Infrainguinal wound infections in vascular surgery: An antiquated challenge without a modern solution

Brittany Aicher; Patrick Curry; Luqman Croal-Abrahams; Scarlett Hao; Richa Kalsi; Nandakumar Menon; Charles Drucker; Donald Harris; Shahab Toursavadkohi; Robert Crawford; Sarah Rosenberger

doi:10.1016/j.jvn.2017.03.002

Infrainguinal wound infections in vascular surgery: An antiquated challenge without a modern solution

J Vasc Nurs. 2017 Sep;35(3):146-156. doi: 10.1016/j.jvn.2017.03.002. Epub 2017 May 26.

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
² Center for Aortic Disease, Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland.
³ Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland; Division of Advanced Practice Providers, Department of Nursing, University of Maryland Medical Center, Baltimore, Maryland. Electronic address: srosenberger1@umm.edu.

PMID: 28838590
DOI: 10.1016/j.jvn.2017.03.002

Abstract

Surgical site infections (SSIs) have always complicated recovery after surgery, being associated with increased cost of hospitalization, length of stay, and mortality. The most significant measure to reduce the incidence of SSI was the standardization of prophylactic antibiotic administration in patients undergoing surgical procedures. Since then, countless measures have been proposed to improve rates of SSI and patient outcome, but few have been as efficacious as prophylactic antibiotics. Therefore, SSI continues to plague clinicians and patients in modern health care. This review focuses on current and future efforts at SSI control.

Publication types

Review

MeSH terms

Antibiotic Prophylaxis*
Groin
Humans
Incidence
Risk Factors
Surgical Wound Infection / etiology
Surgical Wound Infection / prevention & control
Surgical Wound Infection / therapy*
Vascular Surgical Procedures / adverse effects*