Fatores preditivos de infecção em pacientes com fraturas expostas nos membros inferiores

Lima, Ana Lúcia Lei Munhoz; Zumiotti, Arnaldo Valdir; Uip, David Éverson; Silva, Jorge dos Santos

doi:10.1590/s1413-78522004000100005

Cited by 12 publications

(15 citation statements)

References 21 publications

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“…Some patient and surgical act characteristics can influence the risk of developing SSI (2,(8)(9)(10)(11) . In this study, a statistically significant association was found between the SSI and some variables ( …”

Section: Risk Factors For Ssi In Orthopedic Patientsmentioning

confidence: 99%

“…Other studies involved younger populations, with mean ages of 33 to 35 years (8)(9) . The patient's mean length of preoperative stay was three days and the maximum 361 days.…”

Section: It Should Be Highlighted That Infection Notificationsmentioning

confidence: 99%

“…Some Brazilian studies evidenced orthopedic SSI rates ranging between 1.4 and 40.3% (8)(9) . (8)(9)(10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

“…A study involving SSI in patients submitted to hip surgery also found the same patient percentage classified as ASA II (12) . Patients with systemic diseases show a higher incidence rate of SSI, showing a direct relation between clinical severity and infection events (4,(9)(10)12) . It can be inferred that healthy patients are at lesser risk of evolving to an SSI in comparison with patients suffering from some kind of disease (12) .…”

mentioning

confidence: 99%

“…Studies have demonstrated disagreement as to the association between these risk factors and SSI development (4,6,(8)(9)(10)12) .…”

mentioning

confidence: 99%

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Risk of surgical site infection in patients undergoing orthopedic surgery

Ercole

Franco

Macieira³

et al. 2011

Rev. Latino-Am. Enfermagem

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4This study aimed to identify risk factors associated with surgical site infections in orthopedic surgical patients at a public hospital in Minas Gerais, Brazil, between 2005 and2007. A historical cohort of 3,543 patients submitted to orthopedic surgical procedures. A descriptive analysis was conducted and surgical site infection incidence rates were estimated. To verify the association between infection and risk factors, the Chi-square Test was used. The strength of association of the event with the independent variables was estimated using Relative Risk, with a 95% confidence interval and p<0.05. Riesgo para infección de sitio quirúrgico en pacientes sometidos a cirugías ortopédicasEstudio para identificar factores de riesgo asociados a infecciones de sitio quirúrgico en Un análisis descriptivo fue realizado y la tasa de incidencia de infección fue estimada.Para verificar la asociación entre la infección y los factores de riesgo se usó el test chicuadrado. La fuerza de la asociación del evento con las variables independientes fue estimada por el Riesgo Relativo, con un intervalo de confianza de 95% y p <0,05. La incidencia de infección de sitio quirúrgico fue 1,8%. Fueron estadísticamente asociados a la infección el potencial de contaminación de la herida quirúrgica, las condiciones clínicas del paciente, el tiempo quirúrgico y el tipo de procedimiento ortopédico. La identificación de asociación de infección de sitio quirúrgico con los factores de riesgo mencionados es importante y contribuye para la práctica clínica del enfermero.

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Section: Risk Factors For Ssi In Orthopedic Patientsmentioning

confidence: 99%

“…Other studies involved younger populations, with mean ages of 33 to 35 years (8)(9) . The patient's mean length of preoperative stay was three days and the maximum 361 days.…”

Section: It Should Be Highlighted That Infection Notificationsmentioning

confidence: 99%

“…Some Brazilian studies evidenced orthopedic SSI rates ranging between 1.4 and 40.3% (8)(9) . (8)(9)(10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

“…Studies have demonstrated disagreement as to the association between these risk factors and SSI development (4,6,(8)(9)(10)12) .…”

mentioning

confidence: 99%

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Risk of surgical site infection in patients undergoing orthopedic surgery

Ercole

Franco

Macieira³

et al. 2011

Rev. Latino-Am. Enfermagem

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Predisposing factors for early infection in patients with open fractures and proposal for a risk score

Matos

Lima

Oliveira

2015

J Orthopaed Traumatol

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BackgroundThe primary goals of orthopedic treatment of open fractures are to prevent infection, stabilize bone injury and restore limb function. The objective of the current study was to identify risk factors associated with infection in patients suffering from open fractures, using the strength of association of these factors to propose a score that enables risk stratification in initial care.Materials and methodsA retrospective analysis was performed on 122 patients who underwent open fracture treatment. Clinical and demographic data were collected and the results were divided into two groups: those without infection and those with infection. Both groups were evaluated searching for associated factors that could lead to infection.ResultsThirty-one patients out of 122 were infected (25.4 %). Infection was significantly associated with exposure time up to 24 h (mean 30.3 h; p = 0.007). Fractures classified as Gustilo III had a greater chance of infection (74.2 %; p = 0.042), especially type IIIB (41.9 %). Fractures classified as Tscherne II and III had a greater chance of infection (48.4 and 25.8 %, respectively; p = 0.001).ConclusionsIt was possible to show that the exposure time and the types of fracture classified as Gustilo III and Tscherne II and III are associated with the outcome of infection. It was also possible to create a risk score (IRS) for predicting infection in these types of fractures, which can be used in the initial care of the patient, with a sensitivity of 0.840, specificity of 0.544, cut-off of 6.5 and area under the curve of 0.709 (p = 0.002).Level of evidenceLevel III.

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Osteomyelitis: a current challenge

Jorge

Chueire

Rossit

2010

The Brazilian Journal of Infectious Diseases

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Over the last 30 years, the pathogenesis of osteomyelitis has almost been totally elucidated, and many factors responsible for the persistence of this infection have been identified. Numerous antimicrobial agents with distinct spectrums of action, pharmacokinetics, and pharmacodynamics have been used in its treatment. Surgical techniques, including muscle grafts, the Ilizarov technique, and antibiotic bone cements, have been applied. However, bone infections are still a challenge. Despite the importance of isolation and identification of microorganisms to determine the antimicrobial treatment of bone infections, there are few systematic national studies about the etiological profile of these diseases. This article describes the current knowledge of osteomyelitis and summarizes published national data based on the experience of different Orthopedic and Traumatology Services. In general, S. aureus was described as an important etiological agent; however, the difference in design of national studies makes a comparison between the prevalence of bone infection, the associated risk factors, and the different therapeutic approaches difficult. In conclusion, effort is necessary in order to stimulate systematic national studies in different Orthopedics and Traumatology Services to obtain a better consensus on preventive measures and therapies of bone infections.

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Fatores preditivos de infecção em pacientes com fraturas expostas nos membros inferiores

Cited by 12 publications

References 21 publications

Risk of surgical site infection in patients undergoing orthopedic surgery

Risk of surgical site infection in patients undergoing orthopedic surgery

Predisposing factors for early infection in patients with open fractures and proposal for a risk score

Osteomyelitis: a current challenge

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