Analysis of Risk Factors for Infection in Orthopedic Trauma Patients

Moon, Gi Ho; Cho, Jae-Woo; Kim, Beom Soo; Yeo, Do Hyun; Oh, Jong-Keon

doi:10.20408/jti.2018.023

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…As per the 2019 study of Gi Ho Moon et al, the risk factors for infection in fracture patients were found to be significantly influenced by open fracture rather than the underlying disease or anatomical feature of the patient as compared to other studies as [11] in our study the risk factors were also the cause for infection in closed fracture and not any other reason.…”

Section: Discussionsupporting

confidence: 75%

Analysis of Risk Factors and Association of Cluster of Differentiation (CD) Markers With Conventional Markers in Delayed Fracture Related Infection for Closed Fracture

Raikwar¹,

Singh²,

Verma³

et al. 2021

Cureus

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Background: Fracture-related infections (FRI) remain a difficult consequence for orthopedic trauma patients, their relatives, the treating physicians, and the healthcare systems. Delayed fracture-related infection is an important step in the infection process that can be controlled by diagnosing and preventing it from moving to the next level. Neutrophils CD64 and CD66b were identified as sensitive indicators in the event of infection. Normal sequential changes, on the other hand, occur after surgery and are extremely high. They are back to normal on the 10 th day after the operation. The aim of this study was, therefore, to examine the risk factors associated with fracture-related infection by comparing cluster of differentiation (CD) indicators with conventional markers and comparing them with gold standards culture reports. As a result, it could be an early sign of a closed fracture infection.

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Section: Discussionsupporting

confidence: 75%

Analysis of Risk Factors and Association of Cluster of Differentiation (CD) Markers With Conventional Markers in Delayed Fracture Related Infection for Closed Fracture

Raikwar¹,

Singh²,

Verma³

et al. 2021

Cureus

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“…Nesse estudo, encontrou-se uma prevalência do gênero masculino (68,0%), podendo também ser visualizada em grande parte dos estudos que analisaram tal variável (Ercole, Franco, Macieira, Wenceslau, Resende, et al, 2011;Ren et al, 2019;Onyekwelu et al, 2017;Ortega et al, 2012;Moon et al, 2019). Por outro lado, segundo os resultados de Carvalho et al (2017), dentre os pacientes ortopédicos que desenvolveram ISC, a maioria era do gênero feminino.…”

Section: Resultsunclassified

“…Esses resultados foram divergentes na literatura. Em um estudo coreano, a fratura fechada prevaleceu em 65,7% dos pacientes do grupo com ISC (Moon et al, 2019). Por outro lado, em um estudo realizado no Brasil, com pacientes que passaram por procedimento cirúrgico para fixação de fraturas fechadas ou expostas, a incidência de ISC foi quase quatro vezes maior no grupo de pacientes com fraturas expostas do que naqueles com fraturas fechadas (P. R. Oliveira et al, 2016).…”

Section: Fonte: Autoresunclassified

Análise das infecções de sítio cirúrgico em pacientes ortopédicos de um hospital do Paraná

Longo

Lemos

Vellosa

et al. 2021

RSD

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As infecções de sítio cirúrgico são encontradas em 14-16% dos pacientes hospitalizados, sendo que, as relacionadas a cirurgias ortopédicas são consideradas severas. Portanto, a determinação de fatores de risco, é necessária, pois permite identificar situações que predisponham o desenvolvimento dessa infecção. Com o objetivo de elencar os fatores de riscos relacionados as infecções de sítio cirúrgico em um hospital universitário do Paraná, em um estudo transversal descritivo retrospectivo, foram analisados 125 prontuários de indivíduos submetidos a cirurgias ortopédicas e que desenvolveram a infecção no pós-operatório. Assim, foi possível encontrar um perfil de pacientes mais susceptível a desenvolver essa complicação, na qual, 41,0% dos pacientes foram identificados como saudáveis no pré-operatório, 61,6% das cirurgias tinham um caráter limpo, 63,2% utilizaram implante ortopédico no seu tratamento e o tratamento cirúrgico de fraturas fechadas prevaleceu. A incidência global da infecção foi de 2,0% e os micro-organismos mais prevalentes na amostra foram o Staphylococcus aureus, Enterobacter cloacae e Escherichia coli com 7,2% cada. Comparando-se com a literatura abordada, diferenças são encontradas na prevalência dos fatores de risco, devido às diferenças de cada população. A identificação desses fatores de risco é de suma importância para a prevenção das infecções de sítio cirúrgico. Por fim, novos estudos ainda devem ser realizados com o objetivo de validar os fatores de risco encontrados.

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“…In the cases of bladder or pelvic diaphragm, the surgical site for the abdomen and pelvis has open communication. Risk factors for orthopedic SSI include prolonged operative duration and open fracture(s) [12,13]. After DCL, the route for the pelvic approach is easily contaminated and, in fact, is expected in long operations for complex fracture(s).…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Early Definitive Internal Fixation of Pelvic Bone Fractures in Therapeutic Open Abdomen

Choi¹,

Keum²,

Kim³

et al. 2020

J Trauma Inj

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Purpose: Damage control laparotomy has contributed to improved survival rates for severe abdominal injuries. A large part of severe abdominal injury occurs with a concomitant pelvic bone fracture. The safety and effectiveness of internal fixation of pelvic bone fracture(s) has not been established. The aim of the present study was to evaluate infection risk in the pelvic surgical site in patients who underwent emergent abdominal surgery. Methods: This single-center retrospective observational study was based on data collected from a prospectively maintained registry between January 2015 and June 2019. Patients who underwent laparotomy and pelvic internal fixation were included. Individuals <18 and ≥80 years of age, those with no microbiological investigations, and those who underwent one-stage abdominal surgery were excluded. Comprehensive statistical comparative analysis was not performed due to the small number of enrolled patients. Results: A total of six patients met the inclusion criteria, and the most common injury mechanism was anterior-posterior compression (67%). The average duration of open abdomen was 98 hours (range, 44-198), and the time interval between abdominal closure and pelvic surgery was 98 hours. One patient (16.7%) died due to multi-organ dysfunction syndrome. Microorganisms were identified in the abdominal surgical site in five patients (83%), with no microorganisms in pelvic surgical sites. There was no unplanned implant removal. Conclusions: Internal fixation of pelvic bone fracture(s) could be performed in the state of open abdomen, and the advantages of early fixation may countervail the risks for cross contamination.

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Analysis of Risk Factors for Infection in Orthopedic Trauma Patients

Cited by 5 publications

References 20 publications

Analysis of Risk Factors and Association of Cluster of Differentiation (CD) Markers With Conventional Markers in Delayed Fracture Related Infection for Closed Fracture

Analysis of Risk Factors and Association of Cluster of Differentiation (CD) Markers With Conventional Markers in Delayed Fracture Related Infection for Closed Fracture

Análise das infecções de sítio cirúrgico em pacientes ortopédicos de um hospital do Paraná

Feasibility of Early Definitive Internal Fixation of Pelvic Bone Fractures in Therapeutic Open Abdomen

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