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Related Experiment Videos

Atypical surgical infections.

J B Cone1, R Bradsher, S Golladay

  • 1Department of Surgery, University of Arkansas for Medical Sciences, Little Rock 72205.

American Journal of Surgery
|December 1, 1988
PubMed
Summary

Diagnosing infections in high-risk surgical patients is challenging. Histologic study with special stains, like methenamine silver, improves identification of pathogens, leading to better outcomes.

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Area of Science:

  • Surgical Pathology
  • Infectious Disease Diagnosis
  • Microbiology

Background:

  • Management of surgical infections relies on Gram's stain and cultures.
  • The surgical patient population is increasingly elderly, critically ill, and immunocompromised.
  • Traditional methods often fail to identify pathogens in these complex cases.

Purpose of the Study:

  • To evaluate diagnostic methods for infections in high-risk surgical patients.
  • To address the limitations of traditional microbiologic techniques in this population.
  • To recommend improved diagnostic strategies for timely pathogen identification.

Main Methods:

  • Retrospective analysis of 33 infections in 32 high-risk surgical patients.
  • Comparison of traditional microbiologic techniques with histologic examination.
  • Utilization of special stains, including methenamine silver, and frozen sections.

Main Results:

  • Traditional methods failed to identify the etiologic agents in the majority of cases.
  • Delayed diagnosis was common due to limitations in pathogen identification.
  • Histologic study provided crucial diagnostic information.

Conclusions:

  • Histologic examination with special stains is recommended for diagnosing infections in high-risk surgical patients.
  • Methenamine silver stain and frozen sections are valuable adjuncts.
  • Early recognition of specific etiologic agents is critical for optimal patient outcomes.

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