Survey of infection in orthopedic postoperative and their causative agents: a prospective study

Revista da Associação Médica Brasileira

Gabriel De Deus Vieira¹  Hallan Rodrigues Mendonça¹  Thaianne Da Cunha Alves¹  Danilo Fernandes De Oliveira Araújo¹  Mauro Lopes Da Silveira Filho¹  André Pastuczenko Dos Santos Rodrigues De Freitas¹  Flávia Bressan¹  Renato De Figueiredo Radaeli¹  Camila Maciel De Sousa¹ 

关键词: surgical wound infection;    orthopedics;    hospital infection;    infecção da ferida operatória;    ortopedia;    infecção hospitalar;   

DOI  :  10.1590/1806-9282.61.04.341

来源: SciELO

【 摘 要 】

SummaryObjective:to evaluate the cases of wound infections in orthopedic postoperative period.Methods:postoperative patients who developed infection during the period from November 2012 to November 2013 were studied. Secretions were collected during surgery using sterile swabs, and sent for microbiological analysis.Results:during the period analyzed, 38 surgical procedures progressed to infection. The type of surgery presenting the largest number of infections was osteosynthesis, in 36 (94.7%) patients. Among the materials used, 18 (36%) surgeries that used external fixator were infected, and 17 (34%) using plate. The species of bacteria that caused the largest number of infections were Staphylococcus aureus, infecting 16 (43.9%) patients, followed by Acinetobacter baumannii, which infected four (10.5%) patients. Regarding the resistance profile of Gram-positive strains to antibiotics, 100% of Staphylococcus aureus strains were susceptible to vancomycin and 31.3%, to ceftriaxone. As for the Gram-negative bacteria, 100% of Acinetobacter baumannii strains were resistant to ceftriaxone, gentamicin and imipenem.Conclusion:infection control in the postoperative period is necessary, using antibiotics correctly and consciously, avoiding resistance of bacterial agents.

【 授权许可】

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