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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Jun 22, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimizing the Risk of Surgical Site Infection Following Hip Fracture Operation.

Mark Maher1, Alex Ward1, Karen Ward1

  • 1Department of Trauma and Orthopaedic Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.

Surgical Infections
|July 3, 2024
PubMed
Summary

Implementing a comprehensive care bundle significantly reduced surgical site infection (SSI) rates in hip fracture patients, from 9.0% to 0.5%. This multi-faceted approach improved patient outcomes and generated substantial cost savings.

Keywords:
hip fracturemorbiditymortalitysurgical site infection

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Area of Science:

  • Orthopedic Surgery
  • Infectious Disease Prevention
  • Public Health

Background:

  • Hip fractures are a leading cause of serious injury, disability, and mortality in the elderly.
  • Surgical site infections (SSIs) represent a significant post-operative complication following hip fracture surgery.
  • Baseline SSI rates in 2013 were recorded at 9.0%.

Purpose of the Study:

  • To evaluate the impact of a multi-focal, evidence-based peri-operative care bundle on SSI incidence in hip fracture patients.
  • To document cumulative improvements in SSI rates over a defined period.
  • To assess the economic impact of infection prevention strategies.

Main Methods:

  • A prospective cohort study included 3,138 patients undergoing hip fracture operations between 2016 and 2021.
  • SSI was confirmed using the Public Health England definition.
  • A peri-operative care bundle encompassing pre-operative, intra-operative, and post-operative interventions was implemented and analyzed.

Main Results:

  • The overall SSI rate in the study cohort was 1.3% (41 infections out of 3,138 cases).
  • A consistent decline in 12-month average SSI rates was observed, reaching 0.5% by 2021 (p < 0.05).
  • The implemented interventions led to an annual cost saving of £860,000 for the trust.

Conclusions:

  • A dedicated, multi-disciplinary approach to infection control can substantially reduce SSI risk in hip fracture patients.
  • Evidence-based interventions within a peri-operative care bundle contribute to cumulative improvements in patient safety.
  • Prioritizing infection prevention is effective and economically beneficial.