Infections of the clean surgical wound in musculoskeletal conditions
Keywords:
surgical wound infection, musculoskeletal systemAbstract
Introduction: all surgery can get infections. In Orthopedic Surgery and Traumatology the materials and the surgical implants increase the risk of infection; its early identification allows applying the adequate antimicrobial intervention. Objective: to identify factors intrinsic and extrinsic risk and present germs in patients with infection of the surgical wound clean and clean contaminated. Method: a prospective descriptive study was realized at “Arnaldo Milian Castro” Hospital. The study population consisted of 122 operated patients over 18 years of the osteomioarticular system between January first of 2013 to December 31st of 2014. Results: dependent risk factors of the patient and the elderly were evident in the third part, smoking, diabetes and obesity and extrinsic risk factors such as placement of devices during surgery and prolonged surgical time. Conclusions: the most frequent germ involved in the infection of the surgical wound of the osteomioarticular system was Staphylococcus aureos and the use of antibiotic prevailed following the clinical judgment and no sensitivity in cultures.Downloads
References
1. Sievert DM, Ricks P, Edwards JR, Schneider A, Patel J, Srinivasan A, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010. Infect Control Hosp Epidemiol [Internet]. 2013 [citado 3 Jul 2014];34(1):1-14. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23221186
2. Pérez A, Velásquez G, Cheng C, Paiva R, Grieko F, González YM. Profilaxis antimicrobiana en cirugía ortopédica: Cefazolina vs Cefadroxilo I.V. Arch Venez Farmacol Ter [Internet]. 2012 [citado 3 Jul 2014];31(3):67-71. Disponible en: http://www.redalyc.org/articulo.oa?id=55925556003
3. Ganán Romero MF. Prevalencia de infección del sitio operatorio y factores asociados, en Cirugía General del Hospital San Vicente de Paúl-Pasaje, junio a septiembre, 2014 [tesis]. Ecuador: Universidad de Cuenca Facultad de Ciencias Médicas [Internet]. 2015 [citado 6 Ene 2015]. Disponible en: http://dspace.ucuenca.edu.ec/bitstream/123456789/21523/1/Tesis.pdf
4. Rodríguez Fernández Z, Pascual Bestard M, Ricardo Ramírez JM, Despaigne Alba I. Caracterización de las infecciones posoperatorias. Rev Cubana Cir [Internet]. 2011 [citado 8 Abr 2012];50(3):266-275. Disponible en: http://scielo.sld.cu/pdf/cir/v50n3/cir03311.pdf
5. Andersson AE, Bergh I, Karlsson J, Eriksson BI, Nilsson K. The application of evidence-based measures to reduce surgical site infections during orthopedic surgery - report of a single-center experience in Sweden. Patient Saf Surg [Internet]. 2012 [citado 12 Agos 2015];6(1):11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22697808
6. Carvajal R, Londoño Á. Factores de riesgo e infección del sitio quirúrgico en procedimientos de cirugía ortopédica con prótesis. Rev Chil Infectol [Internet]. 2012 [citado 12 Abr 2015];29(4):395-400. Disponible en: http://www.scielo.cl/pdf/rci/v29n4/art05.pdf
7. Andersson AE, Bergh I, Karlsson J, Nilsson K. Patients' experiences of acquiring a deep surgical site infection: an interview study. Am J Infect Control [Internet]. 2010 [citado 8 Abr 2015];38(9):711–717. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21034980
8. Sax H, Allegranzi B, Chraiti MN, Boyce J, Larson E, Pittet D. The World Health Organization hand hygiene observation method. Am J Infect Control [Internet]. 2011 [citado 2 May 2015];37(10):827–834. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20004812
9. Heinzelmann M, Scott M, Lam T. Factors predisposing to bacterial invasion and infection. Am J Surg [Internet]. 2002 [citado 10 Feb 2016];183(2):179-90. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11918885
10. Melling AC, Ali B, Scott EM, Leaper DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomized controlled trial. Lancet [Internet]. 2001 [citado 22 Sept 2015];358(9285):876-880. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11567703
11. Zúñiga Cabezas AP. Factores de riesgo por infecciones nosocomiales para heridas quirúrgicas, área de traumatología, Hospital Provincial General Docente Riobamba 2010 [tesis]. Ecuador: Escuela Superior Politécnica de Chimborazo [Internet]. 2012 [citado 3 Jul 2014]. Disponible en: http://dspace.espoch.edu.ec/handle/123456789/1908
12. Vargas-Mena R, Arredondo-Gómez E, Pavía-Carrillo EF. Efecto de un esquema corto de profilaxis antimicrobiana sobre la prevalencia de infecciones postoperatorias en cirugía electiva de traumatología y ortopedia. Acta Ortop Mex [Internet]. 2012 [citado 22 Sept 2015];26(6):369-374. Disponible en: http://webcache.googleusercontent.com/search?q=cache:b23iBOQulswJ:new.medigraphic.com/cgi-bin/resumen.cgi%3FIDARTICULO%3D40331+&cd=1&hl=es&ct=clnk
13. Della Valle C, Parvizi J, Bauer TW, DiCesare PE, Evans RP, Segreti J, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on: the diagnosis of periprosthetic joint infections of the hip and knee. J Bone Joint Surg Am [Internet]. 2011 [citado 3 Jul 2015];93(14):1355-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21792503
14. Olaechea PM, Insausti J, Blanco A, Luque, P. Epidemiología e impacto de las infecciones nosocomiales. Med Intensiva [Internet]. 2010 [citado 15 Abr 2015]; 34(4):256-67. Disponible en: http://scielo.isciii.es/pdf/medinte/v34n4/puesta2.pdf
15. Despaigne Alba I, Rodríguez Fernández Z, Pascual Bestard M, Lozada Prado G A, Mustelier Ferrer HL. Consideraciones actuales sobre las infecciones posoperatorias. Medisan [Internet]. 2013 [citado 23 Sept 2015];17(4):686-707. Disponible en: http://scielo.sld.cu/pdf/san/v17n4/san16413.pdf
16. Ortiz PN, Flores Kanter N. Injerto autólogo versus aloinjerto fresco congelado en cirugía lumbar instrumentada. Resultados clínicos y radiológicos. Rev Asoc Argent Ortop Traumatol [Internet]. 2014 [citado 3 Jul 2015];79(1):10-18. Disponible en: http://www.scielo.org.ar/pdf/raaot/v79n1/v79n1a03.pdf
17. Del Gordo D´Amato RJ, Caballero Quiroz RJ, Daza Haseth DA, Vergara Corena JJ. Infección del sitio operatorio en cirugía ortopédica y traumatología en la clínica El Prado en la ciudad de Santa Marta. Duazary (Colombia) [Internet]. 2009 [citado 25 Oct 2015];6(1):25-30. Disponible en: http://revistas.unimagdalena.edu.co/index.php/duazary/article/view/689/648
18. Ministerio de Salud Pública. Anuario estadístico de salud 2015 [Internet]. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2016 [citado 5 May 2016]. Disponible en: http://files.sld.cu/dne/files/2016/04/Anuario_2015_electronico-1.pdf
19. Chóez González JL. Factores de riesgo asociados a las infecciones de sitio quirúrgico en cirugías electivas en pacientes ingresados en el Servicio de Cirugía General del Hospital del IESS "Dr. Teodoro Maldonado Carbo" de Guayaquil, desde marzo a mayo del 2013 [tesis]. Ecuador: Universidad Católica de Santiago de Guayaquil; 2013 [Internet]. [citado 25 Oct 2015]. Disponible en: http://repositorio.ucsg.edu.ec/bitstream/3317/859/1/T-UCSG-PRE-MED-ENF-68.pdf
20. Barbero Allende JM, Montero Ruiz E, Culebras López A, García-Sánchez M, Rebollar Merino A, López Álvarez J. La hora de inicio de la cirugía como factor de riesgo para la infección de prótesis articular. Resultados de un estudio descriptivo. Rev Esp Cir Osteoartic [Internet]. 2014 [citado 12 Agos 2015];49(258):64-67. Disponible en: http://www.cirugia-osteoarticular.org/adaptingsystem/intercambio/revistas/articulos/2348_Art64.pdf
21. Rosenthal VD, Richtmann R, Singh S, Apisarnthanarak A, Kübler A, Viet-Hung N, et al. Surgical site infections, International Nosocomial Infection Control Consortium (INICC) report, data summary of 30 countries, 2005–2010. Infect Control Hosp Epidemiol [Internet]. 2013 [citado 12 Abr 2016];34(6):597-604. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23651890
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).
15 junio 2025
