Nov 1, 1993

Time trends of infections in orthopedic and traumatologic surgery

Revista de sanidad e higiene pública
M Fernandez ArjonaJ del Ray Calero

Abstract

We have carried out a prospective study among 2,047 patients, operated in the Department of Traumatology of "La Paz" Hospital during two years in order to know the time trend of nosocomial infection. All the operated patients have been included in the Study. Several variables have been collected (age, kind of surgery, infection, day of infection onset). Information was collected from the patient's clinical history and evolution and processed with the Sigma programme. The total percentage of infection was 10.06%; it was 7.63% in clean surgery and 26.79% in dirty surgery. Wound was the most frequent location of infection, followed in order of frequency by urine, respiratory system and sepsis. Since the patient is operated, there are two periods when infection increase significantly; those are between the 7-10 and 25-30 post operation days. This tendency is typical of wound and urine infections; but in septicaemia, infection appears about the third post operation day in dirty surgery and about the 14th day in clean surgery. When studying the moment of patients's infection in clean surgery, a quick increase of wound infection is obtained in the second week, going from 33% (the 7th day) to 78% (the 14th day); next the curve slope di...Continue Reading

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Mentioned in this Paper

Septicemia
Urine
Hemorrhagic Septicemia
Urinary Tract Infection
Respiratory System
Entire Respiratory System
Traumatology
Respiratory System Agents
Cross Infection
Surgical Prophylaxis

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