Incidence of Early Surgical Site Infection (SSI) in Elective Orthopaedic Implant Surgeries
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2018, Vol 30, Issue 01
Abstract
Objective: To evaluate the frequency of SSI and isolated infectious micro-organisms with length of hospital stay. Methods: Patients with closed fractures planned for elective surgeries admitted in Orthopaedic department from February 2017 till July 2017. Data of this retrospective descriptive study was recorded on a proforma covering patient’s demographics, length of hospital stay, provisional diagnosis, procedure performed, culture sent and micro-organism isolated. Total 155 patients male and female, age range 5- 75 years were included. Exclusion criteria were patients with open injuries, soft tissue operations, emergencies, non-implant surgeries, comorbid patients (other than hypertension). This data was analyzed for frequency and percentages of the variables. Results: 155 patients of age were grouped into 3 categories. Out of which, 119(76.77%) male and 36(23.23%) were female. Among these, infectious micro-organisms isolated from 11(7.09%) patients. Klebsiella species found to be most prevalent in 4(36.36%) followed by pseudomonas aeruginosa 3(27.27%), Coagulase negative staphylococci 3(27.27%) and Methicillin susceptible S. aureus 1(9.09%) in the descending order. 6(54.54%) of these patients were treated in the ward for more than 2 weeks and most common isolate in correlation with the prolong stay was pseudomonas aeruginosa. Conclusion: The incidence of SSI in elective procedures for closed fractures was found in 11 (7.09%) with Klebsiella species being the most common. On the other hand, Pseudomonas aeruginosa was found to be most prevalent in patients with prolong hospital stay which could be due to nosocomial abundance and pre-operative colonization.
Authors and Affiliations
Irfan Muhammad Rajput, Miss Ghulam Zainab, Adeel Ahmed Siddiqi, Jagdesh Kumar, MalikWaseemAhmed, Ghulam Mustafa Kaimkhani,Mehtab Ahmed Pirwani
Postoperative Changes and Outcomes in Intaoperative Neurophysiological Monitoring in Scoliosis Surgery
Objective: To evaluate the advantages of combined motor and sensory evoked potential monitoring during scoliosis surgery. Methods: We performed and analyzed the records of 107 (83 Female (77.5%) and 24 male (22.4%) Sc...
A Demographic Study of Fractures in Patients Presenting to A Tertiary Care Hospital in Peshawar Pakistan: A 10-Year Retrospective Analysis
Objective: To determine the frequency, aetiology and age distribution of different fractures in patients presenting to a tertiary care center in Peshawar. Methods: This was a descriptive cross-sectional study, conduct...
Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries.
Objective: To determine the outcome of Spinal Accessary nerve to Suprascapular nerve and motor branch of Radial nerve transfer to the Axillary nerve for restoration of shoulder abduction and external rotation in patients...
Functional Outcome of Arthroscopic Single Bundle Anterior Cruciate Ligament Reconstruction (ACLR) using Hamstring Auto Graft
Objective: To determine the functional outcome of arthroscopic single-bundle Anterior Cruciate Ligament Reconstruction (ACLR ) using Hamstring auto graft in patients with complete Anterior Cruciate Ligament (ACL) rupture...
Pre-treatment complete blood count as a predictor of overall survival in pediatric patients of age ?18 years presenting with osteosarcoma
Introduction: Osteosarcoma is the most common malignancy of bone. Multi-disciplinary treatment has improved clinical outcomes up to 70%. Factors such as alkaline phosphatase, lactate dehydrogenase, and post-chemotherapy...