Infection Rates Amongst Patients Undergoing Treatment of Long Bone Fractures at a Tertiary Care Centre: A Comparative Study
Background: Prevention of sepsis of wound is the chief and prime objective in the management of fractures. Ideal treatment sequence of open fractures include tetanus prophylaxis, immobilization, antibiotic prophylaxis, wound debridement with fixation of fracture. Most of the infections usually develop during first month after surgery; a vast majority develop during first seven days. The aim of present study is to establish the incidence of infection in fractures treated by open reduction. Methods: The present comparative study was conducted in the Department of Orthopaedics, Mata Gujri Memorial Medical College, Kishanganj, Bihar (India) during a period of 1 year. Patients were divided into two groups i.e. Group I (individuals undergoing treatment within 8 hours after trauma) and Group II (individuals undergoing treatment after 8 hours of trauma). Following data was collected from the patient or from medical records i.e. time of accident, mechanism of injury, time elapsed between trauma and emergency surgery and length of hospital stay was also noted. The exact anatomical location of fracture and type of surgical treatment performed was also noted. The data was organised in a tabulated form and analyzed using SPSS software. Results: Total of 104 patients reported to the hospital during the study. 75% reported with road traffic accident, making it the leading cause of trauma. 10% reported with a fall from a level. There were 51 patients (49%) with fractured tibia making it the most common fracture of long bone. 69.2% patients (n=72) underwent external fixation. Cast was applied in 14.4 %( n=15). In patients treated within 8 hours of trauma, only 8 patients (12.7%) of total 63 patients suffered from infection. Conclusions: The delay between trauma and surgery can affect infection rate amongst fracture of long bones.
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