Risk factors for surgical site infection of pilon fractures

Ren, Tingting; Ding, Li; Xue, Feng; He, Zhimin; Xiao, Haijun

doi:10.6061/clinics/2015(06)06

Cited by 27 publications

(24 citation statements)

References 15 publications

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“…Studies have shown that the postoperative infection rate of patients with fractures with diabetes reaches 10%–60%. In previous studies, a long operation time indicated a slow healing of the surgical area and an increase in the infection rate. This result is consistent with the results of this study.…”

Section: Discussionmentioning

confidence: 90%

Relationship Between Time to Surgical Debridement and the Incidence of Infection in Patients with Open Tibial Fractures

Wang

et al. 2020

Orthopaedic Surgery

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Objective: To analyze the relationship between the length from injury to first debridement (LFITFD) of open tibial fractures and perioperative infection, and explore independent risk factors related to infection.Methods: This retrospective study focused on 215 clinical patients with open tibial fractures who were admitted from January 2012 to January 2017. According to the time from injury to the operation, the patients were categorized into four groups: LFITFD ≤ 6 h, 6 < LFITFD ≤ 12 h, 12 < LFITFD≤24 h, and (LFITFD > 24 h). Infection risk factors were screened by univariate analysis, and multivariate logistic regression analysis was used to determine independent risk factors.Results: The infection rates of four groups were 9.2%, 9.5%, 11.1%, and 10.5% with six of 65, nine of 95, four of 36, and two of 19 patients being infected, respectively. There was no statistical significance between the four groups. The infection rates among fractures of different Gustilo-Anderson classifications were as follows. Of 62 cases of type I fractures, two were infected, and the infection rate was 3.2%. Among those with type II fractures, eight were infected, and the infection rate was 8.2%. Three of 26 cases of type IIIA fracture were infected, yielding an infection rate of 11.5%, seven of 25 cases of type III B fracture were infected (28% infection rate), and one of four cases of type III C fracture was infected (25% infection rate). There was a statistically significant difference between the five groups. Multivariate regression analysis showed that smoking, combined diabetes, surgical time, and fracture Gustilo-Anderson classification were independent risk factors for perioperative infection of open tibial fractures, and the difference in time from injury to first debridement was not related to infection. Conclusion:The incidence of perioperative infection in patients with open tibial fractures has little to do with the time of the first debridement, which is mainly related to the level of the fracture's Gustilo-Anderson classification. At the same time, smoking is prohibited before the operation, the patient's blood glucose is managed, and the debridement operation time is minimized conducive to reducing the incidence of infection.

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Section: Discussionmentioning

confidence: 90%

Relationship Between Time to Surgical Debridement and the Incidence of Infection in Patients with Open Tibial Fractures

Wang

et al. 2020

Orthopaedic Surgery

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“…Regarding infection, Ren et al reported that the risk factors for infection are postoperative glucose concentration >125 mg/dl and a surgical duration >150 min. 26 In our study, we did not analyze these parameters. No variables analyzed in the study were associated with an increased risk of infection; however, infection was logically associated with fair and poor results (AOFAS).…”

Section: Discussionmentioning

confidence: 91%

Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation

Carbonell-Escobar¹,

Rubio-Suárez²,

Ibarzábal-Gil³

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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“…No Brasil, a ISC ocupa a terceira posição entre todas as infecções presentes em serviços de saúde e abrange de 14 a 16% das infecções em pacientes hospitalizados, sendo que 93% dessas são graves, chegando a invadir órgãos ou espaços acessados durante o procedimento cirúrgico, tendo assim uma taxa de incidência de 11% 3 . As estimativas das ISC apresentam uma incidência de 2,3%, e dependem do tipo de vigilância realizada, das particularidades do hospital, do paciente e do procedimento cirúrgico 7 .…”

Section: Introductionunclassified

Microbiota infectante de feridas cirúrgicas: análise da produção científica nacional e internacional

Santos

Araújo²,

Silva

et al. 2016

Rev SOBECC

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Objetivo: Identificar a microbiota de feridas operatórias infectadas descritas em produções científicas. Método: Revisão integrativa realizada em bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Cochrane e SciFinder Scholar. Para a seleção dos artigos foram utilizadas cinco palavras-chaves contempladas nos Descritores em Ciências da Saúde e os operadores booleanos OR e AND. Utilizou-se formulário com informações: identificação dos artigos, objetivo, tipo de estudo e resultados. Resultados: Foram selecionados 56 artigos, publicados entre 1960 e 2013. Os principais microrganismos infectantes foram as bactérias, seguidas pelos fungos. Infecções foram causadas principalmente por: Staphylococcus aureus (39,3%), Escherichia coli (30,4%), Pseudomonas aeruginosa (19,6%), Staphylococcus epidermidis (17,8%), Klesbsiella spp (12,5%) e Enterobacter spp (10,7%). Conclusão: Bactérias Gram-negativas são os mais frequentes microrganismos infectantes de feridas cirúrgicas. Contudo, Staphylococcus aureus é o microrganismo de maior frequência. Palavras-chave: Bactérias. Infecções por protozoários. Vírus. Fungos. Infecção da ferida operatória.

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Risk factors for surgical site infection of pilon fractures

Cited by 27 publications

References 15 publications

Relationship Between Time to Surgical Debridement and the Incidence of Infection in Patients with Open Tibial Fractures

Relationship Between Time to Surgical Debridement and the Incidence of Infection in Patients with Open Tibial Fractures

Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation

Microbiota infectante de feridas cirúrgicas: análise da produção científica nacional e internacional

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