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Titolo:
Vascular graft infections: diagnostic and therapeutic problems.
Autore:
Parola, P; Alimi, Y; Juhan, C; Brouqui, P;
Indirizzi:
Hop Houphouet Boigny, Serv Malad Infect & Trop, F-13326 Marseille 15, France Hop Houphouet Boigny Marseille France 15 p, F-13326 Marseille 15, France
Titolo Testata:
JOURNAL DES MALADIES VASCULAIRES
fascicolo: 3, volume: 24, anno: 1999,
pagine: 194 - 201
SICI:
0398-0499(199906)24:3<194:VGIDAT>2.0.ZU;2-U
Fonte:
ISI
Lingua:
FRE
Soggetto:
IN-SITU REPLACEMENT; PROPHYLACTIC ANTIBIOTICS; AORTIC GRAFTS; DACRON GRAFTS; MANAGEMENT; COMPLICATIONS; EXPERIENCE; BACTERIAL; SURGERY; POLYTETRAFLUOROETHYLENE;
Keywords:
arterial grafts; infection; diagnosis; treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
58
Recensione:
Indirizzi per estratti:
Indirizzo: Brouqui, P Hop Houphouet Boigny, Serv Malad Infect & Trop, Chemin MadragueVille, F-13326 Marseille 15, France Hop Houphouet Boigny Chemin Madrague Ville Marseille France 15
Citazione:
P. Parola et al., "Vascular graft infections: diagnostic and therapeutic problems.", J MAL VASC, 24(3), 1999, pp. 194-201

Abstract

Aortic graft infection is one of the most serious complication of vascularsurgery. While the incidence of such infections has declined over the years, it continues to be associated with high mortality and high rates of limbloss. Graft implanted in the inguinal area have a higher rate of infectionthan those that lie entirely within the abdomen. Infection of the intraabdominal extremities of vascular grafts is most frequently associated with prostheto-enteric fistula. Diagnosis and treatment: Despite the many available sophisticated imaging techniques diagnosis remains difficult, particularly with intra-abdominal grafts because of nonspecific clinical and imaging findings. A variety of approaches to aortic graft infection have been proposed and optimal treatmentusually requires an association of systemic antibiotic administration withsurgery. Removal of the entire infected graft is often necessary for cure and there are only few situations in which conservative treatment is acceptable. A careful identification of the infecting microorganisms and in vitrosusceptibility testing are essential for successful therapy. Prevention : Prevention consists in a strict adherence to principles of asepsis and the use of prophylactic antibiotics in vascular surgery. The use of antibiotics-bound knitted grafts has been recently proposed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 02:25:33