Cargando…

Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience

INTRODUCTION: Surgical Site Infection (SSI) after knee arthroplasty is a major cause of morbidity and mortality that increases the hospital stay, financial burden and mental anguish of the patient. Infection Control Unit at Aga Khan University Hospital (AKUH) incorporated total knee arthroplasty in...

Descripción completa

Detalles Bibliográficos
Autores principales: Ashraf, Irfan, Mohib, Yasir, Hasan, Obada, Malik, Amina, Ahmad, Khabir, Noordin, Shahryar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004735/
https://www.ncbi.nlm.nih.gov/pubmed/29922462
http://dx.doi.org/10.1016/j.amsu.2018.04.006
_version_ 1783332571917058048
author Ashraf, Irfan
Mohib, Yasir
Hasan, Obada
Malik, Amina
Ahmad, Khabir
Noordin, Shahryar
author_facet Ashraf, Irfan
Mohib, Yasir
Hasan, Obada
Malik, Amina
Ahmad, Khabir
Noordin, Shahryar
author_sort Ashraf, Irfan
collection PubMed
description INTRODUCTION: Surgical Site Infection (SSI) after knee arthroplasty is a major cause of morbidity and mortality that increases the hospital stay, financial burden and mental anguish of the patient. Infection Control Unit at Aga Khan University Hospital (AKUH) incorporated total knee arthroplasty in its surgical care surveillance program and started collecting data in June 2012. The purpose of this study is to review Surgical Site Infection (SSI) rates in patients undergoing primary total knee replacement (TKR) surgery. PATIENTS AND METHODOLOGY: All patients from June 2012 to December 2013 undergoing knee arthroplasty at our hospital were included. Data was acquired from the hospital SSI database for knee arthroplasty surgery. Data was collected by SSI nurses for inpatients a well as post-discharge monitoring in clinics till 90 days post-op follow-up. The work has been reported in line with the PROCESS criteria. RESULTS: During this time period a total of 164 patients had primary TKR at AKUH. Out of these, 85 patients (52%) had bilateral TKR while 79 (48%) had unilateral TKR. The overall SSI was in 2 patients (1.2%). CONCLUSION: Identifying SSIs is multidimensional. Since our 2 infected cases after TKR occurred after discharge, this highlights the importance of post-discharge surveillance and not limiting the surveillance for inpatients only. Furthermore, the SSI program may be effective in controlling postoperative wound infections.
format Online
Article
Text
id pubmed-6004735
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-60047352018-06-19 Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience Ashraf, Irfan Mohib, Yasir Hasan, Obada Malik, Amina Ahmad, Khabir Noordin, Shahryar Ann Med Surg (Lond) Original Research INTRODUCTION: Surgical Site Infection (SSI) after knee arthroplasty is a major cause of morbidity and mortality that increases the hospital stay, financial burden and mental anguish of the patient. Infection Control Unit at Aga Khan University Hospital (AKUH) incorporated total knee arthroplasty in its surgical care surveillance program and started collecting data in June 2012. The purpose of this study is to review Surgical Site Infection (SSI) rates in patients undergoing primary total knee replacement (TKR) surgery. PATIENTS AND METHODOLOGY: All patients from June 2012 to December 2013 undergoing knee arthroplasty at our hospital were included. Data was acquired from the hospital SSI database for knee arthroplasty surgery. Data was collected by SSI nurses for inpatients a well as post-discharge monitoring in clinics till 90 days post-op follow-up. The work has been reported in line with the PROCESS criteria. RESULTS: During this time period a total of 164 patients had primary TKR at AKUH. Out of these, 85 patients (52%) had bilateral TKR while 79 (48%) had unilateral TKR. The overall SSI was in 2 patients (1.2%). CONCLUSION: Identifying SSIs is multidimensional. Since our 2 infected cases after TKR occurred after discharge, this highlights the importance of post-discharge surveillance and not limiting the surveillance for inpatients only. Furthermore, the SSI program may be effective in controlling postoperative wound infections. Elsevier 2018-04-10 /pmc/articles/PMC6004735/ /pubmed/29922462 http://dx.doi.org/10.1016/j.amsu.2018.04.006 Text en © 2018 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Ashraf, Irfan
Mohib, Yasir
Hasan, Obada
Malik, Amina
Ahmad, Khabir
Noordin, Shahryar
Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title_full Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title_fullStr Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title_full_unstemmed Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title_short Surgical site infection surveillance following total knee arthroplasty: Tertiary care hospital experience
title_sort surgical site infection surveillance following total knee arthroplasty: tertiary care hospital experience
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6004735/
https://www.ncbi.nlm.nih.gov/pubmed/29922462
http://dx.doi.org/10.1016/j.amsu.2018.04.006
work_keys_str_mv AT ashrafirfan surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience
AT mohibyasir surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience
AT hasanobada surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience
AT malikamina surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience
AT ahmadkhabir surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience
AT noordinshahryar surgicalsiteinfectionsurveillancefollowingtotalkneearthroplastytertiarycarehospitalexperience