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Surgical site infection following elective nonspinal paediatric orthopaedic surgery

a prospective review

Jones, Stanleya; Shepherd, Johna; Robinson, Karena; Khandekar, Sumukh A.b

Journal of Pediatric Orthopaedics B: January 2019 - Volume 28 - Issue 1 - p 89–93
doi: 10.1097/BPB.0000000000000549

The aim of this study was to determine the rate of surgical site infection (SSI) and the factors that predispose to it in children undergoing nonspinal orthopaedic surgery. Over a 6-month period, 326 children who underwent 334 nonspinal elective orthopaedic surgical procedures were prospectively reviewed for the development of surgical site infections. A total of 14 sites became infected, with an overall infection rate of 4.19%. All the infections were superficial, and the only causative organism detected was Staphylococcus aureus. Operating times longer than 1 h and surgical wounds greater than 10 cm in length were positively associated with SSIs. Although there were differences between male and females, type of admission, the use of prophylactic antibiotics, degree of wound contamination and the grades of surgeons, these differences were not statistically significant. The results of this prospective study provide valuable information that was not previously available to the practicing paediatric orthopaedic surgeon.

aDepartment of Trauma and Orthopaedics, Sheffield Childrens Hospital, Sheffield, UK

bDepartment of Trauma and Orthopaedics, Al-Ahli Hospital, Doha, Qatar

Correspondence to Stanley Jones, FRCS, Al-Ahli Hospital, PO Box 6401, Doha, Qatar Tel: +97 444 898 679; fax: +97 444 898 989; e-mail:

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