Abstract

Background: The rate of infection is high and heterogeneous in developing countries. This study aimed to find the rate and pattern of infection in a tertiary care hospital with a goal to improve the infection control practices. Methods: The study was conducted in the orthopedic units of a multispecialty teaching hospital. Medical records of major orthopedic surgery adult patients without immunosuppression state were included. The bacterial culture report of the wound swabs were noted over a period of one year. The bacterial culture testing was performed by a recommended method. Results: Among 2,249 orthopedic surgery patients, 83.7% were males, 49.1% had open wounds during admission and 32.2% patients were infected. Majority (64.2%) of the injuries were in the lower limb with 19.4% patients having undergone multiple surgeries during hospitalization. A total of 946 pathogens were grown from 725 specimens. Staphylococcus aureus was the maximum (48.4%) followed by Pseudomonas aeruginosa (26.3%) and E coli (16.7%). Among them, 57.3% were Methicillin Resistant Staphylococcus aureus (MRSA) and was the leading pathogen causing infection among orthopedic patients. Conclusion: MRSA infection was high. Consequent to this, an interventional program entitled ‘Extended Infection Control Measures’ was designed to reduce the burden of infection.

Original languageEnglish
Pages (from-to)1393-1401
Number of pages9
JournalAfrican Health Sciences
Volume19
Issue number1
DOIs
Publication statusPublished - 01-03-2019

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Tertiary Healthcare
Methicillin-Resistant Staphylococcus aureus
Tertiary Care Centers
Orthopedics
India
Infection
Infection Control
Wounds and Injuries
Patient Admission
Teaching Hospitals
Immunosuppression
Pseudomonas aeruginosa
Developing Countries
Medical Records
Staphylococcus aureus
Lower Extremity
Hospitalization
Escherichia coli

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "MRSA: The leading pathogen of orthopedic infection in a tertiary care hospital, South India",
abstract = "Background: The rate of infection is high and heterogeneous in developing countries. This study aimed to find the rate and pattern of infection in a tertiary care hospital with a goal to improve the infection control practices. Methods: The study was conducted in the orthopedic units of a multispecialty teaching hospital. Medical records of major orthopedic surgery adult patients without immunosuppression state were included. The bacterial culture report of the wound swabs were noted over a period of one year. The bacterial culture testing was performed by a recommended method. Results: Among 2,249 orthopedic surgery patients, 83.7{\%} were males, 49.1{\%} had open wounds during admission and 32.2{\%} patients were infected. Majority (64.2{\%}) of the injuries were in the lower limb with 19.4{\%} patients having undergone multiple surgeries during hospitalization. A total of 946 pathogens were grown from 725 specimens. Staphylococcus aureus was the maximum (48.4{\%}) followed by Pseudomonas aeruginosa (26.3{\%}) and E coli (16.7{\%}). Among them, 57.3{\%} were Methicillin Resistant Staphylococcus aureus (MRSA) and was the leading pathogen causing infection among orthopedic patients. Conclusion: MRSA infection was high. Consequent to this, an interventional program entitled ‘Extended Infection Control Measures’ was designed to reduce the burden of infection.",
author = "Thimmappa Latha and Bhat Anil and Hande Manjunatha and Mukhopadhyay Chiranjay and Devi Elsa and Nayak Baby and George Anice",
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MRSA : The leading pathogen of orthopedic infection in a tertiary care hospital, South India. / Latha, Thimmappa; Anil, Bhat; Manjunatha, Hande; Chiranjay, Mukhopadhyay; Elsa, Devi; Baby, Nayak; Anice, George.

In: African Health Sciences, Vol. 19, No. 1, 01.03.2019, p. 1393-1401.

Research output: Contribution to journalArticle

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