Seasonal variations in posttraumatic wound infections after open extremity fractures

The Journal of Trauma and Acute Care Surgery
Henry Claude SagiBarbara Steverson

Abstract

The vast majority of the orthopedic trauma literature has dealt with risk of infection as a function of time to debridement and severity of open fracture. The goal of this analysis was to determine if either the incidence or causative organism of posttraumatic infection varies with the season in which the open fracture occurred. No such study has been previously published. This is a retrospective chart review of all skeletally mature patients sustaining an open fracture of either the upper or the lower extremity long bones from 2007 to 2012. Charts were reviewed to extract information regarding date of injury, Gustilo-Anderson grade of open fracture, Injury Severity Score (ISS), time to surgical debridement, any posttraumatic wound infection (deep or superficial), and the causative organisms. Patients were placed into one of four groups based on the time of year: spring (March to May), summer (June to August), fall (September to November), and winter (December to February). Patients were excluded if they were skeletally immature, smokers, or also diagnosed with a condition that would increase risk of infection. Statistical analysis was performed to assess whether any observed differences were of significance. All four groups we...Continue Reading

References

Jul 27, 1999·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H Carsenti-EtesseP Dellamonica
Aug 13, 2002·Journal of Orthopaedic Trauma·Brian J HarleyDonald W Weber
Jul 13, 2012·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·H Richet
Nov 6, 2012·Journal of Neurosurgery. Spine·Jordan GruskayAlexander Vaccaro
Mar 1, 2013·Journal of Orthopaedic Trauma·Carla C SaveliConnie S Price
Apr 22, 2014·The Journal of Trauma and Acute Care Surgery·Ajai Kumar MalhotraRao R Ivatury

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Citations

Oct 19, 2016·Journal of Orthopaedic Trauma·H Claude SagiUNKNOWN Center for Bone and Joint Infection
Nov 11, 2017·Expert Review of Anti-infective Therapy·Seven Johannes Sam Aghdassi, Petra Gastmeier
Oct 26, 2018·ANZ Journal of Surgery·Drew ArmitBenjamin Parkinson
Dec 19, 2018·The Journal of Bone and Joint Surgery. American Volume·Guang H Yim, Joseph T Hardwicke
May 1, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Robert MillerTim Halsey
Jul 31, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ryan A PetersonPhilip M Polgreen
May 17, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Chris A AnthonyPhilip M Polgreen
Jul 27, 2017·International Orthopaedics·Kirsten KortramMichael H J Verhofstad
Mar 11, 2020·Archives of Orthopaedic and Trauma Surgery·Fay Ruth Katharina SandersTim Schepers
Feb 23, 2018·Clinical Orthopaedics and Related Research·Ben ParkinsonIan A Harris
Jun 15, 2021·Advances in Skin & Wound Care·Furong LiMingyue Wang
Aug 21, 2021·Journal of Orthopaedic Trauma·Henry C Sagi, Michael J Patzakis

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