Risk factors for surgical site infection following ankle joint and Pilon frac-ture surgery
10.3969/j.issn.1671-9638.2015.12.007
- VernacularTitle:踝关节和 Pilon 骨折手术部位感染危险因素
- Author:
Biao YANG
;
Yao WANG
;
Xiaoguang ZHAO
;
Lei WANG
- Publication Type:Journal Article
- Keywords:
ankle joint;
Pilon fracture;
surgical site infection;
risk factor;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(12):818-820
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk factors for surgical site infection(SSI)following ankle joint and Pilon fracture surgery,and provide theoretical basis for the prevention of postoperative SSI.Methods Clinical data of pa-tients who underwent ankle joint and Pilon fracture surgery in a hospital between June 2005 to May 2013 were sur-veyed retrospectively,risk factors for SSI were analyzed.Results Among 356 patients with ankle joint and Pilon fracture surgery,22 developed 25 times of SSI,SSI rate was 6.18%,case infection rate was 7.02%.Univariate analysis showed that elderly patients (> 60 years old),history of diabetes,pre-operative calcaneal traction, perioperative irrational antimicrobial use,incision type,and long duration of operation (>3 h)were risk factors for SSI following ankle joint and Pilon fracture surgery (all P <0.05).Multivariate logistic regression analysis showed that the independent risk factors for SSI were incision type(OR,3.58[95%CI ,3.24-12.07]),history of diabetes (OR,2.75[95%CI ,1 .54-4.75]),duration of operation(OR,2.15[95%CI ,1 .32-3.64]),and patients age(OR, 1 .68[95%CI ,1 .25-2.37]).Conclusion Occurrence of SSI following ankle joint and Pilon fracture surgery is related to multiple factors,corresponding prevention and control measures should be taken to reduce the occurrence of SSI.
