Alegre-Rico F, Orozco CI

Language: Spanish
References: 9
Page: 235-239
PDF size: 50.60 Kb.

ABSTRACT

Background. Infection after a primary total hip arthroplasty is a complication reported widely from 1 to 4.5% of patients during the first year after surgery. The etiologic agent most frequently isolated is Staphylococcus aureus. Aim. To determine percentage of patients infected and the etiologic agent after a primary total hip arthroplasty. Design. A retrospective longitudinal, descriptive, cause-effect and observational study. Setting. Hospital de Traumatología y Ortopedia “Lomas Verdes” del Instituto Mexicano del Seguro Social, Naucalpan de Juárez Estado de México. Material and methods. We reviewed 226 clinical files of patients who underwent a primary total hip arthroplasty in the period between January 1 of 1999 and December 31 of 2000. We recollected data from specially designed sheet, and were statistically analyzed with a central tendency measures using STATS system. We calculated the relative risk of infection to the relative variables through a tetracoric graph. Results. We found 19 patients (8.4%) infected after a primary total hip arthroplasty from a total of 226 patients and the causal agent were S. aureus in 12 of them (63.15%). Discussion. Infection after a primary total hip arthroplasty in strongly associated with patient owned factors and with the state of the mineral resources implicated with the procedure. Conclusions. There is a high risk of infection after a primary total hip arthroplasty in the Hospital de Traumatología y Ortopedia “Lomas Verdes” compared with previous reports in other places. Such complication can be diminished trough measures directed to improve the general condi conditions of the patients and the state of the material resources.

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