Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
Acta ortop. bras
;
23(1): 38-42, Jan-Feb/2015. tab, fig
Artigo
em Inglês
| LILACS
| ID: lil-735721
ABSTRACT
Objectives:
To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures.Methods:
During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks. The patients were divided into two groups regarding the time delay from injury to surgical debridement (more or less than 6 hours).Results:
Surgical debridement was carried out in less than 6h from injury in 90 (59.6%) fractures and after 6 hours from injury in 61 (40.4%) fractures. Infection rates were 12.22% and 13.24%, respectively. The global infection rate was 13.24%.Conclusion:
A significantly increased infection rate was not observed in patients whose surgical debridement occurred more than 6h after injury. However, in the fractures of high-energy trauma, a statistically significant increase of the rate of infection was observed in those operated 6 hours after trauma. Level of Evidence II, Study Type Comparative and Prospective.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ferimentos e Lesões
/
Desbridamento
/
Fraturas Expostas
/
Infecções
Tipo de estudo:
Estudo de incidência
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Acta ortop. bras
Assunto da revista:
Ortopedia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Casa de Saúde Santa Marcelina/BR
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