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May 1980

Wound Infections After Transplant Nephrectomy

Author Affiliations

From the Transplant Service, Department of Surgery, Montefiore Hospital and Medical Center and Albert Einstein College of Medicine, New York.

Arch Surg. 1980;115(5):645-646. doi:10.1001/archsurg.1980.01380050067015

• Wound infections after transplant nephrectomy were analyzed retrospectively. When prophylactic antibiotics were not used, 20% of the closed nephrectomy wounds became infected. Eighty-one percent of the infections were due to staphylococcal organisms. Wounds containing a preexisting focus of infection or those reoperated on more than once within a month prior to nephrectomy are at such high risk for infection that these wounds should be left open for secondary healing. With the use of prophylactic cefazolin sodium, in the immediate preoperative and postoperative period, no wound infections have occurred in 18 closed transplant nephrectomy wounds.

(Arch Surg 115:645-646, 1980)

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