Survey of infection in orthopedic postoperative and their causative agents: a prospective study

Vieira, Gabriel de Deus; Mendonça, Hallan Rodrigues; Alves, Thaianne da Cunha; Araújo, Danilo Fernandes de Oliveira; Filho, Mauro Lopes da Silveira; Freitas, André Pastuczenko dos Santos Rodrigues de; Bressan, F.; Radaeli, Renato de Figueiredo; Sousa, Carlos Antônio Ferreira de

doi:10.1590/1806-9282.61.04.341

Cited by 12 publications

(8 citation statements)

References 21 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The remaining three of the most five common bacteria were all g- bacteria. This is similar to most results found in clinical reports in China and abroad 8 , 9 , 19 – 21 .…”

Section: Discussionsupporting

confidence: 92%

Epidemiology, microbiology and therapeutic consequences of chronic osteomyelitis in northern China: A retrospective analysis of 255 Patients

Han

et al. 2018

Sci Rep

View full text Add to dashboard Cite

The study aimed to explore the epidemiology and clinical characteristics of chronic osteomyelitis observed in a northern China hospital. Clinical data of 255 patients with chronic osteomyelitis from January 2007 to January 2014 were collected and analyzed, including general information, disease data, treatment and follow-up data. Chronic osteomyelitis is more common in males and in the age group from 41–50 years of age. Common infection sites are the femur, tibiofibular, and hip joint. More g+ than g- bacterial infections were observed, with S. aureus the most commonly observed pathogenic organism. The positive detection rate from debridement bacterial culture is 75.6%. The detection rate when five samples are sent for bacterial culture is 90.6%, with pathogenic bacteria identified in 82.8% of cases. The two-stage debridement method (87.0%) has higher first curative rate than the one-stage debridement method (71.2%). To improve detection rate using bacterial culture, at least five samples are recommended. Treatment of chronic osteomyelitis with two-stage debridement, plus antibiotic-loaded polymethylmethacrylate (PMMA) beads provided good clinical results in this study and is therefore recommended.

show abstract

“…The remaining three of the most five common bacteria were all g- bacteria. This is similar to most results found in clinical reports in China and abroad 8 , 9 , 19 – 21 .…”

Section: Discussionsupporting

confidence: 92%

Epidemiology, microbiology and therapeutic consequences of chronic osteomyelitis in northern China: A retrospective analysis of 255 Patients

Han

et al. 2018

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The median length of hospitalization due to surgery before infection occurrence was 11 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) days. After operation, SSIs led to longer hospitalization with median of 17 days.…”

Section: Resultsmentioning

confidence: 99%

“…Due to the nature of orthopedic surgeries and special patients under this procedure with variety of conditions and disorders (older patients especially in arthroplasty surgeries, underlying diseases and penetrating trauma) the risk of surgical site infection is higher compared to other procedures. The incidence of orthopedic SSIs in Iran was 8.8% in 2018; This type of infection has been responsible for long hospitalization period and bad prognosis [10,11].…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

et al. 2021

View full text Add to dashboard Cite

Background Surgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method. Methods This study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and Health Information Management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N = 503). Second, 202 samples were randomly selected to assess patients` characteristics. Results Totally, 76.24% of SSIs were detected post-discharge. Staphylococcus aureus (11.38%) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95 and 65.17%, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95% CI, 552–695) and under-reporting percentage was 63.32%. Conclusion To recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection Prevention and Control (IPC) programs and providing updated protocols is recommended.

show abstract

Section: Resultsmentioning

confidence: 99%

Epidemiologic Characteristics of Orthopedic Surgical Site Infections and Under-reporting Estimation of Registries Using Capture-recapture Analysis

Taherpour

Mehrabi

Seifi

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background Surgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method. Methods This study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and health information management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N = 503). Second, 202 samples were randomly selected to assess patients` characteristics. Results Totally, 76.24% of SSIs were detected post-discharge. Staphylococcus.aureus (11.38%) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95% and 65.17%, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95% CI, 552–695) and under-reporting percentage was 63.32%. Conclusions To recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection prevention and control (IPC) programs and providing updated protocols is recommended.

show abstract

Survey of infection in orthopedic postoperative and their causative agents: a prospective study

Abstract: infection control in the postoperative period is necessary, using antibiotics correctly and consciously, avoiding resistance of bacterial agents.

Cited by 12 publications

References 21 publications

Epidemiology, microbiology and therapeutic consequences of chronic osteomyelitis in northern China: A retrospective analysis of 255 Patients

Epidemiology, microbiology and therapeutic consequences of chronic osteomyelitis in northern China: A retrospective analysis of 255 Patients

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

Epidemiologic Characteristics of Orthopedic Surgical Site Infections and Under-reporting Estimation of Registries Using Capture-recapture Analysis

Contact Info

Product

Resources

About