Microbiology of surgical site infections after gastrointestinal surgery in the south region of The Netherlands.

Aim: To give an overview of the microbiology of blood and wound samples from surgical site infections (SSIs) after gastrointestinal surgery, as well as the antimicrobial susceptibility of the microorganisms involved, and to discuss the appropriateness of the prophylactic antibiotics administered.

Materials & Methods: During a 3.5-year study period, wound swabs and blood samples of patients with an SSI were taken in the first 48 h after surgery until 30 days thereafter.

Cross-sectional study on surveillance of surgical site infections after vascular surgery.

Aims: To determine the incidence and risk factors for surgical site infections (SSI) after vascular surgery, to evaluate the Dutch safety bundle to reduce adverse complications and to analyze causative microorganisms of SSIs.

Materials & Methods: The 3.5-year study was divided into two periods: the control period (before bundle implementation) and intervention period (after implementation).

Outcome of nonheart-beating donor kidneys with prolonged delayed graft function after transplantation.

Nonheart-beating donor (NHBD) kidneys are frequently associated with delayed graft function (DGF), with a deleterious effect on kidney function and allograft survival. The influence and the duration of DGF on the outcome of NHBD kidneys are assessed. All recipients of an NHBD kidney in the period 1993-2003 were reviewed.

Vitamin K status and parenteral nutrition; the effect of Intralipid on plasma vitamin K1 levels.

Parenteral nutrition may affect the patient's vitamin K status. This imposes a risk when using drugs that interfere with the vitamin K-dependent clotting factor synthesis, such as N-methyl-thiotetrazole-containing cephalosporins. Intravenous lipid emulsions based on plant oils may contain phylloquinone (vitamin K1).