Publication Date: 2023/06/29
Abstract: INTRODUCTION : Post operative infection is a dreadful complication of orthopaedic surgery. Implant associated infection can lead to a spectrum of complications from non union to sepsis and even amputation. Infection leads to increased duration of hospital stay and increased chance of nosocomial infections which adds morbidity of patient. Thus to identify the risk factors of implant associated infection and to reduce or avoid those prior to, as well as during surgery. OBJECTIVES: To estimate risk factors that are associated with surgical site infection following malleolar fracture surgeries. MATERIALS AND METHODS: This case: control research was conducted at the Government Medi cal College in Thiruvanathapuram from January 2021 to December 2021.For this investigation, 40 cases and 40 c ontrols were collected. RESULTS: 11 factors were examined for any correlation with the likelihood of implant-related infection. We discovered a significant correlation between the risk of infection and diabetes with no glycemic control (chi square 7.02 and p 0.007), smoking (chi square 11.3 and p 0.0007), open fracture (chi square 8.49 and p 0.004), the presence of blebs (chi square 11 and p 0.009), and the length of surgery (chi square 8.49 and p 0.003). CONCLUSIONS: In the study of risk factors of surgical site infection we found diabetes mellitus, smoking, open fractures , and duration of surgery and blebs had a significant association. Pre op control of glycemic levels, strict smoking cessation and correction of skin status before surgery may reduce surgical site infection.
Keywords: Implant associated infection, orthopaedic infection, orthopaedic surgical site infections, biofilm.
DOI: https://doi.org/10.5281/zenodo.8094826
PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT23JUN5351.pdf
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