https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Incidence of surgical site infections and accompanying risk factors in Vietnamese orthopaedic patients https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:598 2 (OR 3.9; 95%CI 1.8-8.8), procedures with external fixation (OR 2.9; 95%CI 1.4-5.9), emergency surgery with motor-vehicle-retated trauma (OR 2.1; 95%CI 1.2-3.9), or duration of procedure > 2 h (OR 2.1; 95%CI 1.1-4.2) were independent risk factors for SSI. Lack of appropriate prophylaxis was of borderline significance (OR 3.2; 95%CI 0.9-11.1, P = 0.06). Among 76 patients with SSIs, 22 patients were discovered during postdischarge follow-up. These late SSIs had age as an additional risk factor (OR 2.8; 95%CI 1.1-7.2). Our data show that SSIs were frequent and differed widely by wound class. The NNIS risk index was predictive of SSI for this population. With a high number of motor vehicle accidents in Vietnam, the majority of orthopaedic operations are trauma related. Emergency surgery for injuries sustained in these accidents, and procedures with external fixation were especially prone to infections.]]> Thu 25 Jul 2013 09:10:37 AEST ]]> The utility of frailty indices in predicting the risk of health care associated infections: A systematic review https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:51382 Mon 04 Sep 2023 09:56:22 AEST ]]> Changes in the cytoplasmic composition of amino acids and proteins observed in Staphylococcus aureus during growth under variable growth conditions representative of the human wound site https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:27773 Staphylococcus aureus is an opportunistic pathogen responsible for a high proportion of nosocomial infections. This study was conducted to assess the bacterial responses in the cytoplasmic composition of amino acids and ribosomal proteins under various environmental conditions designed to mimic those on the human skin or within a wound site: pH6-8, temperature 35-37°C, and additional 0-5% NaCl. It was found that each set of environmental conditions elicited substantial adjustments in cytoplasmic levels of glutamic acid, aspartic acid, proline, alanine and glycine (P< 0.05). These alterations generated characteristic amino acid profiles assessed by principle component analysis (PCA). Substantial alterations in cytoplasmic amino acid and protein composition occurred during growth under conditions of higher salinity stress implemented via additional levels of NaCl in the growth medium. The cells responded to additional NaCl at pH 6 by reducing levels of ribosomal proteins, whereas at pH 8 there was an upregulation of ribosomal proteins compared with the reference control. The levels of two ribosomal proteins, L32 and S19, remained constant across all experimental conditions. The data supported the hypothesis that the bacterium was continually responding to the dynamic environment by modifying the proteome and optimising metabolic homeostasis.]]> Fri 05 Aug 2022 15:55:12 AEST ]]> Cost effectiveness of temporary isolation rooms in acute care settings in Singapore https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:51335 Fri 01 Sep 2023 10:18:03 AEST ]]>