1285. THE INFLUENCE OF MICROLARYNGEAL SURGERY ON THE OROPHARINGEAL COLONISATION AND BACTERIEMIA
Session: Poster Abstract Session: Bacteremia and Endocarditis
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • idweek2013bacteriyemi.pdf (868.0 kB)
  • Background:

    Microlaryngeal surgery (MLS) is a relatively simple and well-tolerated procedure that can provide both diagnostic and therapeutic benefits. There are no data regarding the risk of acquiring bacteremia after MLS. The purpose of this prospective study was to assess the frequency of bacteremia and nosocomial colonization following MLS in patient and to identify possible risk factors for the development of these complications.

     Methods:

    In this study, 55 consecutive patients with benign or malign laryngeal pathologies undergoing microlaryngeal surgery were included between January 2010 and January 2011. In appropriate circumstances of each patient prior to intubation and postoperative 24 hours of throat swab samples were taken in the transport medium of the patients who microlaryngeal surgery planned and underwent surgery. The samples evaluated in Microbiology Department of Mersin University. Blood cultures were performed using BACTEC 9240 (Becton Dickinson, Franklin Lakes, NJ, USA) automated system at postoperative 5. and 24. hours. Each patient also received preoperative and postoperative period, CRP levels in blood samples (BN Prospec, Behring, Germany) were measured. SPPS 16 package program was used for statistical analysis.

    Results:

    The distribution of gender was 45 males  and  10 females with average age of 51.4 (between 23 to 99).  Patients who had malignant lesions (n=17) accounted for 30.9 % of all patients. Preoperative Candida colonization was recovered from the cultures obtained from 9 oropharyngeal specimens (16.4%).  Postoperative oropharyngeal nosocomial bacteria colonization was observed in 14 patients (25.5%).  Nosocomial colonization was found related to malignancy (p=0,014).  CRP levels  of patients before and after surgery were not statistically significant (p>0.05).  Postoperative 5. and 24. hours blood cultures of  all patients  were negative. Postsurgical bacteremia was not observed.

    Conclusion:

    Bacteraemia secondary to orotracheal intubation has been reported to occur in 0-5.3% of patients. We found that the rate of  bacteremia 0%.  This is a lower incidence than occurs in association with other procedures. This could be a well tolerated and precise microsurgical technique which has zero risk of bacteremia.

    Yusuf Vayisoglu1, Cengiz Özcan2, Elif Sahin Horasan, MD3, Candan öztürk2 and Kemal Görür4, (1)Ear Nose Throat, Mersin University Hospital, mersin, Turkey, (2)Mersin University Hospital, mersin, Turkey, (3)Department of Infectious Diseases, Mersin University, Faculty of Medicine, Mersin, Turkey, (4)Mersin University Hospital, Mersin, Turkey

    Disclosures:

    Y. Vayisoglu, None

    C. Özcan, None

    E. S. Horasan, None

    C. öztürk, None

    K. Görür, None

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