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Posthysterectomy wound infection. A review
C Miranda1, J C Alados, J M Molina
1Microbiology Service, Hospital General de Especialidades Virgen de las Nieves General Specialty Hospital, Granada, Spain.
Diagnostic Microbiology and Infectious Disease
|July 1, 1993
Summary
This study investigated infections in gynecologic surgery wounds. Staphylococcus aureus was the most common cause, but Mycoplasma hominis was unexpectedly frequent in patients with abscesses and fever.
Area of Science:
- Gynecologic Surgery
- Infectious Diseases
- Microbiology
Background:
- Surgical site infections (SSIs) are a significant concern in gynecologic procedures.
- Understanding the microbial etiology of SSIs is crucial for effective treatment and prevention.
Purpose of the Study:
- To identify microorganisms isolated from infected gynecologic surgery wounds.
- To determine the prevalence of specific pathogens, including aerobic and anaerobic bacteria, and Mycoplasma hominis.
Main Methods:
- Retrospective review of 88 abdominal wall exudate samples from patients undergoing abdominal hysterectomy between January and December 1990.
- Microbiological culture and analysis to identify isolated microorganisms.
Main Results:
- Positive cultures were obtained in 61.3% of patients.
- Mixed aerobic-anaerobic flora were isolated in 48.1% of positive cultures.
- Staphylococcus aureus was the most frequent single isolate (51.9% of single isolates), followed by Mycoplasma hominis and Escherichia coli. Mycoplasma hominis was notably found in five cases of wall abscess with fever.
Conclusions:
- Staphylococcus aureus is a primary pathogen in gynecologic surgery wound infections.
- The unexpected frequency of Mycoplasma hominis warrants further investigation, particularly in cases presenting with abscess and fever.