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Evaluation of Risk Factors Affecting the Incidence of Surgery Site Infection after Surgery of Closed Lower Limb Fractures under Open Surgery
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M Jafarzadeh    , M Falsafi , H Shirafkan , M Tavassoli * |
| 4.Clinical Research Development Center Unite of Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, I.R.Iran. , mehdi.tavasolii@gmail.com |
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Abstract: (7 Views) |
Background and Objective: Infection is one of the most common and serious complications in surgical patients.Among these, cases of wound infection in orthopedic surgeries are more important and more common.This study conducted with the aim of determining the risk factors affecting the incidence of surgical site infection of closed lower limb fractures undergoing open surgery in patients referred to Shahid Beheshti Hospital in Babol.
Methods: This cohort study conducted in 133 patient with lower limb fractures who were operated on in Shahid Beheshti Hospital in Babol (2021-2022).Examination of the patients evaluated and recorded in order to check the signs of infection in two intervals of2 and 1month after the operation.Patient information such as age,sex,body mass index,co-morbidity,fracture site,length of hospitalization, smoking,type of surgery and anesthesia,involved side,mechanism of injury,infection,duration of operation(from incision to suturing),emergency or elective operation was collected in the checklist made by the researcher.
Findings: By examining the prevalence of infection after surgery for closed lower limb fractures from the time of surgery to 1month after surgery,wound site infection reported in32people(24.1%)with a prevalence24%.In the next2weeks,12people(37.5%)had a surgical site infection,and in the next 1month,20people(62.5%)were infected.As a result,relationship between being a smoker and having a surgical site infection(p=0.005) and having surgery with not having a surgical site infection (p<0.001) was significant.The average duration of hospitalization of patients with infection was significantly longer than that of patients without infection(p<0.001).The relationship between increased surgery duration and infection was significant(p=0.006).Multivariate regression showed that the variables of increased hospitalization time and surgical time are risk factors for infection in patients with closed fractures.
Conclusion: The results of the study showed that increased length of hospitalization, duration of surgery, and smoking were risk factors for surgical site infection.
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| Keywords: Infection, Closed Fracture, Lower Limb, Risk Factor, Surgery. |
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Type of Study: Research |
Subject:
Orthopedics
Received: 2024/07/25 | Accepted: 2025/07/29
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| Send email to the article author |
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