By Lorenzo Dominioni, Angelo Benevento, Giulio Carcano, Giuseppe Peloni, Renzo Dionigi (auth.), Everardo Zanella (eds.)
General surgical procedure is composed ofa major corpus of propaedeutic parts and medical difficulties, which has been converted through the years via the separate improvement of various sub-specialistic branches. even if a typical foundation at the physiopathology of surgical trauma and submit operative issues persists, because of common wisdom of surgical ailments, there's no doubt that during the spheres of doctrine and alertness, either study and scientific medication have distinctive themselves autonomously in lots of surgical fields (orthopedics, neurosurgery, cardiovascular surgical procedure, thoracic surgical procedure, urology, etc.). it really is consequently tough to outline the current configuration ofgeneral surgical procedure, yet with no query belly surgical procedure occupies a place of pre-eminent significance in the basic framework. we're dealing, actually, with pathological photos which take place in a piece ofthe physique ofvast proportions, within which buildings, organs, and morphologically complicated areas are prepared to hold out very important capabilities. they're, for this reason, topic to significantly advanced pathological changes, resembling to set up a fascinating box of diagnostic dialogue and a thrilling training-ground for surgical job. it may be affirmed that the analysis and therapies ofabdominal surgical ailments represent a try out ofthe surgeon's event. analysis is frequently entrusted to a differential technique, the consequences ofwhich should be proven this day through complementary diagnostics. This, in spite of the fact that, needs to be guided via predominating scientific concerns, the exaggerated use of diagnostic thoughts, indifferent from medical exam, being the reason for very critical mistakes, that can misinform selection making and human touch, that's the root ofcorrect clinical practice.
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The importance of methicillin-resistant S aureus as nosocomial pathogen is now well-established. Because MRSA is often resistant to many antibacterial agents, infections due to this organism are difficult to treat. The recent appearance of strains of S aureus with reduced susceptibility to vancomycin (CMI= 8uglml) causes serious consequences, since there are limited alternative antimicrobial agents for treating serious MRSA infections [9J. Previous reports documented high MICs of teicoplanin, but not of vancomycin, for S aureus and coagulase negative staphylococci clinical isolates [10-12].
Eur J Surg, in press. 22. Wilson C, Heath DI and Imrie CWo Prediction of outcome in acute pancreatitis: a comparative study of APACHE II, clinical assessment and multiple factor scoring systems. Br J Surg 1990; 77: 1260-4. CHAFfER 2 CORRELATION BElWEEN PERI-OPERATIVE BLOOD TRANSFUSION AND POST-OPERATIVE INFECTIVE COMPLICATION. LORENZO DOMINIONI, ANGELO BENEVENTO, GIULIO CARCANO, GIUSEPPE PELONI, FRANCESCA AROVERA, and RENZO DIONIGI Department ofSurgery, University ofPavia in Varese, Varese, Ita~y Introduction Nosocomial infections are the most frequent complications observed in surgical patients.
These problems underline the need for continued and timely surveillance of resistance among bacteria responsible for intra-abdominal infections, and for developing more reliable criteria for the selection ofthe most effective therapy for intra-abdominal infections. Key words: Antimicrobial resistance, intra-abdominal infections. 19 20 G. BRANCA ET AL. Introduction Infections in intra-abdominal organs are an important cause of illness worldwide [1,2]. The microbial etiology is diverse and influenced by several factors.