Age and dressing type as independent predictors of post-operative infection in patients with acute compartment syndrome of the lower leg

Hake, Mark E.; Etscheidt, Jordan; Chadayammuri, Vivek; Kirsch, Jacob M.; Mauffrey, Cyril

doi:10.1007/s00264-017-3576-1

Cited by 14 publications

(15 citation statements)

References 25 publications

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“…Furthermore, the other post-operative complications were not analysed, which can extend the hospital stay, delay rehabilitation and impact patient satisfaction like non-surgical infections, non-union and delayed union, or post-operative nausea and vomiting [39–42]. Also, demographic information for the study population was limited; thus, data on the characteristics of the patients (for example, peri-operative bacteriuria, bacterial contamination rate of electrocautery tips, smoking) were unavailable, as well as differences in the type of care received by the patients, for example, dressing type [43–45].…”

Section: Discussionmentioning

confidence: 99%

Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Pawłowska¹,

Ziółkowski²,

Wójkowska‐Mach

et al. 2019

International Orthopaedics (SICOT)

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Objective The aims of the study were to analyse the surgical site infections (SSIs) in patients operated at an orthopaedic ward and to describe the drug-resistance of the aetiology of those infections. Also, analyse the possibility of SSI control through microbiological surveillance. Additionally, we have studied the information inferred by aggregating cumulative antibiograms for the SSIs of the studied orthopaedic unit. Design Cross-sectional studies carried out in 2013–2015. Setting and patients Orthopaedic and Trauma Surgery Unit in Sosnowiec, Poland; 5995 patients, 5239 operations. Methods Retrospective laboratory-based data collection study of surgical site infections. Results SSI incidence rate was 6.6%, in the implantations—hip prosthesis 5.8% and knee prosthesis 5.4%, about 6 times higher compared with European HAI-Net. SSIs were usually caused by Gram-positive bacteria (56%). The prevalence of MDR microorganisms was 22.6%, and mainly concerned the Gram-negative bacilli: 97.6% of Acinetobacter baumannii and 50.0% of Klebsiella pneumoniae were multidrug-resistant. On the basis of what the Formula for Rational Empiric Antimicrobial Therapy analysis has shown, the use of amikacin, imipenem and ciprofloxacin has been recommended as the most efficient in the empirical therapy of SSIs. Conclusions The infection control was a significant problem at the studied orthopaedic unit, as evidenced by the SSI incidence rate significantly higher than expected. We suggest implementing the infection control and prevention based on evidence-based medicine, and a unit-based surveillance. A cumulative unit-based antibiogram reflects the drug-susceptibility pattern for the strains from the infections acquired at the unit.

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Section: Discussionmentioning

confidence: 99%

Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Pawłowska¹,

Ziółkowski²,

Wójkowska‐Mach

et al. 2019

International Orthopaedics (SICOT)

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“…29 In this study the frequency of wound infections was 31.9%, which although somewhat high is comparable to previous studies. 8,9,30 The frequency of wound infections was similar in the different groups of wound treatment, although the area of the fasciotomy wounds probably varied based on chosen modality.…”

Section: Discussionmentioning

confidence: 99%

Acute Compartment Syndrome Following Thrombolysis For Acute Lower Limb Ischemia

Grip

Petter

Håkan

2022

Annals of Vascular Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…We report a case of compartment syndrome after transtibial ACL reconstruction performed with the patient under general anesthesia without pneumatic tourniquet application. The patient exhibited progressive pain and symptoms of possible compartment syndrome 12 h after surgery, which necessitated urgent surgical intervention for debridement of a hematoma and a fasciotomy followed by application of negative-pressure wound therapy (NPWT) [4] .…”

Section: Introductionmentioning

confidence: 99%

Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report

Takahashi¹,

Handa²,

Takeshita

2022

Trauma Case Reports

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Compartment syndrome is a rare complication after anterior cruciate ligament (ACL) reconstruction. This is one of the most devastating complications after surgery of the lower limb, with certain risks of renal failure, shock, and even death. We report a case of compartment syndrome that occurred 12 h after ACL reconstruction. A healthy 67-year-old male who underwent transtibial ACL reconstruction using autogenous hamstring tendon graft complained of progressive intense pain, paresthesia, and paresis. He had a pallid aspect and taut, shiny skin with several blisters around the medial aspect of the lower limb. Computed tomography revealed a hematoma that originated from the tibial bone tunnel. The patient was immediately referred for an urgent decompression fasciotomy. Hematoma debridement, medial fasciotomy, and negative-pressure wound therapy were performed. The patient recovered well and received routine postoperative physiotherapy.

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Age and dressing type as independent predictors of post-operative infection in patients with acute compartment syndrome of the lower leg

Abstract: Therapeutic, Level III.

Cited by 14 publications

References 25 publications

Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Acute Compartment Syndrome Following Thrombolysis For Acute Lower Limb Ischemia

Compartment syndrome after transtibial anterior cruciate ligament reconstruction: A case report

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