Orthopedics > OCOSH Classification > Trauma > Wound Infection > Surgical Site Infection

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Surgical Site Infection
[OCOSH Code: D014946 433202001 T81.4 WI_WNDI_SSI]

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2007 Meeting of the Musculoskeletal Infection Society

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2384020/

CORR features scientific papers presented at the 17th annual meeting of the Musculoskeletal Infection Society of North America held in San Diego, California. The theme of the congress was “The Prevention and Treatment of Surgical Site Infections.”
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A preoperative decolonization protocol for staphylococcus aureus prevents orthopaedic infections

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2384036/

taphylococcus aureus (S. aureus) is an independent risk factor for orthopaedic surgical site infection (SSI). To determine whether a preoperative decolonization protocol reduces S. aureus SSIs, we conducted a prospective observational study of patients undergoing elective total joint arthroplasty (TJA) at our institution, with two control groups. The concurrent control...
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Diluted povidone-iodine versus saline for dressing metal-skin interfaces in external fixation

Location: http://www.josonline.org/pdf/v17i1p19.pdf

PURPOSE: To compare infection rates associated with 2 dressing solutions for metal-skin interfaces. METHODS: 60 patients who underwent distraction osteogenesis with external fixators were equally randomised into 2 dressing solution groups (diluted povidone-iodine vs. saline).
CONCLUSION: Saline is as effective as diluted povidone-iodine as a dressing solution for metal-skin interfaces of...
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Infected Femur Malunion

Location: http://www.hwbf.org/hwb/conf/rich3/feminu.htm

Discussion on OTA mailing list (ORT-L)
50 year old male from South America 2.5 years out from an apparent supracondylar femur fx treated with some combination of an ex-fix and internal fixation. Had drainage that ceased at some point. Now has a 40deg flexion contracture with pain. Bone scan shows diffuse...
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Infection associated with hematoma formation after shoulder arthroplasty

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2384030/

The data suggest hematoma formation after shoulder arthroplasty is often accompanied by positive intraoperative cultures. The surgeon should be aware of the high rate of unsatisfactory results associated with this complication as well as the possibility of developing a deep infection requiring additional surgery.
Infection associated with hematoma formation after shoulder...
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Infection in primary hip arthroplasty after previous steroid infiltration

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267548/

teroid Infiltration into arthritic joints is a common means of treating pain. It is also sometimes done to differentiate pain in the hip from that in the low back or knee. We performed a retrospective review of the notes of all patients who had undergone hip replacements in Wrightington Hospital...
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Procrastination of wound drainage and malnutrition affect the outcome of joint arthroplasty

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2384013/

he association between wound drainage and subsequent periprosthetic infection is well known. However, the most appropriate treatment of wound drainage is not well understood. We retrospectively reviewed the records of 10,325 patients (11,785 procedures), among whom 300 patients (2.9%) developed persistent (greater than 48 hours postoperatively) wound drainage. Wound drainage...
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PubMed Search for Surgical Wound Infection

Location: http://pubmed.gov

PubMed Search for "Surgical Wound Infection"[Majr] (Surgical Site Infection (SSI)) in the English language orthopaedic journals. Use the Create Bibliography button of copy/paste the following search string to PubMed. Use the Free Full Text filter to see articles available in full text
"Surgical Wound Infection"[Majr] (jrid22024 OR jrid2275 OR jrid2208 OR...
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Staphylococcus aureus nasal colonization in preoperative orthopaedic outpatients

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565023/

Nasal colonization with SA, including MRSA, among preoperative orthopaedic outpatients is increasing and their rates reflect community rates. Knowledge of colonization status may be important in decolonization, choosing perioperative or any subsequent empiric antibiotics.
Staphylococcus aureus nasal colonization in preoperative orthopaedic outpatients. Price CS, Williams A, Philips G, Dayton M, Smith W,...
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Urinary catheterisation and deep wound infection after hip fracture surgery

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267643/

We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nail or the...
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