Original Articles
Incidence and risk factors of surgical site infections in the orthopedic ward | |
Dr. Mrityunjay Pravesh Sharma, Dr. Nagendra Singh Bhadauria I, Dr. Arunjay Pravesh Sharma, Dr. Aayushi Kurmi | |
Background:Infections that harm the incision or deep tissue at the operation site are known as surgical site infections (SSIs), and they can appear up to 30 days after surgery (or up to a year after surgery in patients receiving implants). The present study was conducted to assess the incidence rate and risk factors of surgical site infections in the orthopedic ward. Materials & Methods:174 patients who underwent orthopedicsurgeries of both genders were selected. Parameters such as type of orthopaedic surgery, wound class: clean, clean-contaminated, contaminated and dirty, duration of operation, length of hospital stay etc. were recorded. Results: Out of 174 patients, 90 were males and 84 were females. Orthopaedic surgery performed was ORIF with plating in 58, CRIF with K-wiring in 42, CRIF with IMIL nailing in 30 and CRIF with long PFN in 44 patients. Operative time was <2 hours in 104 and >2 hours in 74 patients. Hospital stay was <4 days in 98 and >4 days in 76 patients.SSI was present in 48 and absent in 126 patients. Type of SSI was superficial in 28 and deep in 20. Surgical wound was clean in 116, clean- contaminated in 4, contaminated in 24 and dirty in 30 patients. The difference was significant (P< 0.05). Conclusion: Incidence of SSI was 27.5%. Open surgical technique, contaminated wound class, and emergency surgery are potentially modifiable independent risk factors for SSI following orthopaedic surgery. |
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