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
Keywords
Related Articles
- EP ID EP741712
- DOI -
- Views 24
- Downloads 0
Out Come of Knee Arthrodesis with Ilizarov Method
Objectives: To determine the functional and radiological outcome of arthrodesis of the knee using the Ilizarov method. Methods: This descriptive study was conducted in Bolan Medical Complex Hospital Quetta and Nationa...
Comparative Effectiveness of Autologous Blood and Steroid Injections in Patients with Lateral Epicondylitis
Autologous blood and steroid injections have been used with different results. Some advocates autologous blood and some favors steroid injection for lateral epicondylitis. Objective: To compare the effects of autologo...
Outcome of Instrumentation in Caries Spine
We aimed to determine the efficacy of instrumentation in caries spine and to present the long term clinical results of the patients treated with the help of this protocol. Study design: Retrospective cross sectional s...
Comparison of Limb Salvage with Mega Prosthesis Versus Auto Graft Reconstruction after Cryotherapy in Adolescent Patients with Limb Sarcomas
Objective: To compare the functional outcome of limb salvage in adolescent limb sarcomas treated with Mega Prosthesis Versus Auto Graft Reconstruction as assessed with Musculoskeletal Tumor Society(MSTS) rating Scale....
Comparison of Titanium Elastic Nailing vs Hip Spica Cast in Treatment of Femoral Shaft Fractures in Children
To compare mean duration of bone union in traction followed by spica cast versus titanium elastic nailing (TEN) for fracture shaft of femur in children of age 6-12 years. Patients and Methods: This Randomized Control...