Observational studyInternational orthopaedics2019
Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study.
Observational study in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Is there scientific evidence to support antibiotic prophylaxis in patients with periodontal disease as a means to decrease the risk of prosthetic joint infections? A systematic review.International orthopaedics · 2020Pooled it
- Letter to the Editor regarding "Risk of surgical site infection associated with intraoperative smartphone use in a sterile cover during total knee arthroplasty".European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Evaluation of the Efficacy of UV-C Radiation in EliminatingMicroorganisms · 2025Article
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- Association between inflammation-based prognostic markers and mortality after hip replacement.Scientific reports · 2024Article
- Prevalence, resistance profiles and factors associated with skin and soft-tissue infections at Jinja regional referral hospital: A retrospective study.PLOS global public health · 2024Article
- Post-discharge occurrence of surgical site infections after hip or knee arthroplasty surgery in Poland, a population-based study.Scientific reports · 2023Article
- Polish infection control nurses' job satisfaction and cooperation with their colleagues reflect how the value of infection control is appreciated by other health care workers: findings from surveys conducted before and during the COVID-19 pandemic.Antimicrobial resistance and infection control · 2023Article
- Retrospective analysis of drug resistance characteristics and infection related risk factors of multidrug-resistant organisms (MDROs) isolated from the orthopedics department of a tertiary hospital.Scientific reports · 2023Article
- Five-Year Analysis of Surgical Site Infections in Three Orthopaedics and Trauma Wards under HAI-Net from the South of Poland in 2014-2018 Considering the Standardized Infection Ratio.Medicina (Kaunas, Lithuania) · 2022Article
- Post-DischargeInternational journal of environmental research and public health · 2022Observational
- Patients Undergoing Hip or Knee Arthroplasty in Poland Based on National Data-Challenge for Healthcare in Aging Society.Healthcare (Basel, Switzerland) · 2021Article
- Incidence of Surgical Site Infections in Multicenter Study-Implications for Surveillance Practice and Organization.International journal of environmental research and public health · 2021Article
- Incidence and Risk Factors of 30-Day Surgical Site Infection after Primary Total Joint Arthroplasty in a Middle-Income Country: A Single-Center Experience.International journal of environmental research and public health · 2021Article
- High platelet-to-lymphocyte ratio predicts poor survival of elderly patients with hip fracture.International orthopaedics · 2021Article
- Multidrug-Resistant Micro-Organisms Associated with Urinary Tract Infections in Orthopedic Patients: A Retrospective Laboratory-Based Study.Antibiotics (Basel, Switzerland) · 2020Article
- Antibiotic Stewardship inAntibiotics (Basel, Switzerland) · 2020Article
- Epidemiology of Surgical Site Infections Considering the NHSN Standardized Infection Ratio in Hip and Knee Arthroplasties.International journal of environmental research and public health · 2020Article
- Multimodal strategy in surgical site infections control and prevention in orthopaedic patients - a 10-year retrospective observational study at a Polish hospital.Antimicrobial resistance and infection control · 2020Observational
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aims of the study were to analyse the surgical site infections (SSIs) in patients operated at an orthopaedic ward and to describe the drug-resistance of the aetiology of those infections. Also, analyse the possibility of SSI control through microbiological surveillance. Additionally, we have studied the information inferred by aggregating cumulative antibiograms for the SSIs of the studied orthopaedic unit.
designCross-sectional studies carried out in 2013-2015. SETTING AND PATIENTS: Orthopaedic and Trauma Surgery Unit in Sosnowiec, Poland; 5995 patients, 5239 operations.
methodsRetrospective laboratory-based data collection study of surgical site infections.
resultsSSI incidence rate was 6.6%, in the implantations-hip prosthesis 5.8% and knee prosthesis 5.4%, about 6 times higher compared with European HAI-Net. SSIs were usually caused by Gram-positive bacteria (56%). The prevalence of MDR microorganisms was 22.6%, and mainly concerned the Gram-negative bacilli: 97.6% of Acinetobacter baumannii and 50.0% of Klebsiella pneumoniae were multidrug-resistant. On the basis of what the Formula for Rational Empiric Antimicrobial Therapy analysis has shown, the use of amikacin, imipenem and ciprofloxacin has been recommended as the most efficient in the empirical therapy of SSIs.
conclusionsThe infection control was a significant problem at the studied orthopaedic unit, as evidenced by the SSI incidence rate significantly higher than expected. We suggest implementing the infection control and prevention based on evidence-based medicine, and a unit-based surveillance. A cumulative unit-based antibiogram reflects the drug-susceptibility pattern for the strains from the infections acquired at the unit.
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