Clue cells in predicting infections after abdominal hysterectomy

Article Abstract:

Preexisting vaginal infection (bacterial vaginosis) may increase the risk of surgical infection after an abdominal hysterectomy (removal of the uterus). A definitive sign of bacterial vaginosis is the presence of clue cells in a vaginal discharge sample; clue cells are vaginal epithelial cells that are covered with bacteria. In an attempt to identify possible risk factors for the development of infection after an abdominal hysterectomy, samples of vaginal discharge were obtained from 70 women before they underwent surgery. The subjects had an average age of 44 years, and the range was 33 to 54 years. Clue cells were found in almost 29 percent of the samples (20 of 70 women). Nineteen patients developed infections, specifically wound infections (two cases), vaginal cuff infections (nine cases), and urinary tract infections (eight cases). Thirty-five percent of the women with clue cells and only 8 percent of the women without clue cells developed either vaginal cuff or wound infections. There was no difference in the rate of urinary tract infection according to presence or absence of clue cells. These results suggest that the presence of vaginal infection, identified by clue cells, increases the patient's risk for developing postoperative infection after hysterectomy. (Consumer Summary produced by Reliance Medical Information, Inc.)

Complications and side effects, Surgery, Postoperative complications, Bacterial infections, Vaginosis, Hysterectomy

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Surgical site infection and the routine use of perioperative hyperoxia in a general surgical population: a randomized controlled trial

Article Abstract:

Giving surgery patients increased oxygen during the operation may not reduce the risk of a surgical wound infection and may even increase the risk, according to a study of 165 patients. One-fourth of the patients who received 80% oxygen developed a surgical wound infection compared to 11% of the patients who received 35% oxygen. Patients who developed a surgical wound infection stayed twice as long in the hospital on average as those who did not.

Health aspects, Prevention, Risk factors, Oxygen therapy, Surgical wound infections

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