INCIDENCE OF SURGICAL SITE INFECTION IN CLEAN ORTHOPAEDIC PROCEDURES LIKE DYNAMIC HIP SCREW SURGERY: A LIAISON BETWEEN SURGEONS AND INFECTION CONTROL PERSONNEL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 31
Abstract
Postoperative SSI in orthopaedic procedures involving implants is one of the most costly complications. Studies estimated that SSIs prolong total hospital stays by a median of two weeks per patient. Moreover, orthopaedic patients with SSIs have substantially greater physical limitations and significant reductions in their quality of life. Aim was to establish infection control policy and assess the incidence of SSIs in DHS and also validate the infection control policy of our hospital by comparing rates with already published reports. The study was conducted at a multi-specialty tertiary care centre. 70 patients with intertrochanteric fracture undergoing DHS surgery during the period of Jan-2011 to Dec-2011 with an NHSN risk index of 0 were enrolled into the study. A minimum follow up was for 1 year. Of the 70 surgeries, 1(1.4%) Superficial incisional SSI was noticed and it settled down with debridement and antibiotics. No deep or organ space infection was noted. Our result was favorably comparable with the NHSN data between 2006-2008 showed 0.67-2.4 per 100 operations and also other similar published reports. [b]CONCLUSION[/b]: “BUGS ARE AHEAD OF HUMANS”. We have to evolve ourselves beyond drug therapy to fight SSI. Prevention of SSIs is based on structured protocols, which are evolved by the hospital infection control committee. The policy has to be specific to the hospital based on broad guideline already published. A more holistic approach with a dedicated team to monitor the infection control protocols and the infection rates along with antibiotic policy is order of the day. There is a scope for improvement as ever and the goal is to reduce the SSI incidence to near 0%. Based on our findings we can with confidence say that we can reduce the incidence of SSIs to near 0% with a good protocol of infection control policy.
Authors and Affiliations
Archana G, Hanume Gowda
Keywords
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- EP ID EP122688
- DOI 10.14260/jemds/1055
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