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Amaç: Yenidoğanlarda politetrafloroetilen (PTFE) greftlerle karın duvarı kapatılması sonrası greft enfeksiyonlarının (GI) klinik özelliklerini ve tedavisini değerlendirmek için retrospektif bir çalışma yapılmıştır. Yöntem: Greft onarımı yapılan yenidoğanlar yaş, cinsiyet, doğum ağırlığı, gebelik haftası ve greft enfeksiyonu gelişimi açısından retrospektif olarak değerlendirildi. Bulgular: 13 yenidoğandan beşinde (%38,5) GI klinik bulguları gelişti. Greft onarımı yapılan hastalar 10’u konjenital diyafragma hernisi (%76,9), biri omfalosel (%7,6) ve ikisi gastroşizis (%15,3) idi. Tüm olguların ortalama gebelik yaşı ve doğum ağırlıkları 37.4 hafta, 2985 g (1750-3850 g) ve GI enfeksiyonu olan yenidoğanların ortalama gebelik yaşı ve doğum ağırlıkları 38 hafta, 2920 g (1750-3600 g) idi. Yara kültürlerinde en sık Staphylococcus aureus (n = 4) izole edildi. Bir yenidoğanda sepsis kliniği ve pozitif kan kültürü olması nedenli greft çıkarıldı. Sonuç: Yenidoğanlarda PTFE ile yapılan karın ön duvarı onarımlarının yaklaşık 1/3’ünde GI meydana gelebilir.
Purpose: A retrospective study was conducted to evaluate the clinical characteristics and treatment of post-gravity infection (GI) with polytetrafloroetylene (PTFE) infection in newborns. Method: Greft repair newborns were evaluated as retrospective in terms of age, gender, birth weight, week of pregnancy and development of greft infection. Results: Five of 13 newborns (38.5%) developed GI clinical findings. 10 patients with greft repair were congenital diyarragma hernia (%76.9), one omphalose (%7.6) and both gastrochysis (%15.3). The average pregnancy age and birth weight of all cases was 37.4 weeks, 2985 g (1750-3850 g) and the average pregnancy age and birth weight of newborns with GI infection was 38 weeks, 2920 g (1750-3600 g). In the wound cultures, the most common is Staphylococcus aureus (n = 4) isolated. In a newborn, a sepsis clinic and a positive blood culture were caused by the graft was removed. The result: about 1/3 of the breast front wall repairs made with PTFE in newborns may occur in GI.
Objective: A retrospective study is performed to evaluate the clinical features and treatment of graft infections (GI) after abdominal wall closure with polytetrafleuroethylene (PTFE) grafts in neonates. Methods: Neonates with graft repair were evaluated for age, sex, birth weight, gestational week and development of GI retrospectively. Results: Among 13 neonates, five (38.5%) of them developed clinical findings of GI. The indications of graft repair were congenital diaphragmatic hernia (n=10, 76.9%), omphalocele (n=1, 7.6%) and gastroschisis (n=2, 15.3%). The mean gestational age and birth weights of all cases were 37.4 weeks, 2985 g (1750-3850 g) and 38 weeks, 2920 g (1750-3600 g) in neonates with GI. Staphylococcus aureus (n=4) was the most common isolated microorganism in wound cultures. The graft was removed in one of the neonates with positive blood steam cultures and clinical findings of sepsis. Conclusion: GI may occur in approximately one third of the abdominal wall repairs with PTFE in neonates.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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