INCIDENCE AND RISK FACTORS FOR EARLY SURGICAL SITE INFECTION IN ELECTIVE ORTHOPAEDIC IMPLANT SURGERIES: A PROSPECTIVE STUDY

Autor:	Suneet Tandon, Santosh Kumar Mishra, Mayank Vijayvargiya, Abhishek Pathak
Rok vydání:	2015
Předmět:	medicine.medical_specialty Tourniquet Rehabilitation business.industry Cross-sectional study Incidence (epidemiology) medicine.medical_treatment medicine.disease Surgery Diabetes mellitus Medicine business Prospective cohort study Complication Surgical site infection
Zdroj:	Journal of Evolution of Medical and Dental Sciences. :2525-2531
ISSN:	2278-4802 2278-4748
DOI:	10.14260/jemds/2015/364
Popis:	BACKGROUND: Surgical site infections in orthopaedic implant surgery is devasting complication range from 1-2% to 22%. It leads to increase case cost, prolongs antibiotic use/abuse, increases morbidity and rehabilitation. METHOD: This prospective cross sectional study was conducted on 624 patients with closed fracture cases undergoing clean and elective orthopaedic implant surgeries admitted at Gandhi Medical College and Hamidia Hospital, Bhopal (Madhya Pradesh), India between '1st November 2013 to 31st October 2014'. RESULTS: The surgical site infection was diagnosed in 43 (6.89%) patients within 30 days after surgery. Klebsiella was most common infective organism islolated in 39.53% cases. On data analysis SSI was significantly associated with increasing age, duration of hospital stay more than 7 days, duration of surgery more than 120 minutes, pre-operative Hb less than 12 gm%, diabetes mellitus, use of intra-operative negative suction and tourniquet. CONCLUSION: Incidence of SSI in implants surgeries are quite high, proper measure are needed to control it. In this study gram negative organism has emerged as major threat in contrast to staphylococcus aureus.
Databáze:	OpenAIRE
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