scholarly journals Incidence and risk factors for surgical site infection after open reduction and internal fixation of intra‐articular fractures of distal femur: A multicentre study

2018 ◽  
Vol 16 (2) ◽  
pp. 473-478 ◽  
Author(s):  
Kaosheng Lu ◽  
Jixin Zhang ◽  
Jiaxiang Cheng ◽  
Haibo Liu ◽  
Chunyan Yang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multicentre Study ◽  
Surgical Site Infection ◽  
Internal Fixation ◽  
Open Reduction ◽  
Distal Femur ◽  
Site Infection ◽  
Articular Fractures

scholarly journals Incidence and risk factors for surgical site infection after open reduction and internal fixation of ankle fracture

Medicine ◽  
2018 ◽  
Vol 97 (7) ◽  
pp. e9901 ◽  
Author(s):  
Yaning Sun ◽  
Huijuan Wang ◽  
Yuchao Tang ◽  
Haitao Zhao ◽  
Shiji Qin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Internal Fixation ◽  
Ankle Fracture ◽  
Open Reduction ◽  
Site Infection

scholarly journals Incidence and predictors  of  surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

2020 ◽  
Author(s):  
Junzhe Zhang ◽  
Junyong Li ◽  
Kuo Zhao ◽  
Hongyu Meng ◽  
Yanbin Zhu ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Internal Fixation ◽  
Open Reduction ◽  
Pathogenic Bacteria ◽  
Protective Factor ◽  
Distal Femur ◽  
Site Infection ◽  
Chi Square ◽  
Femur Fractures ◽  
Epidemiological Characteristics

Abstract Background: There remain limited data on the epidemiological characteristics and related predictors of surgical site infection (SSI) after open reduction and internal fixation (ORIF) for distal femur fractures. We designed this single-centre prospective study to explore and resolve these clinical problems.Methods：From October 2014 to December 2018, 364 patients with distal femur fractures were treated with ORIF and followed for complete data within one year. Receiver operating characteristic (ROC) analyses, univariate Chi-square analyses, and multiple logistic regression analyses were used to screen the adjusted predictors of SSI.Results: The incidence of SSI was 6% (22/364): 2.4% for superficial SSIs and 3.6% for deep SSIs. Staphylococcus aureus (methicillin-resistant S. aureus in 2 cases) was the most common pathogenic bacteria (7, 36.8%). In multivariate analysis, parameters independently associated with SSI were: Open fracture (OR: 7.27, p = 0.003), drain use (OR: 4.11, p = 0.037), and incision cleanliness (OR: 3.53, p = 0.002). An albumin/globulin (A/G) level ≥ 1.35 (OR: 0.23, p = 0.042) was an adjusted protective factor for SSI. Conclusions: The SSI after ORIF affected approximately one in 15 patients with distal femur fractures. We recommend that maintaining A/G levels higher than 1.35 is introduced during hospitalization and elaborative evaluation of drain use is conducted for reducing the risk of post-operative SSI. Trial registration: NO 2014-015-1, October 15, 2014. We registered our trial prospectively in October 15, 2014 before the first participant was enrolled. This study protocol was conducted according to the Declaration of Helsinki and approved by the Institutional Review Board. The ethics committee approved the Surgical Site Infection in Orthopaedic Surgery (NO 2014-015-1). Data used in this study were obtained from the patients who underwent orthopaedic surgeries between October 2014 to December 2018. Keywords : predictor, surgical site infection, distal femoral fracture, internal fixation surgery

scholarly journals Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single‐center study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chao Zhu ◽  
Junzhe Zhang ◽  
Junyong Li ◽  
Kuo Zhao ◽  
Hongyu Meng ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Internal Fixation ◽  
Open Reduction ◽  
Pathogenic Bacteria ◽  
Protective Factor ◽  
Open Fracture ◽  
Distal Femur ◽  
Site Infection ◽  
Femur Fractures ◽  
Epidemiological Characteristics

Abstract Background There remain limited data on the epidemiological characteristics and related predictors of surgical site infection (SSI) after open reduction and internal fixation (ORIF) for distal femur fractures (DFFs). We designed this single-centre prospective study to explore and forecast these clinical problems. Methods From October 2014 to December 2018, 364 patients with DFFs were treated with ORIF and followed for complete data within one year. Receiver operating characteristic (ROC) analyses, univariate Chi-square analyses, and multiple logistic regression analyses were used to screen the adjusted predictors of SSI. Results The incidence of SSI was 6.0 % (22/364): 2.4 % (9/364) for superficial SSIs and 3.6 % (13/364) for deep SSIs. Staphylococcus aureus (methicillin-resistant S. aureus in 2 cases) was the most common pathogenic bacteria (36.8 %,7/19). In multivariate analysis, parameters independently associated with SSI were: Open fracture (OR: 7.3, p = 0.003), drain use (OR: 4.1, p = 0.037), and incision cleanliness (OR: 3.5, p = 0.002). An albumin/globulin (A/G) level ≥ 1.35 (OR: 0.2, p = 0.042) was an adjusted protective factor for SSI. Conclusions The SSI after ORIF affected approximately one in 15 patients with DFFs. The open fracture, drain use, high grade of intraoperative incision cleanliness, and preoperative A/G levels lower than 1.35 were significantly related to increasing the risk of post-operative SSI after DFFs. We recommended that more attentions should be paid to these risk factors during hospitalization. Trial registration NO 2014-015-1, October /15/2014, prospectively registered. We registered our trial prospectively in October 15, 2014 before the first participant was enrolled. This study protocol was conducted according to the Declaration of Helsinki and approved by the Institutional Review Board. The ethics committee approved the Surgical Site Infection in Orthopaedic Surgery (NO 2014-015-1). Data used in this study were obtained from the patients who underwent orthopaedic surgeries between October 2014 to December 2018.

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