Risk factors associated with infection in tibial open fractures

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 Córdoba. 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:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-20279
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
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 Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2013
url https://revistas.unc.edu.ar/index.php/med/article/view/20279
work_keys_str_mv AT matosmarcosalmeida riskfactorsassociatedwithinfectionintibialopenfractures
AT catrofilhoromuloneves riskfactorsassociatedwithinfectionintibialopenfractures
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first_indexed 2024-09-03T20:59:28Z
last_indexed 2024-09-03T20:59:28Z
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spelling I10-R327-article-202792024-08-27T18:22:15Z Risk factors associated with infection in tibial open fractures Matos, Marcos Almeida Catro-Filho, Rômulo Neves Pinto da Silva, Bruno Vieira fractura abierta infección tratamiento trauma open fracture infection treatment trauma 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. Introducción: El objetivo del tratamiento de las fracturas abiertas es prevenir las infecciones, estabilizar el hueso e restaurar la función. En relación a los objetivos mencionados, la prevención de infecciones tiene mayor destaque y es el punto mas importante a ser alcanzado. Objetivo: El objetivo de este trabajo es identificar los factores de riesgo asociados con la infección en un grupo de pacientes con fracturas abierta de la tibia. Paciente y métodos. Fue realizado un análisis retrospectivo con pacientes que tuvieron fractura abierta tibial que estaban en tratamiento en el Hospital Roberto Santos-Geral-HGRS, Salvador, Bahía, Brasil, de marzo a octubre de 2009. Fueron excluidos de este estudio todos los niños menores de 8 años con fracturas múltiples o que tenían alguna enfermedad sistémica o en los huesos. De acuerdo con los datos clínicos y demográficos, los pacientes fueron divididos en dos grupos: el grupo 1 estaba constituido por los que no tenían infección en las fracturas y el grupo 2 por los que tenían infección. En los dos grupos se investigo factores que podrían estar asociados a la infección. Resultados. De 50 pacientes estudiados la tasa de infección global fue de 14 (28%, IC95% = 15,5-40,5). El hecho de desenvolver infección fue asociado con el lugar del trauma (OR 3,78; IC 95% = 1,4-5,5, p = 0,02), y la demora en recibir tratamiento adecuado en tiempo superior a 24 horas (OR 3,4; IC95% 1.4-20.8 = p = 0,03). Las fracturas clasificadas como Gustilo I, II, IIIA tuvieron una menor chance de infección cuando comparadas como Gustilo IIIB y IIIC (OR 4.32; CI95%=1.3-19.1; p=0.01). Fracturas clasificadas como Tscherne III y IV tuvieron una mayor frecuencia de infección, lo que resulto ser el factor más importante e significativo (OR 8.07; CI95%=2.4-47.1; p<0.00).Conclusión. En nuestros resultados observamos; una relación entre infección y la clasificación de Gustilo. También observamos asociación de infección cuando el trauma de los tejidos blandos es más grave (Tscherne III y IV), cuando hubo demora en el tratamiento adecuado (tiempo mayor de que 12 horas) y en pacientes que vivían en las zonas rurales del estado de Bahía. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013-03-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/20279 10.31053/1853.0605.v70.n1.20279 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 70 No. 1 (2013); 14-18 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 70 Núm. 1 (2013); 14-18 Revista da Faculdade de Ciências Médicas de Córdoba; v. 70 n. 1 (2013); 14-18 1853-0605 0014-6722 10.31053/1853.0605.v70.n1 eng https://revistas.unc.edu.ar/index.php/med/article/view/20279/19935 Derechos de autor 2013 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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