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Title: Studies on primary wound infection following clean operations
Author: Logie, John Robert Cunningham
ISNI:       0000 0001 3612 1830
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 1978
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The prevention of post-operative wound infection is still an important aspect of the surgical care of a patient. Recent advances in surgical technique and the advent of new and more potent antibiotics have not diminished its importance. For example, Cruse (1970) noted (in 1967) that wound infection alone cost the Province of Alberta $1,000,000 mainly due to increased hospital stay. In 1973 Alexander estimated the yearly economic loss to the United States due to wound infection to be $9,400 million. In terms of morbidity Irvin and his colleagues (1977) found that the incidence of wound dehiscence and post-operative wound herniation was greater in patients whose wounds became infected. In considering the aetiology of primary infections, many variables are encountered. By operating in a sterile atmosphere such as that provided by the plastic flexible film isolator (Trexler and Reynolds, 1957) some of these variables can be eliminated. A study of the use of such an isolator in total hip arthroplasty has been carried out and forms the first part of the thesis. The results stress the importance of the skin as a possible source of wound contamination. A study of the methods available to reduce this potential source of post-operative infection is made in the second part of this thesis.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available