Risk factors ID'd for site infection after orthopedic surgery in seniors

Risk factors ID'd for site infection after orthopedic surgery in seniors

(HealthDay)—Five risk factors are independently associated with surgical site infection among geriatric patients undergoing elective orthopedic surgery, according to a study published online Feb. 20 in the International Wound Journal.

Zhiquan Liang, from the First Hospital of Jilin University in Changchun, China, and colleagues retrospectively reviewed (January 2014 through September 2017) for 4,818 patients ≥60 years old undergoing elective orthopedic surgeries in order to assess the risk for SSI.

The researchers found that within one postoperative year, 74 patients developed SSIs. The overall incidence of SSI was 3.64 percent, with 0.4 percent for deep infection and 1.1 percent for superficial infection. The most common causative pathogens were Staphylococcus aureus (53.2 percent) and coagulase-negative staphylococci (23.4 percent). Nearly half of S. aureus SSIs (12 of 25) were caused by methicillin-resistant Staphylococcus aureus. Diabetes mellitus (odds ratio [OR], 3.7), morbid obesity (OR, 2.6), tobacco smoking (OR, 4.2), surgical duration >75th percentile (OR, 1.9), and albumin <35 g/L (OR, 2.3) were independently associated with SSI.

"Preoperative active supplementation of nutrition, appropriate weight loss, smoking cessation, and optimization of the operative plan might be effective to reduce SSIs," the authors write.


Explore further

Modifiable factors ID'd for reducing surgical site infections

More information: Abstract/Full Text (subscription or payment may be required)

Copyright © 2019 HealthDay. All rights reserved.

Citation: Risk factors ID'd for site infection after orthopedic surgery in seniors (2019, February 28) retrieved 23 September 2019 from https://medicalxpress.com/news/2019-02-factors-idd-site-infection-orthopedic.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more