Risk factors associated with infection in tibial open fractures

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Background. The objective of the treatment of open fracture is to prevent infection, stabilize the bones, and restore function. However, infection is the most important step in achieving the latter aims. Objective. The objective of the current paper is to find risk factors associated with infection...

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Autores principales: Matos, Marcos Almeida, Catro-Filho, Rômulo Neves, Pinto da Silva, Bruno Vieira
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013
Materias:
fractura abierta
infección
tratamiento
trauma
open fracture
infection
treatment
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20279
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-20279
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Inglés
format Artículo revista
topic fractura abierta
infección
tratamiento
trauma
open fracture
infection
treatment
trauma
spellingShingle fractura abierta
infección
tratamiento
trauma
open fracture
infection
treatment
trauma
Matos, Marcos Almeida
Catro-Filho, Rômulo Neves
Pinto da Silva, Bruno Vieira
Risk factors associated with infection in tibial open fractures
topic_facet fractura abierta
infección
tratamiento
trauma
open fracture
infection
treatment
trauma
author Matos, Marcos Almeida
Catro-Filho, Rômulo Neves
Pinto da Silva, Bruno Vieira
author_facet Matos, Marcos Almeida
Catro-Filho, Rômulo Neves
Pinto da Silva, Bruno Vieira
author_sort Matos, Marcos Almeida
title Risk factors associated with infection in tibial open fractures
title_short Risk factors associated with infection in tibial open fractures
title_full Risk factors associated with infection in tibial open fractures
title_fullStr Risk factors associated with infection in tibial open fractures
title_full_unstemmed Risk factors associated with infection in tibial open fractures
title_sort risk factors associated with infection in tibial open fractures
description Background. The objective of the treatment of open fracture is to prevent infection, stabilize the bones, and restore function. However, infection is the most important step in achieving the latter aims. Objective. The objective of the current paper is to find risk factors associated with infection in a sample of tibial open fractures. Patients and Methods. A retrospective analysis was carried out. The study included all patients who underwent to tibial open fracture treatment in the Hospital Geral Roberto Santos-HGRS, Salvador, Bahia, Brasil, from March to October, 2009. Patients under the age of eight, with multiple fractures or suffering from systemic or bone disease were excluded. Clinical and demographic data were collected and Patient outcomes were divided into two groups: Group 1 comprises those without infection whereas group 2 comprises those with lesions which became infected. The two groups were evaluated in search for associated factors that could lead to infection. Results. We studied 50 patients. Our overall infection rate was 14 (28%; CI95%=15.5-40.5). Infection was significantly associated with place of trauma (OR 3.78; CI95%=1.4-5.5;p=0.02), and time delay superior to 24 hours (OR 3.4; CI95%=1.4-20.8; p=0.03). Fractures graded as Gustilo I, II and IIIA had a lower chance for infection compared to Gustilo IIIB and IIIC (OR 4.32; CI95%=1.3-19.1; p=0.01). Fractures graded Tscherne III and IV had a higher chance for infection, and it was the most significant isolated factor (OR 8.07; CI95%=2.4-47.1; p<0.00).Conclusions. We confirmed the relationships between infection with Gustilo classification and as well as between infection and trauma from the countryside of Bahia State. We also presented a new relationship between soft tissue and infection, and another relating time delay of more than 12 hours with infection.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2013
url https://revistas.unc.edu.ar/index.php/med/article/view/20279
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bdutipo_str Revistas
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