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Surgical Site Infections Complicating the Use of Negative Pressure Wound Therapy in Renal Transplant Recipients
- Source :
- Case Reports in Transplantation, Case Reports in Transplantation, Vol 2019 (2019)
- Publication Year :
- 2019
- Publisher :
- Hindawi Limited, 2019.
-
Abstract
- Surgical site infections (SSI) of the abdominal wall in renal transplant recipients can on occasion require management with negative pressure wound therapy (NPWT). This is often successful, with a low risk of further complications. However, we describe three cases in which persistent or recurrent surgical site sepsis occurred, whilst NPWT was being deployed in adults with either wound dehiscence or initial SSI. This type of complication in the setting of NPWT has not been previously described in renal transplant recipients. Our case series demonstrates that in immunosuppressed transplant recipients, there may be ineffective microbial or bacterial bioburden clearance associated with the NPWT, which can lead to further infections. Hence recognition for infections in renal transplant patients undergoing treatment with NPWT is vital; furthermore, aggressive management of sepsis control with early debridement, antimicrobial use, and reassessment of the use of wound dressing is necessary to reduce the morbidity associated with surgical site infections and NPWT.
- Subjects :
- medicine.medical_specialty
Debridement
business.industry
Wound dehiscence
medicine.medical_treatment
lcsh:Surgery
Case Report
lcsh:RD1-811
030230 surgery
medicine.disease
Surgery
Sepsis
Abdominal wall
Bioburden
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Renal transplant
030220 oncology & carcinogenesis
Management of Technology and Innovation
Negative-pressure wound therapy
medicine
business
Complication
Subjects
Details
- ISSN :
- 20906951 and 20906943
- Volume :
- 2019
- Database :
- OpenAIRE
- Journal :
- Case Reports in Transplantation
- Accession number :
- edsair.doi.dedup.....670ca5e613658c7ba8b812b3f6c32a20