Independent risk factor for surgical site infection after orthopedic surgery

Feng, Yingfa; Feng, Qi; Guo, Ping; Wang, Donglai

doi:10.1097/md.0000000000032429

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Since the majority of orthopaedic diseases require surgical treatment, surgical wound infection, the most common complication after surgeries, becomes more important 28–31 . Orthopaedic surgeries mainly consist of spine surgery, joint surgery and post‐trauma surgery 32 .…”

Section: Discussionmentioning

confidence: 99%

“…Since the majority of orthopaedic diseases require surgical treatment, surgical wound infection, the most common complication after surgeries, becomes more important. [28][29][30][31] Orthopaedic surgeries mainly consist of spine surgery, joint surgery and post-trauma surgery. 32 The findings of the previous systematic review and meta-analysis show that the prevalence of surgical wound infection in all types of orthopaedic surgery was 2.7%.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta‐analysis

Asadi

Tehrany

Salari

et al. 2023

International Wound Journal

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The goal of this systematic review and meta‐analysis is to provide an overview of the prevalence of surgical wound infection and related factors in patients after long bone surgery. A comprehensive, systematic search was conducted in different international electronic databases, such as Scopus, PubMed, Web of Science and Persian electronic databases such as Iranmedex and Scientific Information Database using keywords extracted from Medical Subject Headings such as “Prevalence”, “Surgical wound infection”, “Surgical site infection” and “Orthopedics” from the earliest to the May 1, 2023. The appraisal tool for cross‐sectional studies (AXIS tool) evaluates the quality of the included studies. A total of 71 854 patients undergoing long bone surgery participated in 12 studies. The pooled prevalence of surgical wound infection in patients who underwent long bone surgery reported in the 12 studies was 3.3% (95% CI: 1.5%–7.2%; I2 = 99.39%; p < 0.001). The pooled prevalence of surgical wound infection in male and female patients who underwent long bone surgery was 4.6% (95% CI: 1.7%–11.7%; p < 0.001; I2 = 99.34%) and 2.6% (95% CI: 1.0%–6.3%; I2 = 98.84%; p < 0.001), respectively. The pooled prevalence of surgical wound infection in patients with femur surgery sites reported in nine studies was 3.7% (95% CI: 2.1–6.4%; I2 = 93.43%; p < 0.001). The pooled prevalence of surgical wound infection in open and close fractures was 16.4% (95% CI: 8.2%–30.2%; I2 = 95.83%; p < 0.001) and 2.9% (95% CI: 1.5%–5.5%; I2 = 96.40%; p < 0.001), respectively. The pooled prevalence of surgical wound infection in patients with diabetes mellitus (DM), hypertension (HTN) and cardiovascular disease (CVD) was 4.6% (95% CI: 2.3%–8.9%; I2 = 81.50%; p < 0.001), 2.7% (95% CI: 1.2%–6.0%; I2 = 83.82%; p < 0.001) and 3.0% (95% CI: 1.4%–6.4%; I2 = 69.12%; p = 0.006), respectively. In general, the different prevalence of surgical wound infection in patients undergoing surgical treatment after long bone fracture may be caused by underlying factors (gender and co‐morbidity) and fracture‐related factors (surgery site and type of fracture).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta‐analysis

Asadi

Tehrany

Salari

et al. 2023

International Wound Journal

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“…3,4 SSI are reported in every speciality of surgery with variable frequencies and different outcomes. 5,6,7 Various bacterial pathogens are reported to cause SSI 7 . The management of SSI is becoming a challenge due to increasing drug resistance of microorganisms.…”

Section: Introductionmentioning

confidence: 99%

Microbiology and drug sensitivity of Surgical Site Infections in Pakistan: A Systematic Review

Muhammad Tahir Ghani,

Ibad Ur Rehman,

Saleem

et al. 2024

Ann Pak Inst Med Sci

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Various bacterial pathogens that are known to cause Surgical Site Infections (SSI) are becoming increasingly resistant to many antibiotics. The aim of this systematic review was to see various pathogens responsible to cause SSI in Pakistan and to see their drug sensitivity patterns according to culture and sensitivity reports during last five years. This systematic review was conducted according to the preferred reporting items for systematic reviews and met analysis (PRISMA) guidelines. Extensive search of medical databases Pubmed, Google Scholar and Pakmedinet was done. Four studies were selected from various cities of Pakistan. Most common bacterial pathogen isolated was staph aureus 49%, followed by Ecoli 18%, Enterococcus 8%, and Pseudomonas 7.4%. Methicillin resistant staph aureus (MRSA) was isolated as 5% and 18 % in two studies. Drug sensitivity pattern showed Vancomycin, Imipenem, Meropenem, Linezolid, Cefoperazone + Sulbactam to be the most sensitive drugs against all type of pathogens. Drugs found effective against staph aureus were Vancomycin, Linezolid, Meropenem and Fusidic acid. Drugs found sensitive against E coli were Cefoperazone Sulbactam combination, Linezolid and Meropenem. Ampicillin and Amoxicillin were found highly resistant against all pathogens. We concluded from our systematic review that most common bacterial pathogen responsible to cause SSI in Pakistan is staph aureus. Empirically Linezolid is found effective against all pathogens. Imipenem, Meropenem, sulbactam plus Cefoperazone combination, vancomycin, tazocin are effective drugs. Ampicillin, amoxicillin and ciprofloxacin are highly resistant in Pakistan. Key words: Surgical Site Infections (SSI), Staph aureus, E Coli, Culture and Sensitivity

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Comprehensive analysis of risk factors for postoperative wound infection following open reduction and internal fixation of Rib fractures

Li,

Zheng,

Gao

2024

BMC Infect Dis

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Independent risk factor for surgical site infection after orthopedic surgery

Cited by 4 publications

References 22 publications

Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta‐analysis

Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta‐analysis

Microbiology and drug sensitivity of Surgical Site Infections in Pakistan: A Systematic Review

Comprehensive analysis of risk factors for postoperative wound infection following open reduction and internal fixation of Rib fractures

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