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首页> 外文期刊>Open Journal of Urology >Risk of Surgical Site Infection in Patients Undergoing Total Knee Arthroplasty
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Risk of Surgical Site Infection in Patients Undergoing Total Knee Arthroplasty

机译：全膝关节置换术患者手术部位感染的风险

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The aim of this study was to determine the participation of risk factors in the infection in patients who underwent total knee arthroplasty. This is a prospective longitudinal study, descriptive and analytical, that was carried out between January 2013 and December 2015. Eighty-one procedures were performed in 78 individuals, 16 males and 62 females. Three subjects underwent the procedure on both knees. The following predictive factors of infection were identified: Age, gender, comorbidities, evaluation of functional physical status using the American Society of Anesthesiologists Physical Status Classification System (ASAPS), length of hospital stay, use of prophylactic antibiotics and duration of surgery. The data was tabulated in a database using a Mi crosoft Excel spreadsheet. For statistical analysis, the chi-square test, chi-square test for independence and Fischer’s exact test were applied, all at a significance level of 5% (0.05). Surgical site infection was more prevalent in males (23.5%), age over 70 years (25.0%), for left gonarthrosis (17.9%), in the presence of comorbidities (17.9%), when hospital stay was 6 or more days (27.8%), in total arthroplasties of left knee (17,9%), in surgical times of up to 2 hours (20%), in the use of prophylactic antibiotics (16.7%) and in level II classification in the ASAPS (18.8%). The independence test was not significant in any of the evaluated factors (p -value greater than 0.05). The most prevalent bacteria identified in cases of infection was Staphylococcus aureus (33.2%). The risk factors studied were not statistically significant.
机译：这项研究的目的是确定接受全膝关节置换术的患者中感染的危险因素。这是一项前瞻性纵向研究，包括描述性和分析性研究，于2013年1月至2015年12月进行。共对78例患者进行了81例检查，男性16例，女性62例。三名受试者双膝接受了手术。确定了以下感染的预测因素：年龄，性别，合并症，使用美国麻醉医师协会身体状况分类系统（ASAPS）评估功能性身体状况，住院时间，使用预防性抗生素和手术时间。使用Mi crosoft Excel电子表格在数据库中将数据制成表格。为了进行统计分析，应用了卡方检验，独立性卡方检验和菲舍尔精确检验，显着性水平均为5％（0.05）。在合并症（17.9％），住院6天或以上（27.8）的情况下，年龄超过70岁的男性（23.5％），年龄超过70岁（25.0％）的手术部位感染更为普遍（17.9％）。 ％），在左膝关节置换术中（17.9％），在长达2小时的手术时间内（20％），在使用预防性抗生素方面（16.7％）和在ASAPS中达到II级分类（18.8％） ）。在任何评估因素中，独立性测试均不显着（p值大于0.05）。在感染病例中鉴定出的最普遍的细菌是金黄色葡萄球菌（33.2％）。研究的危险因素没有统计学意义。

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