Estudio multicéntrico sobre la incidencia de infección en prótesis de rodilla. [artículo]
Por: Arrazola Martínez, María Pilar [Medicina Preventiva]
| De Juanes Montmeterme, Alexia de [Reumatología] | García de Codes Ilario, Aurelia [Medicina Preventiva] | Jaén Herreros, Felisa [Medicina Preventiva] | Resines Erasun, Carlos [Cirugía Ortopédica y Traumatología ] | Sanz Gallardo, Mª Inmaculada [Medicina Preventiva].
Colaborador(es): Servicio de Reumatología | Servicio de Cirugía Ortopédica y Traumatología | Servicio de Medicina Preventiva y Salud Pública.
Editor: Revista Española de Cirugía Ortopédica y Traumatología, 2012Descripción: 56(1):38-45.Recursos en línea: Solicitar documento Resumen: To determine the incidence of surgical site infection in knee prosthesis surgical procedure for a follow-up period of one year in twelve hospitals in Madrid region.
MATERIAL AND METHOD: A prospective study was carried out from January to December 2009 using a national surveillance system called Indicadores Clínicos de Mejora Continua de Calidad. Primary and revision knee joint replacements in patients operated on in the previous year were included. Criteria used to define surgical site infection and patient risk index categories were those established by the Centers for Disease Control and Prevention and National Nosocomial Infections Surveillance. The incidence rates were worked out crude and adjusted by hazard ratio.
RESULTS: 2,088 knee prosthesis procedures were analyzed. The overall incidence of surgical site infection was 2.1%. Sixty-five percent of the infections were organ/space. Sixty percent of the infections were identified in the early postoperative period. Of all surgical site infections, 41.9% were microbiologically confirmed. Antibiotic prophylaxis was implemented correctly in 63.3% of the cases. The most important cause of inappropriate prophylaxis was an unsuitable duration in 85.7% of the cases. The presurgical preparation was carried out correctly in 50.3% of surgical operations. The incidence of knee arthroplasty infection was twice as high as in the National Healthcare Safety Network and similar to national rates.
DISCUSSION: In this study, the incidence of infection was within the range of infection rates in other published European studies. Surveillance and control strategies of health care for associated infections allow us to assess trends and the impact of preventive measures.
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Formato Vancouver:
Jaén F, Sanz-Gallardo MI, Arrazola MP, García de Codes A, de Juanes A, Resines C, et al. Estudio multicéntrico sobre la incidencia de infección en prótesis de rodilla. Rev Esp Cir Ortop Traumatol. 2012 Jan-Feb;56(1):38-45.
PMID: 23177941
Contiene 30 referencias
To determine the incidence of surgical site infection in knee prosthesis surgical procedure for a follow-up period of one year in twelve hospitals in Madrid region.
MATERIAL AND METHOD: A prospective study was carried out from January to December 2009 using a national surveillance system called Indicadores Clínicos de Mejora Continua de Calidad. Primary and revision knee joint replacements in patients operated on in the previous year were included. Criteria used to define surgical site infection and patient risk index categories were those established by the Centers for Disease Control and Prevention and National Nosocomial Infections Surveillance. The incidence rates were worked out crude and adjusted by hazard ratio.
RESULTS: 2,088 knee prosthesis procedures were analyzed. The overall incidence of surgical site infection was 2.1%. Sixty-five percent of the infections were organ/space. Sixty percent of the infections were identified in the early postoperative period. Of all surgical site infections, 41.9% were microbiologically confirmed. Antibiotic prophylaxis was implemented correctly in 63.3% of the cases. The most important cause of inappropriate prophylaxis was an unsuitable duration in 85.7% of the cases. The presurgical preparation was carried out correctly in 50.3% of surgical operations. The incidence of knee arthroplasty infection was twice as high as in the National Healthcare Safety Network and similar to national rates.
DISCUSSION: In this study, the incidence of infection was within the range of infection rates in other published European studies. Surveillance and control strategies of health care for associated infections allow us to assess trends and the impact of preventive measures.
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