Association of suction drain tips culture with postoperative infection in benign thyroid surgeries

Seyed Ziaeddin Rasihashemi, Faeze Daghigh, Ali Ramouz, Mitra Niafar, Reza Movassaghi Gargari


Introduction: Wound infection is a rare complication after thyroid surgery. Because of controversy concerning with routine use of the drain by surgeons and its being considered a foreign body material, we aimed to evaluate the clinical significance and relevance of the drain tip culture and wound infection. Materials and methods: From March 2014 to March 2015, 150 consecutive patients undergoing thyroid surgery were studied. Wound infection was defined as occurring within the first 14 days from surgery. While we were suspicious to wound infection, sterile wound sampling was performed and sent to microbiology laboratory. Results: Postoperative infection developed in 4 patients (2.6%) during 2 weeks follow up. The sensitivity and specificity of the drain tip culture were 15% and 82%, respectively with a positive predictive value of 7.6%. Prolonged operative time was an independent risk factor for wound infection. There was no significant relationship between drain tip culture and wound infection. Conclusion: Routine use of the surgical drain can increase the incidence of the wound infection. However, the drain tip culture was not a predictor for wound complications after thyroid surgeries.


Thyroid; Wound infection; Drain; Culture;

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Morrissey AT, Chau J, Yunker WK, Mechor B, Seikaly H, Harris JR (2008) Comparison of drain versus no drain thyroidectomy: randomized prospective clinical trial. Journal of Otolaryngology 37 (1):43-47

Khanzada TW, Samad A, Memon W, Kumar B (2010) Post thyroidectomy complications: the Hyderabad experience. J Ayub Med Coll Abbottabad 22 (1):65-68

Schoretsanitis G, Melissas J, Sanidas E, Christodoulakis M (1998) Does draining the neck affect morbidity following thyroid surgery? The American surgeon 64 (8):778

Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R (1998) The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Annals of surgery 228 (3):320

Abboud B, Sleilaty G, Rizk H, Abadjian G, Ghorra C (2012) Safety of thyroidectomy and cervical neck dissection without drains. Canadian Journal of Surgery 55 (3):199

Duclos A, Peix J-L, Colin C, Kraimps J-L, Menegaux F, Pattou F, Sebag F, Touzet S, Bourdy S, Voirin N (2012) Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. BMJ 344:d8041

Lefevre JH, Tresallet C, Leenhardt L, Jublanc C, Chigot J-P, Menegaux F (2007) Reoperative surgery for thyroid disease. Langenbeck's Archives of Surgery 392 (6):685-691

Goldfarb M, Perry Z, Hodin RA, Parangi S (2011) Medical and surgical risks in thyroid surgery: lessons from the NSQIP. Annals of surgical oncology 18 (13):3551-3558

Robertson ML, Steward DL, Gluckman JL, Welge J (2004) Continuous laryngeal nerve integrity monitoring during thyroidectomy: does it reduce risk of injury? Otolaryngology--Head and Neck Surgery 131 (5):596-600

Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, Pelizzo MR, Pezzullo L (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World journal of surgery 28 (3):271-276

Corsten M, Johnson S, Alherabi A (2005) Is suction drainage an effective means of preventing hematoma in thyroid surgery? A meta-analysis. Journal of otolaryngology 34 (6):415-417

Woods R, Woods J, Duignan E, Timon C (2014) Systematic review and meta‐analysis of wound drains after thyroid surgery. British Journal of Surgery 101 (5):446-456

Hurtado‐López LM, López‐Romero S, Rizzo‐Fuentes C, Zaldívar‐Ramírez FR, Cervantes‐Sánchez C (2001) Selective use of drains in thyroid surgery. Head & neck 23 (3):189-193

Nogueira C (2012) Drain or no drain after thyroid surgery? An evidence based audit.

Ozlem N, Ozdogan M, Gurer A, Gomceli I, Aydin R (2006) Should the thyroid bed be drained after thyroidectomy? Langenbeck's Archives of Surgery 391 (3):228-230

Tabaqchali M, Hanson J, Proud G (1999) Drains for thyroidectomy/parathyroidectomy: fact or fiction? Annals of the Royal College of Surgeons of England 81 (5):302

Elfenbein DM, Schneider DF, Chen H, Sippel RS (2014) Surgical site infection after thyroidectomy: a rare but significant complication. journal of surgical research 190 (1):170-176

Woo SH, Kim JP, Park JJ, Shim HS, Lee SH, Lee HJ, Won SJ, Son HY, Kim RB, Son Y-I (2013) Comparison of natural drainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study. Yonsei medical journal 54 (1):204-208

Chalya P, Gilyoma J, Mchembe M (2011) Drain versus no drain after thyroidectomy: a prospective randomized clinical study. East and Central African Journal of Surgery 16 (2):55-61

Urban JA (2006) Cost analysis of surgical site infections. Surgical infections 7 (S1):s19-s22

Bergenfelz A, Jansson S, Kristoffersson A, Mårtensson H, Reihnér E, Wallin G, Lausen I (2008) Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbeck's Archives of Surgery 393 (5):667-673

Dionigi G, Rovera F, Boni L, Dionigi R (2008) Surveillance of surgical site infections after thyroidectomy in a one-day surgery setting. International Journal of Surgery 6:S13-S15

Buerba R, Roman SA, Sosa JA (2011) Thyroidectomy and parathyroidectomy in patients with high body mass index are safe overall: analysis of 26,864 patients. Surgery 150 (5):950-958

De Palma M, Grillo M, Borgia G, Pezzullo L, Lombardi CP, Gentile I (2013) Antibiotic prophylaxis and risk of infections in thyroid surgery: results from a national study (UEC—Italian Endocrine Surgery Units Association). Updates in surgery 65 (3):213-216

Durkin MJ, Dicks KV, Baker AW, Moehring RW, Chen LF, Sexton DJ, Lewis SS, Anderson DJ (2015) Postoperative infection in spine surgery: does the month matter? Journal of Neurosurgery: Spine:1-7

Rasilainen SK, Juhani MP, Kalevi LA (2015) Microbial colonization of open abdomen in critically ill surgical patients. World Journal of Emergency Surgery 10 (1):1-8

Yamauchi Y, Isaka M, Maniwa T, Takahashi S, Kurai H, Ohde Y (2013) Chest tube tip culture as a predictor of postoperative infection in lung cancer operations. The Annals of thoracic surgery 96 (5):1796-1802

Nishikawa K, Hanyuu N, Yuda M, Tanaka Y, Matsumoto A, Yasue H, Hayashi T, Kawano S, Usuba T, Iino T (2008) How can we control intraoperative bacterial contamination and surgical-site infection during an anterior resection or Hartmann’s/Miles’ operation? Journal of Gastrointestinal Surgery 12 (11):1995-2000

Claesson BE, Holmlund DE (1988) Predictors of intraoperative bacterial contamination and postoperative infection in elective colorectal surgery. Journal of Hospital Infection 11 (2):127-135

Stéphan F, Boucheseiche S, Hollande J, Flahault A, Cheffi A, Bazelly B, Bonnet F (2000) Pulmonary complications following lung resection: a comprehensive analysis of incidence and possible risk factors. CHEST Journal 118 (5):1263-1270



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