Pathogens and drug resistance of surgical site infection after tension-free inguinal hernia repair in adults:a case series
Background Surgical site infection after tension-free hernia repair is crucial because once it happens,it is likely to develop into delayed and unhealed incision,leading to surgical failure,or even re-operation.To investigate the pathogens and the drug resistance of surgical site infection after tension-free inguinal hernia repair.Methods This was a retrospective analysis of 80 patients who underwent debridement surgery due to infection after inguinal hernia repair from January 2010 to December 2015 at the Beijing Chaoyang Hospital.Purulent secretions were collected to conduct bacterial culture and drug resistance analysis before and during debridement surgery.Results Preoperative bacterial culture results were positive in 62 patients(78%),which were mainly Gram-positive bacteria(42 patients,68%).Intraoperative bacterial cultureshowed positive resultsin 52 patients(65%),which were mainly Gram-positive bacteria(31 patients,59.6%).Gram-positive bacteria,mainly represented by Staphylococcus aureus,showed strong resistance to penicillin and sulfamethoxazole/trimethoprim,and low resistance to quinolone drugs,both pre-and intraoperatively.Gram-negative bacteria,mainly represented by Escherichia coli,showed strong resistance to ampicillin,and low resistance to quinolone drugs,both pre-and intraoperatively.Conclusion Various pathogens were responsible for surgical site infection after tension-free inguinal hernia repair.Gram-positive bacteria were the main pathogens.Pathogens showed different resistance rates to various antibiotics.Antibiotic combinations could be consideredat the early stage of infection and should be adjusted according to the results of drug sensitivitytestsduring the course of treatment.
Inguinal hernia tension-free inguinal hernia repair surgical site infection bacterial culture antibiotics
Yilin Zhu Minggang Wang Guangyong Zhang Yingmo Shen Jie Chen Hongming Zhang Shuo Yang Yuchen Liu Jinxin Cao
Department of Hernia and Abdominal Wall Surgery,Beijing Chao-Yang Hospital,Capital Medical Universit Department of General Surgery,Qilu Hospital of Shandong University,Jinan 250012,Shandong,China Department of General Surgery,The First Hospital affiliated to Zhangjiakou University,Zhangjiakou 07
国内会议
北京
英文
1-13
2017-05-19（万方平台首次上网日期，不代表论文的发表时间）