Prevalence of Surgical Site Infections in Orthopedic Surgeries in Philippine General Hospital: A Two Year Analysis (January 2017- December 2018)

PHRR210430-003506

Prevalence of Surgical Site Infections in Orthopedic Surgeries in Philippine General Hospital:

A Two Year Analysis (January 2017- December 2018)

ABSTRACT

BACKGROUND: Fracture related infection is a common and serious complication in orthopedic surgery ⁽¹⁾ .The incidence of infection after internal fixation of closed fracture is reported to be 1 to 2% but can reach to 30% in cases of open fractures. Effects of infection can be life changing for the patients due to permanent functional loss or amputation of the affected limb, quality of life and functional status also decreases. ⁽²⁾ Recent cost analysis showed that hospital related health care cost of infected cases are approximately 6.5 times higher than for non-infected cases. ⁽³⁾

OBJECTIVE: This study aims to determine the prevalence rate of infection over a period of 2 years in patients of the Philippine General Hospital, Department of Orthopedics.

METHODS: This study is a Retrospective study analysis of all PGH Orthopedic in-patients who underwent surgical procedures from January 2017 to December 2018. A total of 60 observations were noted in the data All nonparametric continuous and discrete variables were summarized using medians (interquartile range, minimum observation, and maximum observation) while categorical data were summarized using frequencies and percentages

RESULTS: A total of 60 infection cases out of 6,804 surgeries done were noted for the year 2017 and 2018. The prevalence rate of infection in this 2-year analysis was noted to be 0.88%. 81.67% of the cases were Male predominantly. Non fracture cases accounted 40% of the cases followed by Closed fracture cases at 36.67% and Open Fracture at 23.33% respectively. The top 3 most common bone affected for infected cases were Tibia, Femur and Radius respectively. 54.33% of the infection cases were Emergency cases in which resulted to a prolonged hospital duration stay of  median 19.5 days. The most common pathogens isolated for the infection cases were Staphylococcus aureus 15%, Pseudomoas aeruginosa  13.33% and Enterobacter cloacae 8.33% respectively, all of which were nosocomial in origin.

CONCLUSION: The study was able to determine the 2 years’ prevalence rate of infection in the Philippine General hospital, Department of Orthopedics. For 2017 and 2018, the prevalence rate was 0.80% and 0.88% respectively. combining all the data gathered, the prevalence rate was determined to be 0.88%. Recommendation for future continuation of the study is to do correlational studies to identify better the risk factors related to the development of infection post operatively in Orthopedic surgery and use it as a guide to develop a new set of protocol that could greatly impact the reduction of infection cases postoperatively.

Completed

to determine the prevalence rate of infection over a period of 2 years in patients of the Philippine General Hospital, Department of Orthopedics.

This study aims to determine the prevalence rate of infection over a period of 2 years in patients of the Philippine General Hospital, Department of Orthopedics.

To identify and correlate the risk factors in developing Surgical site infections among the patients of the Department of Orthopedics in Philippine General Hospital

To determine common pathogen isolated in patients with Surgical site infection in the Department of Orthopedics in Philippine General Hospital.

To identify specific outcomes of patients with Surgical site infection ( duration of hospital stay, eventual morbidities, 30 day mortality ) in the Department of Orthopedics in Philippine General Hospital

Completed

• Philippines

Non-clinical Studies