Anaerobic and aerobic bacteriology in head and neck cancer surgery.

Anaerobic and aerobic bacteriology in head and neck cancer surgery. Research Abstract Details 

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Anaerobic and aerobic bacteriology in head and neck cancer surgery. Abstract Text:

A prospective study of wound infections following major head and neck cancer surgery was undertaken to define a rational approach to trials of antibiotic prophylaxis and initial therapy of these infections. Preoperative aerobic cultures were taken from the planned site of skin incision and from the oropharynx. Both aerobic and anaerobic cultures were obtained from all wound infections. Patients receiving prophylactic antibiotics were excluded from the study. The data indicate that preoperative cultures are not usually predictive of the bacteriology of subsequent wound infection. Mixed aerobic and anaerobic flora were cultured from most wound infections, and usually reflected normal anaerobic oropharyngeal flora, exogenously acquired Staphylococcus aureus, or both. Bacteroides fragilis was not cultured in this series. Antibiotics selected for trials of prophylaxis or initial treatment of these infections should cover both the resident oral aerobic and anaerobic flora and S aureus. Coverage for B fragilis does not appear necessary. Antibiotic choices might include penicillin G plus a penicillinase-resistant penicillin or a parenteral cephalosporin.

Anaerobic and aerobic bacteriology in head and neck cancer surgery. Publishing Authors By Initials

For similar bacterial infections and mycoses: infection: wound infection: surgical wound infection research abstracts see: bacterial infections and mycoses: infection: wound infection: surgical wound infection research

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Anaerobic and aerobic bacteriology in head and neck cancer surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Transactions. Section on Otolaryngology. American

VOLUME: 84

Page Numbers: ORL592-602

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ISSN: 0161-696X

DAY: 26

MONTH: 02

YEAR: 2008

Anaerobic and aerobic bacteriology in head and neck cancer surgery. Information

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LANGUAGE: eng

NlmUniqueID: 101227538

Anaerobic and aerobic bacteriology in head and neck cancer surgery. Keywords Mesh Terms:

KEYWORDS: Surgical Wound Infection

MESH TERMS: microbiology

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Country: UNITED STATES

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MEDLINETA: Trans Sect Otolaryngol Am Acad

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