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Epidemiology and risk factors for surgical site infections in patients requiring orthopedic surgery

European Journal of Orthopaedic Surgery & Traumatology volume 25, pages 251–254 (2015)Cite this article

Abstract

Introduction

Surgical site infection (SSI) is the most common complication following surgical procedures. The aim of this study was to determine the incidence and associated risk factors of SSI in orthopedic patients admitted in a tertiary care center.

Materials and methods

Data were collected which focused on demographic details, lifestyle factors, diagnosis, surgical procedure, duration of surgery, prophylactic antibiotics, postoperative antibiotics and comorbidity obtained from the patients hospital records. Univariate analysis and multinomial logistic regression tests were performed to identify independent risk factors for orthopedic incisional SSIs.

Results

The overall rate of SSI was 2.1 %. Univariate analysis showed diabetes, smoking and duration of hospital stay to be significantly associated with patients in whom SSI developed than in uninfected control patients. Independent risk factors for SSI that were identified by multinomial logistic regression were diabetes (OR 3.953) and smoking (OR 38.319).

Conclusion

Diabetes and smoking were independent risk factors for SSIs. Therefore, it is recommended to tightly regulate blood glucose levels and stop smoking to reduce the SSIs.

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Conflict of interest

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Author information

Affiliations

  1. Department of Orthopedics, Sri Aurobindo Medical College and PG Institute, Indore, 453111, Madhya Pradesh, India

    Ravi Kant Jain, Rajeev Shukla & Pankaj Singh

  2. Central Research Laboratory, Sri Aurobindo Medical College and PG Institute, Indore, 453111, Madhya Pradesh, India

    Ravindra Kumar

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  1. Ravi Kant Jain
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  2. Rajeev Shukla
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  3. Pankaj Singh
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  4. Ravindra Kumar
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Correspondence to Ravi Kant Jain.

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Jain, R.K., Shukla, R., Singh, P. et al. Epidemiology and risk factors for surgical site infections in patients requiring orthopedic surgery. Eur J Orthop Surg Traumatol 25, 251–254 (2015). https://doi.org/10.1007/s00590-014-1475-3

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  • DOI: https://doi.org/10.1007/s00590-014-1475-3

Keywords

  • Surgical site infection
  • Orthopedics
  • Risk factors