Back to Search
Start Over
Increased risk of time-dependent K-wire and wound contamination and the effect of covering on K-wire contamination: A randomized controlled trial.
- Source :
- Annals of Medical of Research; Nov2022, Vol. 29 Issue 11, p1252-1257, 6p
- Publication Year :
- 2022
-
Abstract
- Aim: This was a prospective randomized controlled study to evaluate the time-dependent incidence of contamination of K-wires and wounds in patients who underwent osteosynthesis and the effect of covering the K-wires on this incidence rate of infection. Materials and Methods: The study sample included 90 patients who underwent open reduction and internal fixation between 2018 and 2019. Patients were randomized to two groups: use of covered K-wires during surgery (using a sterile towel) and use of uncovered K-wires. Bacterial samples were obtained from the K-wires and wound at the following time points: 0 (just after opening of the K-wire packages) and at 15, 30, 60, 90, and 120 min after. Samples with bacterial growth at 48 h were considered contaminated. Microscopic, staining, and biochemical properties were used for bacterial typing. Results: Bacterial growth was detected at the 30- and 60-min time points for the uncovered and covered groups, respectively. Wound contamination was identified within 15 min for the uncovered group. Wound and K-wire contamination progressed as a function of time, being consistently more significant in the uncovered group (p<0.005). Conclusion: Time-dependent K-wire and wound contamination rates may be decreased by covering the K-wires (and other instruments) with a sterile towel. Frequent wound irrigation during surgery and postoperative prophylactic antibiotics targeting the bacteria we identified might further be useful in lowering the incidence rate of infection. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 26367688
- Volume :
- 29
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Annals of Medical of Research
- Publication Type :
- Academic Journal
- Accession number :
- 161053928
- Full Text :
- https://doi.org/10.5455/annalsmedres.2022.04.142