Severe rapidly progressing multi‑resistant polymicrobial surgical site infection after elective abdominoplasty: a case report.
Abstract
[BACKGROUND] Adverse events following elective cosmetic surgery can raise concerns about patient safety, particularly in facilities with variable oversight of infection‑prevention practices. Severe early‑onset postoperative infections caused by multidrug‑resistant organisms may indicate system‑level failures in sterile processing or infection control protocols.
[CASE PRESENTATION] We report a rapidly progressing polymicrobial multidrug‑resistant surgical site infection in a previously healthy woman seven days after elective abdominoplasty with liposuction and lipofilling. The patient experienced early clinical deterioration requiring multiple emergency debridements, intensive care admission, prolonged antimicrobial therapy, negative‑pressure wound management, and eventual skin grafting. Microbiology revealed evolving multidrug‑resistant , ESBL‑producing Enterobacterales, , and species. The severity, early onset, and unusual microbiological profile raised concerns for a possible sterilization or infection‑control breach at the original surgical facility.
[CONCLUSION] Early severe postoperative infections following elective procedures may signal underlying system failures rather than isolated clinical complications. Strengthening sterile processing oversight, improving infection‑control auditing, and ensuring timely escalation of care are critical to preventing similar events and safeguarding patient safety.
[CASE PRESENTATION] We report a rapidly progressing polymicrobial multidrug‑resistant surgical site infection in a previously healthy woman seven days after elective abdominoplasty with liposuction and lipofilling. The patient experienced early clinical deterioration requiring multiple emergency debridements, intensive care admission, prolonged antimicrobial therapy, negative‑pressure wound management, and eventual skin grafting. Microbiology revealed evolving multidrug‑resistant , ESBL‑producing Enterobacterales, , and species. The severity, early onset, and unusual microbiological profile raised concerns for a possible sterilization or infection‑control breach at the original surgical facility.
[CONCLUSION] Early severe postoperative infections following elective procedures may signal underlying system failures rather than isolated clinical complications. Strengthening sterile processing oversight, improving infection‑control auditing, and ensuring timely escalation of care are critical to preventing similar events and safeguarding patient safety.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 합병증 | infection
|
감염 | dict | 4 | |
| 시술 | abdominoplasty
|
복부성형술 | dict | 2 | |
| 합병증 | surgical site infection
|
감염 | dict | 2 | |
| 시술 | liposuction
|
지방흡입 | dict | 1 | |
| 시술 | skin grafting
|
피부이식 | dict | 1 | |
| 해부 | lipofilling
|
scispacy | 1 | ||
| 해부 | skin
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | infection‑control
|
scispacy | 1 | ||
| 약물 | [BACKGROUND]
|
scispacy | 1 | ||
| 질환 | polymicrobial
|
scispacy | 1 | ||
| 질환 | postoperative infections
|
C0392618
Postoperative infection
|
scispacy | 1 | |
| 기타 | patient
|
scispacy | 1 |
📑 인용 관계
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