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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]



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



Keywords: infection; operative site ; bacteriology ; orthopedic surgery



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.



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