Surveillance of surgical site infections in orthopedic prosthetic surgery: a tool for identifying risk factors and improving clinical practice.

Autor:	Porretto M; Health Directorate Galliera Hospital, Genoa, Italy.; Department of Health Sciences, University of Genoa, Genoa, Italy., Parente F; Health Directorate Galliera Hospital, Genoa, Italy.; Department of Health Sciences, University of Genoa, Genoa, Italy., Del Puente F; Department of Infectious Diseases, Galliera Hospital, Genoa, Italy., Parisini A; Department of Infectious Diseases, Galliera Hospital, Genoa, Italy., Tigano S; Department of Infectious Diseases, Galliera Hospital, Genoa, Italy., Nelli M; Health Directorate Galliera Hospital, Genoa, Italy., Mazzola C; S.C. Joint Orthopedics, Galliera Hospital, Genoa, Italy., Damiani G; S.C. Joint Orthopedics, Galliera Hospital, Genoa, Italy., Adriano G; SSD UO Hospital Hygiene, Galliera Hospital, Genoa, Italy., Sartini M; Department of Health Sciences, University of Genoa, Genoa, Italy.; SSD UO Hospital Hygiene, Galliera Hospital, Genoa, Italy., Pontali E; Department of Infectious Diseases, Galliera Hospital, Genoa, Italy., Cristina ML; Department of Health Sciences, University of Genoa, Genoa, Italy.; SSD UO Hospital Hygiene, Galliera Hospital, Genoa, Italy., Boni S; Department of Infectious Diseases, Galliera Hospital, Genoa, Italy.
Jazyk:	angličtina
Zdroj:	Journal of preventive medicine and hygiene [J Prev Med Hyg] 2024 Aug 31; Vol. 65 (2), pp. E273-E277. Date of Electronic Publication: 2024 Aug 31 (Print Publication: 2024).
DOI:	10.15167/2421-4248/jpmh2024.65.2.3141
Abstrakt:	Introduction: Surgical site infections (SSIs) are among the most frequently encountered complications in prosthetic surgery, and are associated with increased hospitalization, costs and in-hospital mortality. There is no national system for the comprehensive monitoring of the incidence of SSIs. Methods: All patients undergoing orthopedic prosthetic surgery from April 1 to June 30, 2023 were enrolled. Clinical evaluation of the surgical site was conducted at 30 days, and a follow-up telephone interview was carried out by means of a specially designed questionnaire at 90 days. Results: A total of 59 patients were included. Surgery was performed on the knee in 71.19% and on the hip in 28.81%. The patients' mean BMI was 28.25 ± 2.97, and their mean ASA score was 2.67 ± 0.58. Six patients had diabetes mellitus. The incidence of SSIs was 5.08%; two infections occurred in knee prosthesis surgery and one in hip surgery. Analysis of the data revealed that diabetes was the main risk factor for the development of infection. Conclusions: Although based on a small number of patients, these results are encouraging, especially considering that the patients had an average ASA score of more than 2 and a high BMI. However, to further reduce the risk of infection, improved hygiene measures have now been implemented in the operating room and the antibiotic prophylaxis protocol has been updated to take into account the potential for MRSA colonization. Competing Interests: The authors declare no conflict of interest. (©2024 Pacini Editore SRL, Pisa, Italy.)
Databáze:	MEDLINE
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