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IJSTR >> Volume 3- Issue 3, March 2014 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



Bacteriological Profile Of Surgical Site Infection In Orthopedic Surgery About 142 Cases

[Full Text]

 

AUTHOR(S)

A. Benabdeslam, M.A. Berrady, M. Khermaz, M. Mahfoud, M.S. Berrada, M. Elyaacoubi

 

KEYWORDS

Keywords: infection; operative site ; bacteriology ; orthopedic surgery

 

ABSTRACT

Abstract: .Surgical site infection in orthopedic surgery is a serious complication with serious consequences. Economic, social and psychological cost is very high. Its treatment is long and difficult; it requires perfect knowledge of the pathophysiology of bone infection and causative organism in order to optimize treatment. We conducted a retrospective study of 142 cases of deep surgical site infection. All of these infections have had a profound sampling done in the operating room. A study of antibiotic susceptibility was performed.The average age of our patients was 52.08 years with a sex ratio of 1.15 (H / F). We identified 85 post- traumatic infections (59.9%), 42 prosthetic joint infections (29.6%), 7 following orthopaedic surgery (4.9%), 6 following a tumour surgery (4.2 %) and 2 after an arthroscopic instrument (1.4%). Infections were monobacteriennes in 76.8% of cases, polybacteriennes in 16.2 % of cases and negative levy in 7 % of cases. Germs found were 56.3% for Gram positive Gram negative 36.7 %. Hundred and sixty germs were identified. There was a predominance of Staphylococcus aureus (33.1 %) and coagulase negative Staphylococcus (CNS) (16.9 %). A study of the distribution of seeds by surgery was performed, and a study of their sensitivity to antibiotics has established memoranda of antibiotics. The prescription of antibiotics is a deliberate act that must be the fruit of a collective collaboration between surgeon, bacteriologist and infectious diseases.

 

REFERENCES

[1]. Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wood infections. Infect Control Hosp Epidemiol 1992; 13: 606-608.

[2]. Lecuire F, Gontier D, Carrere J, Giordano N, Rubini J, Basso M. Bilan de 10 ans de surveillance du taux d’infections du site opératoire dans un service d’orthopédie. Rev Chir Orthop 2003; 89: 479-486.

[3]. Department of Healt and Human Services: Centres for Disease control and Prevention. Draft Guideline for the Prevention of Surgical Site Infection: Federal register, vol 63116, Wednesday June 17, 1998.

[4]. Desplaces N. Bactériologie des infections ostéoarticulaires chez l’adulte. Rev Rhum 2006; 73:129-135.

[5]. Dumaine V, Jeanne L, Paul G, et al. Proposition d’un protocole de suivi des infections avérées de site opératoire en chirurgie orthopédique et traumatologique. Rev Chir Orthop 2007; 93: 30-36.

[6]. Christensen GD, Simpson WA. Gram-positive bacteria: Pathogenesis of staphylococcal musculoskeletal infections. In: Esterhai JL, Gristina AG, Poss R, eds. Musculoskeletal Infection. Park Ridge, AAOS, 1992: 57-78.

[7]. Rupp ME. Pathogenesis of Staphylococcus epidermidis prosthetic joint infection: Adherence and biofilm formation. Semin Arthroplasty 1998; 9: 274-280.

[8]. Murdoch DR, Roberts SA, Fowler Jr VG, et al. Infections of orthopedic prostheses after Staphylococcus aureus bacteremia. Clin Infect Dis 2001; 32: 647-9.

[9]. Deacon JM, Pagliaro AJ, Zelicof SB, Horowitz HM. Prophylactic use of antibiotics for procedures after total joint replacement. J Bone Joint Surg Am 1996; 78: 1755-70.

[10]. Advisory statement. Antibiotic prophylaxis for dental patients with total joint replacements. American Dental Association, American Academy of Orthopaedic Surgeons. J Am Dent Assoc 1997; 128: 1004-1008.

[11]. Desplaces N, Carsenti H. Diagnostic microbiologique de l’infection sur prothèse articulaire. In : Diagnostic de l’infection sur prothèse articulaire. Paris: Tirésias, Volume 2. Ed.Tirésias et SOFCOT, 2002: 39-46.

[12]. Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg 1996; 78-A: 512-23.

[13]. Segawa H, Tsukayama DT, Kyle R, Becker D, Gustilo R. Infection after total knee arthroplasty. J Bone Joint Surg 1999; 71-A: 1434-45.

[14]. Desplaces N. Antibiothérapie curative chez l’adulte en chirurgie orthopédique et traumatologique. Cahiers d’enseignement de la SOFCOT n°66. Conférences d’enseignement 1998. Paris: Elseiver, 2003: 235-247

[15]. Desplaces N. Infections sur prothèses articulaires. Conduite pratique de l’antibiothérapie. Revue de chirurgie orthopédique et réparatrice de l'appareil moteur (Rev. chir. orthop.répar. appar. mot.) 1998; 84, 1: 35-63.