We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Orthopaedic surgical site infections: A prospective cohort study.
- Authors
Bhat, Anil K.; Acharya, Ashwath; Parikh, Nachiketa Kamleshbhai
- Abstract
Background: Orthopaedic surgical site infections (SSIs) are among the most common hospital-acquired infections, leading to serious health complications, hospital readmissions, and extended hospitalizations. Objective: This study aimed to evaluate outcomes and assess the epidemiology of orthopaedic SSIs six months post-operation in patients with preoperatively intact sites of surgery. Methods: The prospective cohort study was conducted in a tertiary hospital over two years. All patients with previously intact surgical sites were included (n = 9,318). The U.S. Centers for Disease Control and Prevention criteria for SSI diagnosis were used. Six-month post-surgery patients were assessed by orthopaedic medical residents. In questionable cases, wound inspections were validated by the investigating team. Results: The incidence of SSIs was 0.91%. Diabetes, smoking, alcoholism, and prolonged retention of a drainage tube, along with implant-related surgeries, oncologic surgeries, and surgeries on areas with deep-seated infection had significantly higher rates of SSIs (p < 0.05). S. aureus was the most commonly detected bacteria, followed by gram-negative bacilli. At the six-month follow-up, 13 of 85 SSI patients had persistent infection and 39 were lost to follow-up. Conclusion: Our study detected a 0.91% incidence of SSIs and statistically significant risk factors with significant morbidity at six months post-surgery.
- Subjects
INDIA; CROSS infection; DISEASES; GRAM-negative bacterial diseases; PATIENT aftercare; LONGITUDINAL method; MICROBIAL sensitivity tests; ORTHOPEDIC surgery; STAPHYLOCOCCUS aureus; SURGICAL complications; BODY mass index; SURGICAL site infections; TREATMENT effectiveness; DISEASE incidence; PATIENT readmissions; TERTIARY care; DISEASE risk factors
- Publication
Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections, 2018, Vol 33, Issue 4, p227
- ISSN
1183-5702
- Publication type
Article