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Clinical significance of intraoperative cultures of aneurysm walls and contents in elective abdominal aortic aneurysmectomy
- Source :
- European Journal of Epidemiology. 5:521-525
- Publication Year :
- 1989
- Publisher :
- Springer Science and Business Media LLC, 1989.
-
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 (chi 2 = 0.4, p greater than 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Epidemiology
Staphylococcus
Intraoperative Period
Aneurysm
medicine
Humans
Clinical significance
In patient
Aorta, Abdominal
Aged
Aged, 80 and over
medicine.diagnostic_test
business.industry
Middle Aged
Staphylococcal Infections
medicine.disease
Anti-Bacterial Agents
Aortic Aneurysm
Blood Vessel Prosthesis
Surgery
Aortic aneurysmectomy
Angiography
Equipment Contamination
Female
Sample collection
business
Vascular graft
Subjects
Details
- ISSN :
- 15737284
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- European Journal of Epidemiology
- Accession number :
- edsair.doi.dedup.....f62d50b2156a0e4c80cbc4acc8a8ff9e