| Yazarlar |
Mustafa Özçamdallı
Türkiye |
|
Abdulhamit Misir
Türkiye |
|
Yasemin Ay Altıntop
Türkiye |
|
Ali Eray Günay
Türkiye |
Dr. Öğr. Üyesi Mehmet YETİŞ
Kırşehir Ahi Evran Üniversitesi, Türkiye |
| Özet |
| Aim: This was a prospective randomized controlled study to evaluate the time-dependent incidence of contamination of K-wires and wounds in patients who underwent osteosynthesis and the effect of covering the K-wires on this incidence rate of infection. Materials and Methods: The study sample included 90 patients who underwent open reduction and internal fixation between 2018 and 2019. Patients were randomized to two groups: use of covered K-wires during surgery (using a sterile towel) and use of uncovered K-wires. Bacterial samples were obtained from the K-wires and wound at the following time points: 0 (just after opening of the K-wire packages) and at 15, 30, 60, 90, and 120 min after. Samples with bacterial growth at 48 h were considered contaminated. Microscopic, staining, and biochemical properties were used for bacterial typing. Results: Bacterial growth was detected at the 30- and 60-min time points for the uncovered and covered groups, respectively. Wound contamination was identified within 15 min for the uncovered group. Wound and K-wire contamination progressed as a function of time, being consistently more significant in the uncovered group (p<0.005). Conclusion: Time-dependent K-wire and wound contamination rates may be decreased by covering the K-wires (and other instruments) with a sterile towel. Frequent wound irrigation during surgery and postoperative prophylactic antibiotics targeting the bacteria we identified might further be useful in lowering the incidence rate of infection. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale |
| Dergi Adı | Annals of Medical Research |
| Dergi ISSN | 2636-7688 |
| Dergi Tarandığı Indeksler | TR DİZİN |
| Makale Dili | İngilizce |
| Basım Tarihi | 11-2022 |
| Cilt No | 29 |
| Sayı | 11 |
| Sayfalar | 1252 / 1257 |
| Doi Numarası | 10.5455/annalsmedres.2022.04.142 |
| Atıf Sayıları |
