Analysis of pathogen distribution and risk factors of operative area infection in internal fixation implantation after fracture
Objective To explore the pathogens and risk factors of operative area infection in internal fixation implantation after tibiofibular fracture.Methods Through hospital infection monitoring and bacterial isolation and identification methods,the operative area infection and pathogen distribution in patients with tibiofibular fractures who underwent internal fixation implantation in a certain hospital were investigated and analyzed.Results A total of 598 patients with tibiofibular fractures who underwent internal fixation implantation were investigated,and there were 41 cases of operative area infections,with an infection rate of 6.86%.61 strains of pathogenic bacteria were detected in the samples from operative area infection of patients,of which 34 strains were Gram negative and 27 strains were Gram positive,with a composition ratio of 55.74%and 44.26%,respectively.Age 60 years old,open fracture,poor postoperative drainage,diabetes comorbidity and Gustilo Ⅲ fracture were the risk factors for operative area infection in internal fixation implantation after tibiofibular fracture.Conclusion The incidence of operative area infection in internal fixation implantation after tibiofibular fracture is relatively high,with Gram negative bacteria as the main pathogenic bacteria.The occurrence of operative area infection is related to multiple factors,and targeted prevention and control measures should be taken.
tibiofibular fractureinternal fixation implantationoperative area infectionpathogenrisk factors
万方数据
维普
