. In contrast to large numbers of general technological inventions over the last 100 years, progress beyond ancient wound care practice...
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PMID: 19359707
PDF is available here.
Abstract
In the last years, Clostridium difficile acquired great interest for public health because of constant increase of Clostridium difficile associated diarrhea (CDAD), especially in nosocomial field and as a consequences of its pathogenicity and virulence. Oro-faecal transmission and great environmenta...
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PMID: 20169831
PDF is available here.
Abstract
Injection of botulinum toxin type A reconstituted with preserved saline results in an extremely low rate of infection....
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PMID: 19454925
PDF is available here.
Abstract
The neonatal population is at a particularly high risk for catheter-associated bloodstream infections (CABSI). Chlorhexidine for skin antisepsis is well documented to effectively decrease the incidence of bloodstream infections associated with central venous catheters in other populations. The proje...
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PMID: 19451076
PDF is available here.
Abstract
Antiseptics are commonly applied to prevent or treat wound infections. Many common opinions about antiseptics appear not to be supported by convincing evidence. The aim of this review is to compare such traditional beliefs with currently available evidence. While antiseptics obviously reduce the num...
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PMID: 19785866
PDF is available here.
Abstract
ChloraPrep skin antisepsis did not give a significant reduction in blood culture contamination, but education may have led to the trend to lower contamination....
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PMID: 18848729
PDF is available here.
Abstract
We evaluated hand antisepsis in clinical practice at Aarhus University Hospital in Skejby, Denmark. The rate of compliance with the correct use of alcohol-based hand rub exceeded 55% of all routine clinical procedures observed. With the correct use of alcohol-based hand rub by hospital staff, bacter...
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PMID: 18754741
PDF is available here.
Abstract
The aqueous and alcoholic CG solutions for cutaneous antisepsis were similarly effective in preventing colonization of central venous catheters and arterial catheters. Both had significantly lower incidences of colonization than did the aqueous PI solution; this effect seems to be related to the CG...
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PMID: 18665819
PDF is available here.
Abstract
The expanding use of vascular catheters has increased the need to prevent hazardous infectious complications. Since bloodstream infection is the most common serious complication of indwelling vascular catheters, the proof that a potentially preventive approach is truly protective against clinical in...
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PMID: 18924093
PDF is available here.
Abstract
We read that eminent authorities were advising the use of electric shocks, injection of narcotics into the sac and copious and frequent bleeding, one is hardly suprised. Parry himself suggested that the only remedy would be to open the abdomen and either tie the bleeding vessels or remove the sac en...
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PMID: 18751495
PDF is available here.
Abstract
Spina bifida (SB) is a neural tube defect that causes many physical and mental disabilities. Bowel and bladder incontinence is the disability seen most often in these students that requires the school nurse's attention. Clean intermittent catheterization (CIC) provides the student with SB a vehicle...
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PMID: 18757352
PDF is available here.
Abstract
The achievements of the Hogarth Pringles, father and son, represent a remarkable story of surgical innovation; remarkable not only for the range and significance of their contributions but also because neither of them has been given appropriate recognition for their pioneering work. George Hogarth P...
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PMID: 18653835
PDF is available here.
Abstract
Birth attendant and maternal hand washing with soap and water were associated with significantly lower rates of neonatal mortality. Measures to improve or promote birth attendant and maternal hand washing could improve neonatal survival rates....
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PMID: 18606930
PDF is available here.
Abstract
Iodine and its antibacterial properties have been used for the prevention or management of wound infections for over 150 years. However, the use of solutions (tincture) of iodine has been replaced by the widespread use of povidone-iodine, a water-soluble compound, which is a combination of molecular...
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PMID: 18593388
PDF is available here.
Abstract
Compliance with a hospital protocol on PBC collection technique in adults significantly reduces blood culture contamination....
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PMID: 17761739
PDF is available here.
Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) is increasingly becoming a major source of systemic infection in the community and healthcare settings. The disease is responsible for deaths among individuals without known risk factors and presents a therapeutic challenge for clinicians because of...
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PMID: 18491483
PDF is available here.
Abstract
Richard von Volkmann (1830-1889), one of the most important surgeons of the 19(th) century, is regarded as one of the fathers of orthopaedic surgery. He was a contemporary of Langenbeck, Esmarch, Lister, Billroth, Kocher, and Trendelenburg. He was head of the Department of Surgery at the University...
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PMID: 18196438
PDF is available here.
Abstract
Our study results showed a significant decrease in contamination rates using 2% chlorhexidine and 70% isopropanol (Chloraprep) versus tincture of iodine. Adoption of this technique throughout our institution is expected to result in a savings of 875000 dollars per year, as well as decreased discomfo...
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PMID: 18562871
PDF is available here.
Abstract
The risk of HIV transmission may be increased by certain cultural practices. In Cameroon, these practices include group circumcision of boys using unsterile knives during rites of passage, skin cutting or tribal markings, group breast feeding practices and nose shaving rituals. Since traditional hea...
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PMID: 18649445
PDF is available here.
Abstract
Viral respiratory diseases may be characterized by rapid diffusion in population, that often cause epidemic outbreaks or pandemic. Besides, typical high mutations of involved virus (almost always influenza virus) can reduce the validity of the up to date available vaccine. The achievement of new vac...
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PMID: 19014111
PDF is available here.
Dieth Atafy DA Gaudens,
Nicolas N Moh-Ello,
Michel M Fiogbe,
Emile E Bandre,
Bernard Meledje BM Ossoh,
Jean-Baptiste JB Yaokreh,
Samba S Tembely,
Jean-Christian JC Gouly,
Thierry T Odéhouri,
Ossenou O Ouattara,
Sylvia S da-Silva-Anoma and
Ruffin Dick RD Kobenan
Abstract
During this study period, 108 patients (including two sisters) with a mean age of 22 months were treated for labial fusion (101 cases of total fusion and 7 partial). Only seven were older than 5 years of age. Overall, 84 patients underwent this basic treatment of section and follow-up antisepsis; no...
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PMID: 18684689
PDF is available here.
Abstract
Alcohol rubs used in preparation for surgery by the scrub team are as effective as aqueous scrubbing in preventing SSIs however this evidence comes from only one, equivalence, cluster trial which did not appear to adjust for clustering.Four comparisons suggest that alcohol rubs are at least as, if n...
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PMID: 18254046
PDF is available here.
Abstract
This essay describes the emergence of modern surgery as the construction of a network of control technologies. The theoretica basis of this analysis makes use of Actor Network Theory and Joseph Rouse's Foucaultian approach for characterizing the laboratory as an artificial micro-world. On a concrete...
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PMID: 19244836
PDF is available here.
Abstract
Optimizing the operating room environment is necessary to minimize the prevalence of arthroplasty infection. Reduction of bacterial contamination in the operating room should be a primary focus of all members of the operating room team. However, in recent years, there has been a decline in the empha...
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PMID: 17919585
PDF is available here.
Abstract
The emergence of antibiotic-resistant bacteria together with the limited success of sepsis therapeutics has lead to an urgent need for the development of alternative strategies for the treatment of systemic inflammatory response syndrome and related disorders. Immunomodulatory compounds that do not...
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PMID: 17665972
PDF is available here.
Abstract
The baseline densities (stated as logarithms of colony forming units "log CFU") of the sites to which the agents were applied had statistically equivalent microbial densities. Both agents reduced the density of organisms in a statistically significant manner. Chemical analysis of the gauze samples i...
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PMID: 17660006
PDF is available here.
Abstract
There is clear evidence of the benefit of prophylactic broad-spectrum antibiotics for vascular reconstruction. Many other interventions intended to reduce the risk of infection in arterial reconstruction lack evidence of effectiveness....
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PMID: 17606135
PDF is available here.
Abstract
We currently enjoy. Before attempting to define our modernity and emerging futurism with reinvention, examination of the prolonged and tedious invention is appropriate for perspective. The following examines and recounts the accrual of data and changes in attitude over the stream of history that hav...
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PMID: 18813177
PDF is available here.
Abstract
A healthy ocular surface behaves as a barrier to the penetration of iodine into the AC. Any detectable iodide in the AH after antisepsis should therefore be considered harmless....
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PMID: 17186264
PDF is available here.
Abstract
We know today. Its formation required the marriage of neurosurgery and otology, the introduction of the operating microscope, and advances in surgical technique, anesthesia, and radiology. Along the way, the field also began involving specialists within ophthalmology and craniofacial and plastic and...
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PMID: 17544689
PDF is available here.
Abstract
Measurement of infection remains elusive. A clear difference between contamination and infection is difficult to delineate. In the era of the HIV/AIDS epidemic attention is drawn to host factors, which when attended to are as effective in suppressing infection as antisepsis. The bacterial capacity t...
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PMID: 17496569
PDF is available here.
Abstract
Public outcry over the failure of some of America's best surgeons led to widespread adoption of antiseptic surgery by the late 1880s and introduction of basic science into the medical education by the dawn of the new century....
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PMID: 17222608
PDF is available here.
Abstract
Newborn skin-wiping with chlorhexidine solution once, soon after birth, reduced neonatal mortality only among low birth weight infants. Evidence from additional trials is needed to determine whether this inexpensive and simple intervention could improve survival significantly among low birth weight...
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PMID: 17210728
PDF is available here.
Abstract
The antiseptic effectiveness and acceptability of a commercial alcohol-based waterless (ABWL) and an alcohol-based water-aided (ABWA) scrub solution were compared with a brush-based iodine solution (BBIS) under conditions encountered in community hospital operating rooms. This randomized partially b...
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PMID: 16979793
PDF is available here.