Related Experiment Video
Updated: May 27, 2025
In Vivo Mouse Model of Spinal Implant Infection
Published on: June 23, 2020
Analysis of Risk Factors and Preventive Measures for Perioperative Incision Infection in Patients Receiving Rigid
1Department of Stomatology, The First People's Hospital of Yongkang (Yongkang First People's Hospital), 321300 Yongkang, Zhejiang, China.
Aim:
To analyze the risk factors for perioperative incision infection in patients undergoing rigid internal fixation for maxillofacial fractures and the prevention and control measures formulated to enhance the effect of surgical treatment.
Methods:
We retrospectively analyzed the medical records of 342 maxillofacial fracture patients who received rigid internal fixation treatment at the Department of Stomatological Surgery of The First People's Hospital of Yongkang (Yongkang First People's Hospital) from May 2018 to April 2023, and divided them into the uninfected group (n = 308) and the infected group (n = 34) according to their history of perioperative incision infections. Data from the subjects on age, type of fracture trauma and length of hospitalization were collected and analyzed. Multifactorial logistic regression analysis was employed to explore the risk factors for perioperative incision infections in these patients and to develop preventive measures for these risk factors.
Results:
The study found that the incidence of incision infections was 9.94% (34/342) in 342 patients. Multifactorial logistic regression analysis showed that the incidence of incision infections was significantly higher in patients with comorbid diabetes mellitus versus those without comorbid diabetes mellitus (odds ratio [OR] = 9.543, 95% confidence interval [CI]: 1.818-50.095, p = 0.008); patients undergoing surgery in summer versus those in other seasons (OR = 8.483, 95% CI: 1.476-48.744, p = 0.017); and malnourished patients versus those with good nutritional status (OR = 5.163, 95% CI: 1.016-26.231, p = 0.048). In addition, the analysis also revealed that incision size was also a risk factor for incision infections during the postoperative period (OR = 2.882, 95% CI: 1.567-5.304, p = 0.001), whereas a higher preoperative albumin level was a protective factor (OR = 0.755, 95% CI: 0.639-0.891, p = 0.001).
Conclusions:
A plethora of risk factors can lead to incision infection in patients with maxillofacial fracture during perioperative period. Therefore, preventive measures should be implemented in the hospitals to control these factors in order to reduce the occurrence of complications and enhance the effectiveness of surgical treatment.
More Related Videos
05:54Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:26Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
01:27Fractures: Bone Repair
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...