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Submitted: 13 June 2014 Modified: 19 January 2019
HERDIN Record #: PCHRD14061217294137

The operating room traffic on the infection rate in orthopedic implant surgery.

Rey-am L. Garcia,
Joaquin C. Pandanan

All patients admitted for orthopedic implant surgery in De La Salle University Medical Center from April to June 2011 were included in the study. Exclusion criteria includes both the nature of the operation and the patient's condition rendering the wound to have a higher infection rate including contaminated wounds, active infections, chronic diseases, poor nutritional status, prolonged operations and increased intraoperative blood loss. The OR traffic pattern, particularly, the number of door swings, the type and total duration of surgery, number of OR personnel at 30-minute intervals, or changes in nursing, anesthesia, or surgeon during surgical cases were determined and noted for presence of post-operative infection within three months in each case. The infection rate in this study was 11.54%. The mean number door swings for those who got infected was 184 and 93.4 for those who did not have any. The mean number of door swings per minute was found to be statistically significant as well. One arthroplasty and two ORIF procedures got infected. The mean duration of surgeries that become infected was 146.7 minutes and 103.4 minutes for those that did not. The mean OR personnel wherein infections were noted was higher than those that had no infection. It has been shown that the increase in total number of door swings during any procedure and number of door swings per minute associated with Surgical Site Infection (SSI), it is still difficult to recommend an exact maximum total number of door swings and average door swings per minute.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Orthopaedics
Frequency
Annual
Publication Date
November 2013
Volume
32
Issue
1
Page(s)
68-74
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 117 Fulltext Print Format (Request Document)
Philippine Council for Health Research and Development Fulltext pdf (Request Document)

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