Hospital infection after major amputations

Godoy, José María Pereira de; Ribeiro, Janalice Vasconcelos; Caracanhas, Lívia Andrioli; Godoy, Maria de Fátima Guerreiro

doi:10.1186/1476-0711-9-15

Cited by 17 publications

(13 citation statements)

References 16 publications

(17 reference statements)

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“…Wound infection increases the morbidity and mortality associated with amputation [4]. Severe stump wound infection is a common cause of failure of amputation and results in need for stump revision or re-amputation.…”

Section: Introductionmentioning

confidence: 99%

“…Severe stump wound infection is a common cause of failure of amputation and results in need for stump revision or re-amputation. This further surgical procedure exposes susceptible patients to the risk of operative surgical intervention and other serious complications [4,9]. Extremity amputation is a common life-saving procedure in the management of victims of natural disasters and mass casualties with severely injured limbs [5,6,14,19].…”

Section: Introductionmentioning

confidence: 99%

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An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

Omoke

Nwigwe

2012

International Orthopaedics (SICOT)

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Purpose We aimed to determine the risk factors associated with traumatic extremity amputation stump wound infection in our environment. Method This was a retrospective analysis of databases that included the entire patient population with traumatic extremity amputation seen in Ebonyi State University Teaching Hospital and Federal Medical Centre Abakaliki from January 2001 to December 2011. Result There were 63 patients studied and stump wound infection was a complication in 38 (60 %) of them. Stump wound infection rate significantly correlated with the form of amputation, i.e., a higher rate in crushing than guillotine (sharp clear-cut) amputation (80.5 vs. 22.7 % p<0.000); severity, i.e., a higher rate in major than minor amputation (80.6 vs. 33.3 % p<0.000); and limb involvement, i.e., a higher rate in lower than upper extremity amputation (71.1 vs. 60.7 % p<0.002). Haematocrit level on admission (p< 0.002), injury to hospital admission interval (p<0.012) and injury to first surgical debridement / amputation interval (p< 0.02) were all significantly related to incidence of wound infection. Multivariate analysis identified crushing amputation as an independent risk factor (p<0.009) for traumatic amputation stump wound infection. Conclusion The only independent predictor of traumatic extremity amputation stump wound infection is a crushing form of amputation; it should be accorded a high priority in interventions aimed at reducing infection rate

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

Omoke

Nwigwe

2012

International Orthopaedics (SICOT)

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“…These complications also need to be judged in the context of the risks for the alternative. Infections in post-lower limb amputation wounds have ranged from 13-40% [ 9 ] with a mortality rate in some studies proving 9% for below-knee amputations and 18% for above-knee amputations [ 10 ]. Regardless of the decision to proceed with either amputation or TFA, these studies heavily emphasize the need for proper patient selection and a strong multidisciplinary team both pre- and post-operatively.…”

Section: Discussionmentioning

confidence: 99%

Non-oncologic Total Femoral Arthroplasty: A Case Report

McCall¹,

Corbett²,

Baumann³

2022

Cureus

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As patient longevity continues to improve, the rate of lower limb revision arthroplasties will continue to increase as patients outlive the expiration of their implants. With continued bone loss and reduced stability, there is a limit to the number of revision operations that can be performed. Total femoral arthroplasty (TFA) is an increasingly popular limb-salvaging alternative that can restore some degree of daily function to patients. This report presents a 73-year-old male with multiple right lower-limb operations following two extreme motorcycle accidents in the last 22 years. Due to continued pain and poor femoral bone stock following multiple total knee arthroplasty (TKA) revisions, a TFA was performed. The procedure was successful and post-operative expectations were met despite setbacks in immediate rehabilitation. Overall, TFA is an effective alternative to lower limb amputation in the setting of aseptic, non-oncologic bone loss following multiple knee revisions. However, careful management is necessary to reduce the risk of infection and other complications.

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“…A two year retrospective study of amputated patients showed 7.3% re-hospitalization due to stump infection. Among the re-admitted patients, MRSA was the leading pathogen causing infection and the most common cause of death 33 . The occurrence of surgical site infection with MRSA among orthopedic and transplant surgery patients is in late post-operative days compared to general surgical patients 34 .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for wound infection caused by Methicillin Resistant Staphylococcus aureus among hospitalized patients: a case control study from a tertiary care hospital in India

Latha¹,

Bhat²,

Manjunatha³

et al. 2021

Afr H. Sci.

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Background: Methicillin Resistant Staphylococcus aureus (MRSA) causes infection in hospitals and communities. The preva- lence and risk factors of MRSA infection is not homogenous across the globe. Objective: To find the risk factors of MRSA infection among hospitalized patients. Methods: Cross-sectional case control study was conducted at a tertiary care hospital in India. The risk factors were collected using checklist from 130 MRSA and 130 Methicillin sensitive staphylococcus aureus (MSSA) infected patients. The pathogens were isolated from the wound swabs according to Clinical and Laboratory Standards Institute guidelines. Results: Both the groups were comparable in terms of age, gender, diabetic status, undergoing invasive procedures, urinary catheterization and smoking (p>0.05). Multivariate logistic regression revealed surgical treatment (OR 4.355; CI 1.03, 18.328; p=0.045), prolonged hospitalization (OR 0.307; CI 0.11, 0.832; p=0.020), tracheostomy (OR 5.298, CI 1.16, 24.298; p=0.032), pressure/venous ulcer (OR 7.205; CI 1.75, 29.606; p=0.006) and previous hospitalization (OR 2.883; CI 1.25, 6.631; p=0.013) as significant risk factors for MRSA infection. Conclusion: Surgical treatment, prolonged and history of hospitalization, having tracheostomy for ventilation and pressure/venous ulcer were the key risk factors. Therefore, special attention has to be given to the preventable risk factors while caring for hospitalized patients to prevent MRSA infection. Keywords: MRSA; infection; India.

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Hospital infection after major amputations

Cited by 17 publications

References 16 publications

An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

An analysis of risk factors associated with traumatic extremity amputation stump wound infection in a Nigerian setting

Non-oncologic Total Femoral Arthroplasty: A Case Report

Risk factors for wound infection caused by Methicillin Resistant Staphylococcus aureus among hospitalized patients: a case control study from a tertiary care hospital in India

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