Cargando…
Surgical Site Infection Following Fixation of Acetabular Fractures
PURPOSE: Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalenc...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Hip Society
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612977/ https://www.ncbi.nlm.nih.gov/pubmed/28955683 http://dx.doi.org/10.5371/hp.2017.29.3.176 |
_version_ | 1783266155094343680 |
---|---|
author | Iqbal, Faizan Younus, Sajid Asmatullah, Zia, Osama Bin Khan, Naveed |
author_facet | Iqbal, Faizan Younus, Sajid Asmatullah, Zia, Osama Bin Khan, Naveed |
author_sort | Iqbal, Faizan |
collection | PubMed |
description | PURPOSE: Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalence of surgical site infections and the risk factors associated with it so as to minimize its chances. MATERIALS AND METHODS: A total of 261 patients who underwent acetabular fracture surgery were retrospectively reviewed. Patients were divided into 2 groups, with or without surgical site infection. Factors examined include patients' gender, age, body mass index (BMI), time between injury and surgery, operative time, estimated blood loss, number of packed red blood cell transfused, length of total intensive care unit (ICU) stay, fracture type, surgical approach, smoking status, patients' comorbids and associated injuries. RESULTS: Fourteen patients (5.4%) developed surgical site infection. Out of 14 infections, 4 were superficial and 10 were deep. The factors that were found to be associated with surgical site infection following acetabular fracture fixation were prolonged operation time, increased BMI, prolonged ICU stay, larger amount of packed red blood cell transfused and associated genitourinary and abdominal trauma. CONCLUSION: In our study, we conclude that measures should be undertaken to attenuate the chances of surgical site infection in this major surgery by considering the risk factors significantly associated with it. |
format | Online Article Text |
id | pubmed-5612977 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Korean Hip Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-56129772017-09-27 Surgical Site Infection Following Fixation of Acetabular Fractures Iqbal, Faizan Younus, Sajid Asmatullah, Zia, Osama Bin Khan, Naveed Hip Pelvis Original Article PURPOSE: Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalence of surgical site infections and the risk factors associated with it so as to minimize its chances. MATERIALS AND METHODS: A total of 261 patients who underwent acetabular fracture surgery were retrospectively reviewed. Patients were divided into 2 groups, with or without surgical site infection. Factors examined include patients' gender, age, body mass index (BMI), time between injury and surgery, operative time, estimated blood loss, number of packed red blood cell transfused, length of total intensive care unit (ICU) stay, fracture type, surgical approach, smoking status, patients' comorbids and associated injuries. RESULTS: Fourteen patients (5.4%) developed surgical site infection. Out of 14 infections, 4 were superficial and 10 were deep. The factors that were found to be associated with surgical site infection following acetabular fracture fixation were prolonged operation time, increased BMI, prolonged ICU stay, larger amount of packed red blood cell transfused and associated genitourinary and abdominal trauma. CONCLUSION: In our study, we conclude that measures should be undertaken to attenuate the chances of surgical site infection in this major surgery by considering the risk factors significantly associated with it. Korean Hip Society 2017-09 2017-09-06 /pmc/articles/PMC5612977/ /pubmed/28955683 http://dx.doi.org/10.5371/hp.2017.29.3.176 Text en Copyright © 2017 by Korean Hip Society http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Iqbal, Faizan Younus, Sajid Asmatullah, Zia, Osama Bin Khan, Naveed Surgical Site Infection Following Fixation of Acetabular Fractures |
title | Surgical Site Infection Following Fixation of Acetabular Fractures |
title_full | Surgical Site Infection Following Fixation of Acetabular Fractures |
title_fullStr | Surgical Site Infection Following Fixation of Acetabular Fractures |
title_full_unstemmed | Surgical Site Infection Following Fixation of Acetabular Fractures |
title_short | Surgical Site Infection Following Fixation of Acetabular Fractures |
title_sort | surgical site infection following fixation of acetabular fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612977/ https://www.ncbi.nlm.nih.gov/pubmed/28955683 http://dx.doi.org/10.5371/hp.2017.29.3.176 |
work_keys_str_mv | AT iqbalfaizan surgicalsiteinfectionfollowingfixationofacetabularfractures AT younussajid surgicalsiteinfectionfollowingfixationofacetabularfractures AT asmatullah surgicalsiteinfectionfollowingfixationofacetabularfractures AT ziaosamabin surgicalsiteinfectionfollowingfixationofacetabularfractures AT khannaveed surgicalsiteinfectionfollowingfixationofacetabularfractures |