Incidence of Surgical Site Infection after Orthopedic Surgery and Related Factors at the Selected Hospitals affiliated to Isfahan University of Medical Sciences

Background and objectives: Orthopedic surgeries are among important and more prevalent surgical wound infections, since in these surgeries implantable instruments are used which increase the risk of infection. The aim of this study was to examine the incidence of wound infection in orthopedic surgeries and some factors affecting it in selected hospitals of Isfahan University of Medical Sciences.Methods: This is an analytical cross-sectional study. Convenience sampling was carried out from 110 patients who had undergone orthopedic surgery during the years 2017 and 2018. The data relationship between the incidence of infection and some of the patients demographic information, the title and type of surgery, the use or non-use of drainage systems, and the type of drainage system in this study were examined. Determining wound infection was based on apparent features and microbial culture. SPSS software version 20 was used for data analysis.Results: From110 patients who underwent orthopedic surgeries 18.2% had infection. The highest rate of infection collection method was direct observation, preparation of microbiological culture and checklist. The was related to foot surgery in various types of tibia and fibula fractures. All infections are reported in men. The incidence of infection among people under 35 was higher. Moreover, emergency procedures had a higher risk of infection. In this study there was no significant relationship between the use of various types of drainage systems and the development of surgical wound infections.Conclusions: Reducing the incidence of orthopedic infection can be achieved by paying more attention to open fractures that occur in the leg bones. Additionally, based on the results of the present study, the use of surgical drainage for the sole purpose of reducing the infection rate is not much effective. It is recommended health protocols be pursued in orthopedic surgery units in order to control and reduce infections.

کلیدواژه ها:

Surgical wound infection ، Surgery ، Orthopedic ، Incidence ، Drainage