Risk of surgical site infection in patients undergoing orthopedic surgery

Abstract

4This study aimed to identify risk factors associated with surgical site infections in orthopedic surgical patients at a public hospital in Minas Gerais, Brazil, between 2005 and2007. A historical cohort of 3,543 patients submitted to orthopedic surgical procedures. A descriptive analysis was conducted and surgical site infection incidence rates were estimated. To verify the association between infection and risk factors, the Chi-square Test was used. The strength of association of the event with the independent variables was estimated using Relative Risk, with a 95% confidence interval and p<0.05. Riesgo para infección de sitio quirúrgico en pacientes sometidos a cirugías ortopédicasEstudio para identificar factores de riesgo asociados a infecciones de sitio quirúrgico en Un análisis descriptivo fue realizado y la tasa de incidencia de infección fue estimada.Para verificar la asociación entre la infección y los factores de riesgo se usó el test chicuadrado. La fuerza de la asociación del evento con las variables independientes fue estimada por el Riesgo Relativo, con un intervalo de confianza de 95% y p <0,05. La incidencia de infección de sitio quirúrgico fue 1,8%. Fueron estadísticamente asociados a la infección el potencial de contaminación de la herida quirúrgica, las condiciones clínicas del paciente, el tiempo quirúrgico y el tipo de procedimiento ortopédico. La identificación de asociación de infección de sitio quirúrgico con los factores de riesgo mencionados es importante y contribuye para la práctica clínica del enfermero.

Surgical site infection among patients undergone orthopaedic surgery at Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania

“…The prevalence of SSI in the current study is higher than that reported by other authors 2,3,4,6,7,8,9,10 . However, similar prevalence of SSI was observed in other studies done by 1,12, .…”

“…The likely explanation for these observations may be increased preoperative hospital stay period predisposes to skin colonization by hospital microbes that are resistant to antibiotics and so it is important to minimize preoperative hospitalization period in order to lower SSI rate 2,8,11 . However (8) found preoperative length of hospitalization not to have any association with development of SSI. This difference might be reflecting low rate of hospital acquired cross infection or absence of overcrowding there setting.…”

“…Surgical site infection (SSI) is the infection which occurs within 30 days after surgery or one year if implant left in the site after procedure (5,-7,) . Worldwide, orthopaedic SSI rates range between 1.4 and 41.9% 3,8 . Surgical site infections in orthopedic practice can have significant effects on quality of life for the patient.…”

Análise das variáveis ambientais em salas cirúrgicas: fontes de contaminação

“…Dentre estas repercussões, aquela que acomete mais diretamente a estrutura hospitalar é representada pelo aumento da estadia e, consequentemente, dos custos associados a esta; isto é, o tratamento de um paciente com infecção triplica em relação a um paciente que não a desenvolve [1][2][3] . A contaminação ambiental é um dos fatores extrínsecos que influenciam diretamente a ocorrência de ISC; por isso, a prevenção da contaminação ambiental seria uma das formas de prevenção de sua ocorrência 3 .…”

Setting Time Comparison of Four Antimicrobial Laden Calcium Sulfate Plasters

“…1,2 Deep seated bacterial infection after hip and knee replacement are recognized as a serious threat to patients. 3 Fungal infections, such as candidemia are also associated with economic burden caused by increased length of hospital stay (average of approximately 11 days more per case) and threefold increased mortality rate.…”