Wound healing after implant surgery in HIV-positive patients.

We performed a prospective, blind, controlled study on wound infection after implant surgery involving 41 procedures in patients infected with the human immunodeficiency virus (HIV) and 141 in HIV-negative patients. The patients were staged clinically and the CD4 cell count determined. Wound infecti...

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Main Authors: Harrison, W, Lewis, C, Lavy, C
Format: Journal article
Language:English
Published: 2002
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author Harrison, W
Lewis, C
Lavy, C
author_facet Harrison, W
Lewis, C
Lavy, C
author_sort Harrison, W
collection OXFORD
description We performed a prospective, blind, controlled study on wound infection after implant surgery involving 41 procedures in patients infected with the human immunodeficiency virus (HIV) and 141 in HIV-negative patients. The patients were staged clinically and the CD4 cell count determined. Wound infection was assessed using the asepsis wound score. A risk category was allocated to account for presurgical contamination. In HIV-positive patients, with no preoperative contamination, the incidence of wound infection (3.5%) was comparable with that of the HIV-negative group (5%; p = 0.396). The CD4 cell count did not affect the incidence of infection (r = 0.16). When there was preoperative contamination, the incidence of infection in HIV-positive patients increased markedly (42%) compared with that in HIV-negative patients (11%; p = 0.084). Our results show that when no contamination has occurred implant surgery may be undertaken safely in HIV-positive patients.
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spelling oxford-uuid:4e7c8074-768f-4a55-9f30-7f12420849142022-03-26T16:01:24ZWound healing after implant surgery in HIV-positive patients.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4e7c8074-768f-4a55-9f30-7f1242084914EnglishSymplectic Elements at Oxford2002Harrison, WLewis, CLavy, CWe performed a prospective, blind, controlled study on wound infection after implant surgery involving 41 procedures in patients infected with the human immunodeficiency virus (HIV) and 141 in HIV-negative patients. The patients were staged clinically and the CD4 cell count determined. Wound infection was assessed using the asepsis wound score. A risk category was allocated to account for presurgical contamination. In HIV-positive patients, with no preoperative contamination, the incidence of wound infection (3.5%) was comparable with that of the HIV-negative group (5%; p = 0.396). The CD4 cell count did not affect the incidence of infection (r = 0.16). When there was preoperative contamination, the incidence of infection in HIV-positive patients increased markedly (42%) compared with that in HIV-negative patients (11%; p = 0.084). Our results show that when no contamination has occurred implant surgery may be undertaken safely in HIV-positive patients.
spellingShingle Harrison, W
Lewis, C
Lavy, C
Wound healing after implant surgery in HIV-positive patients.
title Wound healing after implant surgery in HIV-positive patients.
title_full Wound healing after implant surgery in HIV-positive patients.
title_fullStr Wound healing after implant surgery in HIV-positive patients.
title_full_unstemmed Wound healing after implant surgery in HIV-positive patients.
title_short Wound healing after implant surgery in HIV-positive patients.
title_sort wound healing after implant surgery in hiv positive patients
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AT lewisc woundhealingafterimplantsurgeryinhivpositivepatients
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