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Hernia
Published in: Hernia 4/2020

01-08-2020 | Candida Balanitis | Original Article

Usefulness of sonication procedure in mesh infection diagnosis associated with hernia repair

Authors: L. Salar-Vidal, J. J. Aguilera-Correa, E. Petkova, N. Carrasco-Antón, A. Celdrán, J. Esteban

Published in: Hernia | Issue 4/2020

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Abstract

Background

The use of prosthetic meshes is a common practice in hernia repair surgery. However, infection can appear as an important complication where antibiotic selection must be directed by the etiology of the infection. In recent years, sonication has appeared as an important tool for the diagnosis of many biomaterial-associated infections. Here, we evaluated our experience with this methodology for the diagnosis of mesh infection.

Methods

We retrospectively reviewed the microbiological records between 2015 and 2019 looking for sonicated meshes in the microbiology laboratory. All samples were processed according to the sonication protocol described by Esteban J et al. (J Clin Microbiol. 2008 Feb; 46 (2): 488–92).

Results

26 samples were processed during the study period. 21 of them gave a positive result for culture (11 polymicrobial and 10 monomicrobial ones). Staphylococcus aureus and Candida albicans were the commonest monomicrobial isolates (4 cases each). There were five cases of mixed gut microbiota. The median (interquartile range) UFC count was > 100,000 (50,000- > 100,000) CFU/mL.

Conclusion

Sonication is a useful technique for the diagnosis of mesh infection.
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Metadata
Title
Usefulness of sonication procedure in mesh infection diagnosis associated with hernia repair
Authors
L. Salar-Vidal
J. J. Aguilera-Correa
E. Petkova
N. Carrasco-Antón
A. Celdrán
J. Esteban
Publication date
01-08-2020
Publisher
Springer Paris
Published in
Hernia / Issue 4/2020
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-02118-0

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