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Published in: European Journal of Orthopaedic Surgery & Traumatology 2/2015

01-02-2015 | Original Article

Epidemiology and risk factors for surgical site infections in patients requiring orthopedic surgery

Authors: Ravi Kant Jain, Rajeev Shukla, Pankaj Singh, Ravindra Kumar

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 2/2015

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Abstract

Introduction

Surgical site infection (SSI) is the most common complication following surgical procedures. The aim of this study was to determine the incidence and associated risk factors of SSI in orthopedic patients admitted in a tertiary care center.

Materials and methods

Data were collected which focused on demographic details, lifestyle factors, diagnosis, surgical procedure, duration of surgery, prophylactic antibiotics, postoperative antibiotics and comorbidity obtained from the patients hospital records. Univariate analysis and multinomial logistic regression tests were performed to identify independent risk factors for orthopedic incisional SSIs.

Results

The overall rate of SSI was 2.1 %. Univariate analysis showed diabetes, smoking and duration of hospital stay to be significantly associated with patients in whom SSI developed than in uninfected control patients. Independent risk factors for SSI that were identified by multinomial logistic regression were diabetes (OR 3.953) and smoking (OR 38.319).

Conclusion

Diabetes and smoking were independent risk factors for SSIs. Therefore, it is recommended to tightly regulate blood glucose levels and stop smoking to reduce the SSIs.
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Metadata
Title
Epidemiology and risk factors for surgical site infections in patients requiring orthopedic surgery
Authors
Ravi Kant Jain
Rajeev Shukla
Pankaj Singh
Ravindra Kumar
Publication date
01-02-2015
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 2/2015
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-014-1475-3

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