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
Article
in English
| LILACS
| ID: lil-735721
Responsible library:
BR1.1
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.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Wounds and Injuries
/
Debridement
/
Fractures, Open
/
Infections
Type of study:
Incidence study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2015
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Casa de Saúde Santa Marcelina/BR