Background: Surgical Site Infection (SSI) is defined as pain associated with erythema, induration, local tenderness, pus discharge or any culture positive or negative discharge from a surgically created wound. Methods: Hospital based Descriptive type of Observational study conducted on Patients in the department of Orthopaedics in teaching hospitals attached to S.M.S Medical College and hospital. Results: 6.2% patients have wound infection. Gram positive 87.5% patients have found with Staph. Aureus and Gram negative 12.5% patients have found with Pseudomonas. Conclusion: Infection in closed fractures with implants was quite high. Th e adverse outcome of SSIs related to a clean orthopedic surgical procedure can be associated with significant morbidity, cost, and even mortality. Keywords: Infection, Closed, Implants
Background: In this study, we studied the pattern of bacterial isolates in all cases of open fractures of extremities that came to our hospital. Methods: This descriptive study was to be conducted on open orthopaedic injuries being admitted to the orthopaedic department, from June 2019 to June 2020 after obtaining institutional ethical committee clearance. Results: Culture analysis showed an increase in growth of Gram-negative bacteria, namely Pseudomonas aeruginosa (26.3%) and Escherichia coli (10.5%) while Gram-positive bacteria were Staphylococcus aureus (52.6%) and Klebsiella pneumoniae (10.5%). Conclusion: Unlike surgery in other orthopedic areas, the predicting factors for infection in fracture patients were found to be significantly influenced by open fracture rather than the underlying disease or anatomical features of the patient. However, only the correlation with simple open fracture has been confirmed. Therefore, further studies on the cause of open fracture and the mechanism of open fracture are necessary to determine the risk of infection. Keywords: Infection, Orthopaedics, Open surgery
Background: To study correlation of serum vitamin D level with osteoarticular infection Methods: All patients (5 to 65 years of age) were presented with pain and raised local temperature of osteoarticular joint or prosthetic joint in the Orthopaedic department of S.M.S. Medical college and attached hospitals, were included in the study. Results: The mean (SD) of S. Vitamin D (ng/mL) in the Osteoarticular Infection: Present group was 19.08 (8.41). The mean (SD) of S. Vitamin D (ng/mL) in the Osteoarticular Infection: Absent group was 18.53 (9.26). The median (IQR) of S. Vitamin D (ng/mL) in the Osteoarticular Infection: Present group was 17.7 (14.15-23.3). The median (IQR) of S. Vitamin D (ng/mL) in the Osteoarticular Infection: Absent group was 14.85 (11.6-23.3). The S. Vitamin D (ng/mL) in the Osteoarticular Infection: Present ranged from 8.2 -38. The S. Vitamin D (ng/mL) in the Osteoarticular Infection: Absent ranged from 9.2 - 46. Conclusion: Our study result were similar in respect to other authors but statistically not significant, therefore requires reopening of the debate on correlation of serum vitamin D with osteoarticular infections. Keywords: Osteoarticular Infection, Vitamin D, Joint
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