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Surgical Site Infections in Patients With Human Immunodeficiency Virus
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The article by Saltzman et al1 represents a comprehensive review of the surgical management of the clinical manifestations of AIDS. A further and controversial issue that could be of interest relates to the risk of surgical site infections (SSI) in human immunodeficiency virus (HIV)-infected patients undergoing surgical intervention. Indeed, the role of HIV infection in determining complications of surgery is controversial,2 and few studies are available that document HIV-infected individuals having a higher risk of developing infectious complications after surgery.3
In our prospective multicenter study on SSI infections in patients with HIV, preliminary data on 75 interventions found an 18.7% (14/75) rate of SSI, including 10, 1, and 3 superficial, deep, and organ/space SSIs, respectively. All patients received antimicrobial perioperative chemoprophylaxis. The rate of SSI was 17.4%, 17.4%, and 33.3% for clean, clean/contaminated, and contaminated/dirty SSIs, respectively. The rate according to the National Nosocomial Surveillance System index risk was 0% . . . [Full Text of this Article] AUTHOR INFORMATION
Nicola Petrosillo, MD;
Angelo Pan, MD;
Vincenzo Puro, MD for the Gruppo HIV e Infezioni Ospedaliere
RELATED LETTER
The Surgeon and AIDS: Twenty Years Later
Darin J. Saltzman, Russell A. Williams, Dmitri V. Gelfand, and Samuel E. Wilson
Arch Surg. 2005;140(10):961-967.
ABSTRACT
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RELATED ARTICLE
Surgical Site Infections in Patients With Human Immunodeficiency VirusReply
Samuel E. Wilson and Russell Williams
Arch Surg. 2006;141(6):612.
EXTRACT
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