Surgical Wound Classification and Surgical Site Infections in ... | 合法醫療器材資訊網

由IOnyekwelu著作·2017·被引用49次—TheCentersforDiseaseControlandPreventioncreatedasurgicalwoundclassificationsystem(SWC:I,clean;II,clean/contaminated;III, ...

Patients with diabetes were at a significantly higher risk of developing SSI (P = 0.028). Of note, surgeries that resulted in an SSI and were performed on patients with diabetes were always of closed fracture type involving the lower extremities. The unadjusted OR of SSI among patients with diabetes was 2.85 (95% CI, 1.08–7.54; P = 0.035); when adjusted for age, the odds for developing SSI remained relatively high but was not statistically significant (OR [95% CI], 2.76 [0.99–7.69]; P = 0.052). Those with lower extremity injuries were at a significantly higher risk of developing SSI, (P = 0.0038) (Figure ). The presence of SSI was significantly associated with a positive bone/tissue culture (P < 0.0001). Among those with SSI, rates of elevated C-reactive protein level, erythrocyte sedimentation rate, and white blood cell count were 15%, 56%, and 48%, respectively.

Patients in need of bone graft—ie, fractures with marked comminution, seg...