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At least 271 records · Page 15Linked to original sources
PubMed1993

[Ways to improve ambulatory care for patients with surgical infection].

A deep analysis of purulent surgical diseases and purulent complications in 5,780 out-patients was conducted by means of a specially worked out punch card. Four groups were identified posttraumatic purulent complications--accidental wounds, abscesses, phlegmons, panaris, regional lymphadenitis, osteomyelitis, etc.--3,274 (56.6%); purulent diseases--furuncle, carbuncle, suppurating atheroma, hidradenitis, etc.--2,208 (38.2%); postoperative purulent complications--155 (2.7%), and postinjection purulent complications--143 (2.5%). The prevailing therapeutic measures were surgery and antiseptic agents used during treatment (for irrigation and dressings) of the wounds; the efficacy of these agents was of great significance. The effect of three antiseptics was studied: nitrofurazone 1:5000, dimexid, and electrochemically activated water with pH-2.4. The two first antiseptics were applied both in the first and second phases of inflammation, activated water with pH 2.4 was used only in the first phase, and activated water with pH 11.3 was used in wound dressing in the second stage of healing. The average duration of temporary incapacity was 19.7 +/- 3.2 days in 2,661 patients treated with 1:5000 nitroturazone, 16.2 +/- 2.2 days in 2,700 patients treated with dimexid, and 10.3 +/- 1.4 days in 419 patients treated with activated water. Depending on the methods of wound treatment, the economical losses per patient were 1,380, 982, and 624 roubles, respectively.

Adult↗
PubMed1993

Linear bacterial dissection.

An unusual case of an erythematous indurated arcuate plaque with a curvilinear appearance was noted after a patient manipulated an ingrown beard hair. During removal of a biopsy specimen, a purulent discharge was expressed that had evidently dissected through the dermis forming this interesting shape. This may be similar to a recently reported entity described by Shelley and Shelley as linear bacterial dissection. Culture of the discharge grew Staphylococcus aureus and Klebsiella pneumoniae. Complete resolution occurred after drainage and antibiotic therapy. Cellulitis and erysipelas typically do not show central clearing or form arcuate plaques. Aside from lymphangitis, thrombophlebitis, and sinus tracts of carbuncles, dermal infectious processes rarely present as linear or arcuate plaques. The differential diagnosis and a review of the literature are presented.

Adult↗
PubMed1977

[Complications of a paranephric novocaine block for renal colic].

Under observation were 12 patients, in whom following paranephral novocain blockade subcapsular and paranephral hematomas, purulent paranephritis, abscesses and carbuncles of the kidneys developed. All patients were subjected to surgery. In such cases to eliminate renal colic it would be more safe to perform other kinds of theapeutic procedures (the injection of spasmolytic, the blockade after M. Ju. Lorin-Epshtein method, etc) which are not at all inferior in their effect to paranephral novocain blockade.

Adult↗
PubMedDate not supplied

[The surgical treatment of suppurative destructive forms of acute pyelonephritis in pregnant women].

The paper presents the results of surgical treatment of pyodestructive pyelonephritis diagnosed in 111 puerperae and gravidae. Suppurative nephritis, carbuncle and abscess of the kidney ran as unilateral (94 patients, 84.7%) or bilateral (16 patients, 14.4%) process. The diagnosis of pyodestructive pyelonephritis of the solitary kidney was made in 1 gravida. The outcomes of pyodestructive pyelonephritis in puerperae and gravidae depend primarily on individual approach to therapy. Different operative interventions warranted a complete response in 97.3% of the gravidae. 96 of 108 gravidae operated on the kidneys delivered viable neonates. Early operative interventions in many cases preserved the kidney and prevented septic complications. Pyodestructive changes restricted to 1-2 segments of the kidney were effectively treated by nephrostomy. Bilateral pyodestructive pyelonephritis should be managed step-by-step starting at the side of the most evident symptoms. Two-stage bilateral lumbotomy with nephrostomy in combination with antibacterial therapy and plasmapheresis eliminated septic complications thus allowing normal development of the fetus. Nephrectomy is the best treatment in advanced pyodestructive lesion with severe life-threatening septic intoxication.

Acute Disease↗
PubMed1997

Cellulitis after hip surgery: long-term follow-up of seven cases.

Cellulitis of the buttock after hip surgery is rarely reported, but raises concern about possible infection of the implant. In view of this we have investigated the frequency of previous hip surgery in patients with cellulitis of the hip and/or buttock and assessed for any predisposing factors. A review was made of the case notes of all patients admitted to our department with infectious cellulitis of the hip and/or buttock between 1981 and 1995. Seven of nine patients previously had had implantation of a hip prosthesis. The interval between skin infection and surgery was 7-9 weeks in two patients and 55-520 weeks in five. No infection of the implant was evident. The assumed portals of entry were gluteal fold intertrigo, tinea pedis, psoriatic plaque and a carbuncle of the buttock. The infection was successfully treated by intravenous antibiotics and, after a follow-up of a mean 64 months, no recurrence of cellulitis has been observed and only one aseptic loosening has occurred. Infectious cellulitis of the hip or buttock following hip surgery can occur secondary to impaired lymphatic drainage, a few weeks up to several years after surgery, without there being any infection of the orthopaedic implant.

Aged↗
PubMed1998

[The new-generation laser surgical apparatus Doktor in the combined treatment of stomatological disease in an outpatient setting].

Presents the design, technological characteristics (wavelength 10.6 mu cm, power up to 7 W, permanent mode) of a new-generation surgical laser Doktor and its use in the treatment of dental and maxillofacial diseases (diseases of the periodontium and buccal mucosa, pericoronitis, trophic ulcers, retention cysts, furuncles and carbuncles of the skin of the neck and face, odontogenic inflammatory processes, injuries, tumors) and in reconstructive, plastic, and cosmetologic surgery.

Combined Modality Therapy↗
PubMed1964

METHICILLIN-INDUCED LYSOZYME-SENSITIVE FORMS OF STAPHYLOCOCCI.

Aldrich, K. M. (The University of Kansas, Lawrence), and C. P. Sword. Methicillin-induced lysozyme-sensitive forms of staphylococci. J. Bacteriol. 87:690-695. 1964.-Staphylococcus aureus and S. epidermidis grown in the presence of sublethal amounts of methicillin were converted to enlarged spheres within 2 to 4 hr, as shown by phase microscopy, Gram stain, and electron microscopy. Addition of lysozyme to cells incubated in the presence of methicillin, and to methicillin-induced spheres suspended in hypotonic saline, caused lysis of methicillin-treated cells but not of untreated cells.

Bacteriolysis↗