Survey of infection in orthopedic postoperative and their causative agents: a prospective study

• Autor(a) principal: Vieira,Gabriel de Deus
• Data de Publicação: 2015
• Outros Autores: Mendonça,Hallan Rodrigues, Alves,Thaianne da Cunha, Araújo,Danilo Fernandes de Oliveira, Silveira Filho,Mauro Lopes da, Freitas,André Pastuczenko dos Santos Rodrigues de, Bressan,Flávia, Radaeli,Renato de Figueiredo, Sousa,Camila Maciel de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Associação Médica Brasileira (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302015000400341
• topic: surgical wound infection; orthopedics; hospital infection

SummaryObjective:to evaluate the cases of wound infections in orthopedic postoperative period.Methods:postoperative patients who developed infection during the period from November 2012 to November 2013 were studied. Secretions were collected during surgery using sterile swabs, and sent for microbiological analysis.Results:during the period analyzed, 38 surgical procedures progressed to infection. The type of surgery presenting the largest number of infections was osteosynthesis, in 36 (94.7%) patients. Among the materials used, 18 (36%) surgeries that used external fixator were infected, and 17 (34%) using plate. The species of bacteria that caused the largest number of infections were Staphylococcus aureus, infecting 16 (43.9%) patients, followed by Acinetobacter baumannii, which infected four (10.5%) patients. Regarding the resistance profile of Gram-positive strains to antibiotics, 100% of Staphylococcus aureus strains were susceptible to vancomycin and 31.3%, to ceftriaxone. As for the Gram-negative bacteria, 100% of Acinetobacter baumannii strains were resistant to ceftriaxone, gentamicin and imipenem.Conclusion:infection control in the postoperative period is necessary, using antibiotics correctly and consciously, avoiding resistance of bacterial agents.