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Incidence and Predictors of Surgical Site Infection After Distal Femur Fractures Treated by Open Reduction and Internal Fixation: a Prospective Single‐center Study by Zhu, Chao (author);Zhang, Junzhe (author);Li, Junyong (author);Zhao, Kuo (author);Meng, Hongyu (author);Zhu, Yanbin (author);Zhang, Yingze (author) is a Medicine article available to read on EtoBox.

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## Abstract ## Background There remain limited data on the epidemiological characteristics and related predictors of surgical site infection (SSI) after open reduction and internal fixation (ORIF) for distal femur fractures (DFFs). We designed this single-centre prospective study to explore and forecast these clinical problems. ## Methods From October 2014 to December 2018, 364 patients with DFFs were treated with ORIF and followed for complete data within one year. Receiver operating characteristic (ROC) analyses, univariate Chi-square analyses, and multiple logistic regression analyses were used to screen the adjusted predictors of SSI. ## Results The incidence of SSI was 6.0 % (22/364): 2.4 % (9/364) for superficial SSIs and 3.6 % (13/364) for deep SSIs. Staphylococcus aureus (methicillin-resistant S. aureus in 2 cases) was the most common pathogenic bacteria (36.8 %,7/19). In multivariate analysis, parameters independently associated with SSI were: Open fracture (OR: 7.3, p = 0.003), drain use (OR: 4.1, p = 0.037), and incision cleanliness (OR: 3.5, p = 0.002). An albumin/globulin (A/G) level ≥ 1.35 (OR: 0.2, p = 0.042) was an adjusted protective factor for SSI. ## Conclusions

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Author

Zhu, Chao (author);Zhang, Junzhe (author);Li, Junyong (author);Zhao, Kuo (author);Meng, Hongyu (author);Zhu, Yanbin (author);Zhang, Yingze (author)

Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)