Titre
Surveillance prospective des infections nosocomiales dans un service de traumatologie et orthopédie. [Prospective surveillance of nosocomial infections in a traumatology and orthopedics service]
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Janin, B.
Auteure/Auteur
Chevalley, F.
Auteure/Auteur
Raselli, P.
Auteure/Auteur
Livio, J. J.
Auteure/Auteur
Francioli, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
1993-09
Volume
60
Numéro
1-2
Première page
211
Dernière page/numéro d’article
8
Notes
English Abstract Journal Article --- Old month value: Sep
Résumé
From May 1989 to February 1990, 1164 patients were followed in the Service of Orthopaedic Surgery and Traumatology at the CHUV, for the development of nosocomial infections (N.I.), in particular postoperative wound infections. Among them, 439 patients were treated conservatively and 725 underwent 833 operations. The global incidence of N.I. was 7.7/100 admissions. Urinary tract infections represented 57% of all N.I., postoperative wound infections represented 21% (with 12% superficial and 9% deep infections), pneumonias represented 20% (5 deaths), bacteriemias represented 2% (1 death) of the cases. The rate of infections was 1.1% for clean surgical interventions (n = 549), 0% for clean-contaminated operations (n = 87), 7.5% for contaminated operations (n = 40), 22.8% for dirty operations and 1.6% for unclassified operations (n = 122). Among the 19 postoperative wound infections, 6 were diagnosed after the patients were discharged. In conclusion, postoperative wound infections constituted only 20% of all N.I. observed in the Service of Orthopaedic Surgery and Traumatology and the rates of infection according to the types of interventions were low. On the other hand, 80% of the N.I. were observed at sites other then the wounds and were associated with a 0.5% mortality rate.
Sujets
PID Serval
serval:BIB_D6D4733957AB
PMID
Date de création
2008-01-25T16:07:33.527Z
Date de création dans IRIS
2025-05-21T00:55:10Z