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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2000, Number 4

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Acta Ortop Mex 2000; 14 (4)

Index of intra-hospital infections and their causing bacteriae in the elective surgery of an orthopaedic department

Mateos EM, Reyes FJ, Valencia VFO
Full text How to cite this article

Language: Spanish
References: 8
Page: 317-320
PDF size: 33.15 Kb.


Key words:

statistic, epidemiology, infection surgery, orthopedic, hospital, Mexico.

ABSTRACT

In order to determine the average nosocomial infections on elective surgical procedures at out orthopedic department, we performed a prospective, descriptive, transversal and observational study. Follow-up time was six months, from october 1st 1997 to March 31 1998. Patients without pre-nosocomial infection, completed a clinical chart and without immune depressant medication, were included. They were of male (75%) and 2 (25%) female patients. Average age was 50 years. Obesity was present in 4 (50%) and surgical drainage in two. Diabetes mellitus was present in a patient. Dicloxacilin was used postoperatively in all patients and one patient received cefotaxime transoperative as well Sthaphylococcus aureus was present in patient’s cultures and Klebsiella was associated in one of tem. According to an antibiogram an antibiotic was started, besides in six cases a debridement was necessary. One patient died because of brain microinfarctions. Nosocomial infections average was of 3.5%. Sthaphylococcus aureus was the etiological agent in all cases an Klebsiella was present in 12.5%. Surgical techniques must be improved in order to decrease nosocomial infections average.


REFERENCES

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  2. Barber GR. Direct observations of surgical wound infections at a comprehensive cancer center. Arch Surg 1995; 130(10): 1042-7.

  3. Beck-Sague-CM. Outbreak of surgical wound infections associated with total hip arthroplasty. Infect-control-Hosp-Epidemiol 1992; 13(9): 526-34.

  4. Instituto Nacional de Salud Pública. Dirección General de Estadística Informática y Evaluación, de la Dirección General de Regulación de los Servicios de Salud. 1995.

  5. Leaper DJ. Prophylactic and therapeutic role of antibiotics in wound care. AJS 1994; 167 No. lA (suppl):16s-18s.

  6. The association for practitioners in infection control; The Center For Disease Control. The surgical infection society. Consensus paper on the surveillance of surgical wound infections. The Society for Hospital Epidemiology of America. Infect-Control-Hosp-Epidemiol 1992; 13(10): 599-605.

  7. Vilar CD. A surveillance program for surgical wound infections at the National Institute of Cancerology of Mexico. Rev Invest Clin 1996; 48(4): 253-60.

  8. Yalcin AN. Postoperative wound infections. J Hosp Infect 1995; 29(4): 305-9.




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Acta Ortop Mex. 2000 Jul-Ago;14