DESCRIPTIVE STUDY OF POST OPERATIVE INFECTION IN OPEN ORTHOPAEDIC INJURIES

Abstract

Background: In this study, we studied the pattern of bacterial isolates in all cases of open fractures of extremities that came to our hospital.

Methods: This descriptive study was to be conducted on open orthopaedic injuries being admitted to the orthopaedic department, from June 2019 to June 2020 after obtaining institutional ethical committee clearance.

Results: Culture analysis showed an increase in growth of Gram-negative bacteria, namely Pseudomonas aeruginosa (26.3%) and Escherichia coli (10.5%) while Gram-positive bacteria were Staphylococcus aureus (52.6%) and Klebsiella pneumoniae (10.5%).

Conclusion: Unlike surgery in other orthopedic areas, the predicting factors for infection in fracture patients were found to be significantly influenced by open fracture rather than the underlying disease or anatomical features of the patient. However, only the correlation with simple open fracture has been confirmed. Therefore, further studies on the cause of open fracture and the mechanism of open fracture are necessary to determine the risk of infection.

Keywords: Infection, Orthopaedics, Open surgery