Surgical site infection following hip fracture surgery - the role of wound surveillance

Thyagarajan, David; Sunderamoorthy, D.; Haridas, S.; Beck, Sue; Praveen, Pathmanaban; Johansen, Allan

doi:10.1177/1757177410375488

Cited by 7 publications

(6 citation statements)

References 17 publications

(20 reference statements)

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“…It has been previously reported that incidence of SSI following hip fractures ranges from 2 to 9.5% [5, 8, 18, 19], and deep SSI rate was 1.2–3.6% [4, 5, 20]. Overall incidence of wound infection in our study was 7.58%; this rate was consistent but relatively higher than that in other studies which focused on geriatric hip fracture.…”

Section: Discussionsupporting

confidence: 85%

Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study

Liu

Dong

et al. 2019

J Orthop Surg Res

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BackgroundGeriatric hip fracture is a common type of osteoporotic fracture with high mortality and disability; surgical site infection (SSI) can be a devastating complication of this injury. By far, only a few studies identified easily remediable factors to reduce infection rates following hip fracture and less researches have focused on geriatric patients. The objective of this study was to identify potentially modifiable factors associated with SSI following geriatric hip fracture surgery.MethodsThis retrospective, multicenter study involves three level I hospitals. A total of 1240 patients (60 years or older) underwent hip surgery with complete data were recruited between January 2016 and June 2018. Demographics information, medications and additional comorbidities, operation-related variables, and laboratory indexes were extracted and analyzed. Receiver operating characteristic (ROC) analysis was performed to detect the optimum cut-off value for quantitative data. Univariate and multivariate logistic analysis model were performed respectively to identify the independent predictors.ResultsNinety-four (7.58%) patients developed SSI in this study, and 76 (6.13%) had superficial infection, while 18 (1.45%) were diagnosed with deep infection. Results of univariate and multivariate analysis showed age > 79 years (OR, 2.60; p < 0.001), BMI > 26.6 kg/m2 (OR, 2.97; p < 0.001), operating time > 107 min (OR, 2.18; p = 0.001), and ALB < 41.6 g/L (OR, 2.01; p = 0.005) were associated with an increased incidence of SSI; drainage use (OR, 0.57; p = 0.007) could reduce the incidence of wound infection for patients after geriatric hip fracture.ConclusionAccurate modifiable variables, operating time > 107 min, serum albumin < 41.6 g/L, BMI > 26.6 kg/m2, and age > 79 years could be applied to distinguish geriatric patients with high-risk of postoperative surgical site infection.

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Section: Discussionsupporting

confidence: 85%

Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study

Liu

Dong

et al. 2019

J Orthop Surg Res

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“…En cuanto a la costoefectividad de realizar estudio universal o selectivo con base en factores de riesgo, la evidencia es mixta, con tendencia de algunos autores 36 37 38 a favorecer el tamizaje universal, evitando dejar fuera a pacientes considerados erróneamente como de bajo riesgo, tomando en cuenta que hasta un 50% de los portadores no presentan los factores de riesgo descritos. 39 40…”

Section: Discussionunclassified

“…Some authors prefer universal screening 36 37 38 to avoid excluding patients mistakenly deemed low risk, considering that up to 50% of carriers do not present the risk factors described. 39 40…”

Section: Discussionmentioning

confidence: 99%

Prevalencia de portación nasal de Staphylococcus aureus sensible y resistente a la meticilina en candidatos a artroplastia total de cadera o rodilla

Dabed

Valenzuela

Salgado

et al. 2022

Revista Chilena de Ortopedia y Traumatología

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Resumen Introducción Las infecciones perioperatorias en cirugía de reemplazo articular son fuente importante de morbimortalidad, así como de altos costos económicos y sociales, tanto para el paciente como para su entorno. La colonización preoperatoria por Staphylococcus aureus ha sido reconocida como un factor de riesgo importante para desarrollar una infección de sitio quirúrgico.El objetivo de este estudio es conocer la prevalencia de portación nasal de S. aureus, tanto sensible a la meticilina (SASM) como resistente a la meticilina (SARM), en pacientes candidatos a cirugía de reemplazo articular de cadera o rodilla. Materiales y métodos Se realizó un estudio observacional de una cohorte retrospectiva de pacientes con indicación de artroplastia total de cadera (ATC) y rodilla (ATR) electiva por artrosis severa en un hospital público de Chile. Los pacientes fueron sometidos a tamizaje preoperatorio de portación, cultivándose muestras obtenidas mediante hisopado de ambas fosas nasales. Los datos del laboratorio fueron recopilados y presentados como porcentaje de portación de S. aureus. Resultados Se estudiaron 303 pacientes consecutivos de ATC y 343 de ATR. En total, 483 de los 646 pacientes (74,7%) tuvieron estudio preoperatorio de portación nasal. Se identificaron 123 pacientes (25,4%) portadores de S. aureus, de los cuales sólo 2 (0,41%) casos correspondieron a SARM. Conclusión La prevalencia de portación nasal de S. aureus obtenida fue de 25%, similar a lo reportado en otras series. La prevalencia de SARM (0.41%), sin embargo, estuvo bajo lo descrito en la literatura internacional (0,6–6%). Sería de utilidad, dada la alta prevalencia de portación descrita en nuestro trabajo y de acuerdo a evidencia publicada recientemente, realizar protocolos de descolonización universales, sin necesidad de realizar tamizaje preoperatorio.

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“…Gumieiro ve ark. Kalça kırıklı hastalarda oluşan cerrahi alan infeksiyonu (CAİ), hastanede yatış süresinin uzamasına, yeniden hastaneye yatış oranının ve maliyetin artmasına neden olmakta, yaşam kaybı ile sonuçlanabilmektedir (24,25) . Thyagarajan ve ark.…”

Section: Discussionunclassified

“…Thyagarajan ve ark. (24) , cerrahi tedavi sonrası kalça kırıklı hastaların %9,5'inde CAİ geliştiğini, bunların %47,6'sında MRSA ürediğini, infeksiyon gelişen hastaların %45,2'sinde hastaneye girişte konfüzyon ve/veya demans olduğunu belirlemiştir. Aynı çalışmada, girişte MRSA kolonizasyonu saptanan hastaların (%5,2) %47,6'sında infeksiyon geliştiği saptanmıştır.…”

Section: Discussionunclassified

Evaluation of Care in The Patients with Hip Fracture: A Prospective Study

Yüksel¹,

Ülker²

2018

Jaren

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Yaşam kalitesini azaltan ve yaşam kaybı ile sonuçlanabilen kalça kırığı, yaşlı nüfusta yaygın görülen ciddi bir sağlık sorunudur. Prospektif olarak gerçekleştirilen bu araştırmada, kalça kırıklı hastaların kırık öncesi ve sonrası yaşadıkları bilişsel, işlevsel ve fiziksel sorunları belirlemek, hasta bilgilerinin hemşire ve doktor kayıtlarına yansıma durumunu değerlendirmek amaçlandı.

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Surgical site infection following hip fracture surgery - the role of wound surveillance

Abstract: Iat East Tennessee State University

Cited by 7 publications

References 17 publications

Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study

Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study

Prevalencia de portación nasal de Staphylococcus aureus sensible y resistente a la meticilina en candidatos a artroplastia total de cadera o rodilla

Evaluation of Care in The Patients with Hip Fracture: A Prospective Study

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