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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2011, Number 5

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Acta Ortop Mex 2011; 25 (5)

The most frequent organisms in open fractures in Mexico

Salcedo-Dueñas JA, Algarín-Reyes JA

Language: Spanish
References: 23
Page: 276-281
PDF size: 53.97 Kb.


ABSTRACT

An open fracture is one in which the bone segments penetrate into the skin leaving the bone in contact with the outer environment. Many microorganisms may cause wound infection in open fractures; the most common one is Staphyloccocus aureus. Methods: This study included a group of 75 patients of both genders seen from November 1st, 2009 to April 30, 2010. A sample for culture was taken upon admission and incubated for 48 hours. Results: A total of 75 patients were included, 62 males and 13 females. The age range was 18 to 83 years. The tibia and the fibula were the most commonly affected bones. The most common mechanisms of injury resulted from high energy. The most frequent grade of exposure was III B. Forty-six percent of the culture results were negative at 48 hours; the most frequent organisms found in the positive cultures were Staphylococcus aureus and Candida albicans. Conclusions: Males are the gender most affected by open fractures. This kind of condition occurs at productive ages. The time elapsed between the injury and the onset of treatment was significant. The culture results showed that the most frequent organism was Staphylococcus aureus, together with Candida albicans.


REFERENCES

  1. Gustilo RB: Tratamiento de fracturas abiertas y sus complicaciones. 1ª Ed. Edit. Nueva Editorial Interamericana 1988: 1-75.

  2. Schatzker J, Tile M: Tratamiento quirúrgico de las fracturas. 2ª Ed. Edit. Médica Panamericana 1998: 37-44.

  3. Patzakis MJ, Harvey JP, Tyler D: The role of antibiotics in the management of open fractures. J Bone Joint Surg 1974; 56A: 532.

  4. David G, Kay SRM, Skaggs DL: Open fractures in children. J Bone Joint Surg Am 2005; 87-A: 2784-98.

  5. Okike K, Bhattacharyya T: Trends in the management of open fractures. J Bone Joint Surg Am 2006; 88: 2739-48.

  6. Bick EM: Source book of orthopaedics. 2nd Ed. Baltimore, Williams y Wilkins Co, 1948.

  7. Garrison FH: History of Medicine. 4th Ed. Philadelphia, W. B. Saunders Co, 1929.

  8. Giannoudis PV, Papakostidis C, Roberts C: A review of the management of open fractures of the tibia and femur. J Bone Joint Surg (Br) 2006; 88-B: 281-9.

  9. Rajasekaran S, et al: Immediate primary skin closure in type-III A and B open fractures. J Bone Joint Surg (Br) 2009; 91-B: 217-24.

  10. Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. J Bone Joint Surg 1976; 58A: 453.

  11. Gustilo RB: “Problems in the management of type III (severe) open fractures: a new classification of type III open fractures”. Journal of Trauma-Injury Infection & Critical Care 1984; 24(8): 742-46.

  12. Mulvania RL, Johnson JE: History of the treatment of compound fractures. Minn Med 1871 54: 853.

  13. Barrera F: Manejo de las fracturas abiertas, pérdida de sustancia ósea y osteomielitis. Manual de Cirugía Plástica. Sociedad Española de Cirugía Plástica y Reparadora.

  14. Álvarez LA, Casanova MC, García LY: Fracturas diafisiarias abiertas de tibia. Rev Cubana Ortop Traumatol 2004; 18 (1).

  15. Connolly JF: De palma tratamiento de fracturas y luxaciones: Atlas. 3ra Ed. Edit. Médica Panamericana 1984: 111-8.

  16. Crowley DJ, Kanakaris NK, Giannoudis PV: Irrigation of the wounds in open fractures. J Bone Joint Surg (Br) 2007; 89-B: 580-5.

  17. Lavelle WF: Management of open fractures in pediatric patients: current teaching in Accreditation Council for Graduate Medical Education (ACGME) accredited residency programs. Journal of Pediatric Orthopaedics B 2008; 17: 1-6.

  18. Charalampos G, Zalavras, et al: Management of Open Fractures and Subsequent Complications. J Bone Joint Surg Am 2007; 89: 883-95.

  19. Orr HW: Compound fractures. Am J Surg 1939; 46: 733.

  20. Trueta J: War surgery of extremities; treatment of war wounds and fractures. Br Med 1942; J1: 616.

  21. Muller ME: Manual de Osteosíntesis. 3ª Edición. Barcelona, Springer Verlag Ibérica. 1993.

  22. Anglen JO: Comparison of soap and antibiotic solutions for irrigation of lower-limb open fracture wounds. J Bone Joint Surg 2005; 87A(7): 1415-22.

  23. Zalavras CG, Patzakis MJ, Holtom P: Local antibiotic therapy in the treatment of open fractures and osteomyelitis. Clin Orthop 2004; 427: 86-93.




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