Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma

Detalhes bibliográficos
Autor(a) principal: Fernandes,Miguel de Castro
Data de Publicação: 2015
Outros Autores: Peres,Luciano Rodrigo, Queiroz Neto,Aristóteles Correia de, Lima Neto,José Queiroz, Turíbio,Flávio Moral, Matsumoto,Marcelo Hide
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Acta Ortopédica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000100038
Resumo: Objectives: To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures.Methods: During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks. The patients were divided into two groups regarding the time delay from injury to surgical debridement (more or less than 6 hours).Results: Surgical debridement was carried out in less than 6h from injury in 90 (59.6%) fractures and after 6 hours from injury in 61 (40.4%) fractures. Infection rates were 12.22% and 13.24%, respectively. The global infection rate was 13.24%.Conclusion: A significantly increased infection rate was not observed in patients whose surgical debridement occurred more than 6h after injury. However, in the fractures of high-energy trauma, a statistically significant increase of the rate of infection was observed in those operated 6 hours after trauma. Level of Evidence II, Study Type Comparative and Prospective.
id SBOT-1_ae7a1d5d6782ff7cfd6fae1e3a0cebdc
oai_identifier_str oai:scielo:S1413-78522015000100038
network_acronym_str SBOT-1
network_name_str Acta Ortopédica Brasileira (Online)
repository_id_str
spelling Open fractures and the incidence of infection in the surgical debridement 6 hours after traumaFractures, openInfectionDebridementObjectives: To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures.Methods: During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks. The patients were divided into two groups regarding the time delay from injury to surgical debridement (more or less than 6 hours).Results: Surgical debridement was carried out in less than 6h from injury in 90 (59.6%) fractures and after 6 hours from injury in 61 (40.4%) fractures. Infection rates were 12.22% and 13.24%, respectively. The global infection rate was 13.24%.Conclusion: A significantly increased infection rate was not observed in patients whose surgical debridement occurred more than 6h after injury. However, in the fractures of high-energy trauma, a statistically significant increase of the rate of infection was observed in those operated 6 hours after trauma. Level of Evidence II, Study Type Comparative and Prospective.ATHA EDITORA2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000100038Acta Ortopédica Brasileira v.23 n.1 2015reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-78522015230100932info:eu-repo/semantics/openAccessFernandes,Miguel de CastroPeres,Luciano RodrigoQueiroz Neto,Aristóteles Correia deLima Neto,José QueirozTuríbio,Flávio MoralMatsumoto,Marcelo Hideeng2015-10-08T00:00:00Zoai:scielo:S1413-78522015000100038Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2015-10-08T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
title Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
spellingShingle Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
Fernandes,Miguel de Castro
Fractures, open
Infection
Debridement
title_short Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
title_full Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
title_fullStr Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
title_full_unstemmed Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
title_sort Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
author Fernandes,Miguel de Castro
author_facet Fernandes,Miguel de Castro
Peres,Luciano Rodrigo
Queiroz Neto,Aristóteles Correia de
Lima Neto,José Queiroz
Turíbio,Flávio Moral
Matsumoto,Marcelo Hide
author_role author
author2 Peres,Luciano Rodrigo
Queiroz Neto,Aristóteles Correia de
Lima Neto,José Queiroz
Turíbio,Flávio Moral
Matsumoto,Marcelo Hide
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fernandes,Miguel de Castro
Peres,Luciano Rodrigo
Queiroz Neto,Aristóteles Correia de
Lima Neto,José Queiroz
Turíbio,Flávio Moral
Matsumoto,Marcelo Hide
dc.subject.por.fl_str_mv Fractures, open
Infection
Debridement
topic Fractures, open
Infection
Debridement
description Objectives: To determine whether a time delay greater than 6h from injury to surgical debridement influences the infection rate in open fractures.Methods: During a period of 18 months, from October 2010 to March 2012, 151 open fractures were available for study in 142 patients in our hospital. The data were collected prospectively and the patients were followed up for 6 weeks. The patients were divided into two groups regarding the time delay from injury to surgical debridement (more or less than 6 hours).Results: Surgical debridement was carried out in less than 6h from injury in 90 (59.6%) fractures and after 6 hours from injury in 61 (40.4%) fractures. Infection rates were 12.22% and 13.24%, respectively. The global infection rate was 13.24%.Conclusion: A significantly increased infection rate was not observed in patients whose surgical debridement occurred more than 6h after injury. However, in the fractures of high-energy trauma, a statistically significant increase of the rate of infection was observed in those operated 6 hours after trauma. Level of Evidence II, Study Type Comparative and Prospective.
publishDate 2015
dc.date.none.fl_str_mv 2015-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000100038
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000100038
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1413-78522015230100932
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv ATHA EDITORA
publisher.none.fl_str_mv ATHA EDITORA
dc.source.none.fl_str_mv Acta Ortopédica Brasileira v.23 n.1 2015
reponame:Acta Ortopédica Brasileira (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
instname_str Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron_str SBOT
institution SBOT
reponame_str Acta Ortopédica Brasileira (Online)
collection Acta Ortopédica Brasileira (Online)
repository.name.fl_str_mv Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
repository.mail.fl_str_mv 1atha@uol.com.br||actaortopedicabrasileira@uol.com.br
_version_ 1752122275120807936