Risk factors infection in total hip and knee arthroplasty / Fatores de risco para infecção em cirurgias de prótese total de quadril e de joelhos
AUTOR(ES)
Neide Sumie Yamada
FONTE
IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia
DATA DE PUBLICAÇÃO
30/01/2012
RESUMO
Introduction: Infections are one of the most challenging drawbacks in hip and knee Arthroplasty surgery. The lack of a national databank and the shortage of national paper about this issue, cause risk factors unknown among Brazilian people. Objective: To identitify incidence and risk factors ofinfection related to hip and knee Arthroplasty surgery, in a Brazilian teaching hospital. Method: A retrospective case-control study was performed between 2005 and 2009, to evaluate medical records of patients submitted to hip or knee Arthroplasty. Data collected was the following: age, gender, weight, heitght, kind of surgery, surgery duration, antibiotic drug doses number, hospitalization length, urinary catheter length, medical conditions (such diabetes, high bloodo pressure, smoking, drinking), acute and chronic infections. Results: It was included 173 patients, of which 109 (63%) were total hip arthroplasties and 64 (37%) were total knee arthroplasties. Hip arthrplasty infection rate was 6,4%, and Knee Arthroplasty infection rate was 20,3%. Among infection risk factors, total length of hospital stay and length of post-surgical hospital stay were the that presented significant correlation. Conclusion: Infection rates after hip and knee arthroplasties were considered high. The only risk factors that presented a significant correlation were total hospital stay length and post-surgical hospital stay length.
ASSUNTO(S)
artroplastia ossos incidencia ortopedia osteoartrite arthroplasty bones incidence orthopaedics osteoarthritis
ACESSO AO ARTIGO
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