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Aneurysm Contents as a Source of Graft Infection

Aneurysm Contents as a Source of Graft Infection Abstract • During the past 5½ years, cultures were taken from 68 of 151 surgically treated aortic aneurysms. These cultures were made from nonblood fluids, laminated clot, necrotic areas of the aneurysm wall, or ulcerated atheromatous plaques. Organisms were harvested from seven of the 68 cultures, including Staphylococcus, Escherichia coli, Pseudomonas, and hemolytic Streptococcus. Prophylactic antibiotics were used in all patients; however, the organisms cultured, excepting Streptococcus, were not sensitive to the chosen antibiotics. Three of the seven patients with a positive aneurysm culture died of causes unrelated to infection. Evidence of graft infection has not developed in four surviving patients with positive cultures. Knowledge of the presence of bacteria permitted massive antibiotic therapy based on organism sensitivity. (Arch Surg 112:415-416, 1977) References 1. Szilagyi DE, Smith RF, Elliott JP, et al: Infection in arterial reconstruction with synthetic grafts . Ann Surg 176:321-333, 1972.Crossref 2. Hoffert PW, Gensler S, Haimovici H: Infection complicating arterial grafts . Arch Surg 90:427-435, 1965.Crossref 3. Fry WJ, Lindenauer M: Infection complicating the use of plastic arterial implants . Arch Surg 94:600-609, 1967.Crossref 4. Goldstone J, Moore WS: Infection in vascular prostheses: Clinical manifestations and surgical management . Am J Surg 128:225-233, 1974.Crossref 5. Jarrett F, Darling D, Mundth ED, et al: Experience with infected aneurysms of the abdominal aorta . Arch Surg 110:1281-1286, 1975.Crossref 6. Bennett DE, Cherry JK: Bacterial infection of aortic aneurysms: A clinicopathologic study . Am J Surg 113:321-326, 1967.Crossref 7. Spanos PK, Gilsdorf LB, Sako Y, et al: The management of infected abdominal aortic grafts and graft-enteric fistulas . Ann Surg 183:397-400, 1976.Crossref 8. Weber TR, Lindenauer SM, Miller TA, et al: Focal infection of aortofemoral prostheses . Surgery 79:310-312, 1976. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Aneurysm Contents as a Source of Graft Infection

Archives of Surgery , Volume 112 (4) – Apr 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370040067010
Publisher site
See Article on Publisher Site

Abstract

Abstract • During the past 5½ years, cultures were taken from 68 of 151 surgically treated aortic aneurysms. These cultures were made from nonblood fluids, laminated clot, necrotic areas of the aneurysm wall, or ulcerated atheromatous plaques. Organisms were harvested from seven of the 68 cultures, including Staphylococcus, Escherichia coli, Pseudomonas, and hemolytic Streptococcus. Prophylactic antibiotics were used in all patients; however, the organisms cultured, excepting Streptococcus, were not sensitive to the chosen antibiotics. Three of the seven patients with a positive aneurysm culture died of causes unrelated to infection. Evidence of graft infection has not developed in four surviving patients with positive cultures. Knowledge of the presence of bacteria permitted massive antibiotic therapy based on organism sensitivity. (Arch Surg 112:415-416, 1977) References 1. Szilagyi DE, Smith RF, Elliott JP, et al: Infection in arterial reconstruction with synthetic grafts . Ann Surg 176:321-333, 1972.Crossref 2. Hoffert PW, Gensler S, Haimovici H: Infection complicating arterial grafts . Arch Surg 90:427-435, 1965.Crossref 3. Fry WJ, Lindenauer M: Infection complicating the use of plastic arterial implants . Arch Surg 94:600-609, 1967.Crossref 4. Goldstone J, Moore WS: Infection in vascular prostheses: Clinical manifestations and surgical management . Am J Surg 128:225-233, 1974.Crossref 5. Jarrett F, Darling D, Mundth ED, et al: Experience with infected aneurysms of the abdominal aorta . Arch Surg 110:1281-1286, 1975.Crossref 6. Bennett DE, Cherry JK: Bacterial infection of aortic aneurysms: A clinicopathologic study . Am J Surg 113:321-326, 1967.Crossref 7. Spanos PK, Gilsdorf LB, Sako Y, et al: The management of infected abdominal aortic grafts and graft-enteric fistulas . Ann Surg 183:397-400, 1976.Crossref 8. Weber TR, Lindenauer SM, Miller TA, et al: Focal infection of aortofemoral prostheses . Surgery 79:310-312, 1976.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1977

References