Open fractures and the incidence of infection in the surgical debridement 6 hours after trauma
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
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. |
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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 |