RELATIONSHIP BETWEEN LENGTH OF OPERATING TIME AND SUPERFICIAL SURGICAL WOUND INFECTION AFTER INTERNAL FIXATION ON CLOSED LONG FRACTURE BASED ON SOUTHHAMPTON WOUND SCORING SYSTEM

Uncok Ramses D. Simanjuntak, Aga Shahri Putera Ketaren, Nino Nasution

Abstract


PRELIMINARY The rate of nosocomial infections in Indonesia continues to increase, infections that occur in
wounds caused by invasive surgical procedures are generally called surgical wound infections (ILO). Trauma is a
common health problem in developing countries. Increased trauma in the last 10 years has triggered a high incidence of fractures
managed by internal 􀃶xation. The purpose of this study was to determine the relationship between duration of surgery and super􀃶cial
surgical wound infection after internal 􀃶xation on closed long bone fractures based on Southampton Wound Scoring System at H. Adam
Malik General Hospital Medan
Research methods This study was a descriptive analytic study with a cross sectional design, which is a study that aimed to determine the
relationship between the length of time of surgery with super􀃶cial pasca surgery wound internal 􀃶xation in long bone fractures based on
the assessment of Southampton wound scoring system in H. Adam Malik General Hospital Medan, and was carried out in September 2017
to July 2018.Data is then analyzed using the Spearman's correlation test.
Research result In this study found 21 people with long closed bone fractures (70%), and 7 women (30%). This is in line with most other
studies. Doshi et al (2017) study in 787 samples reported 628 people (79.8%) were men. Other studies also mention men have a higher
incidence of long fractures, namely 21.5 per 100,000 patients, compared with women with an incidence of 12.3 per 100,000 patients per
year (Taki et al, 2017).
This study found that the average age of patients who experienced long bone fractures was 39.03 ± 16.951 years. This was not much
different from previous studies which found the average age of patients with long bone fractures was 36.4 years (SD 14.7) (Yongu et al,
2014).
In this study femur fracture was found to be the most long bone fracture, 12 cases (40%), followed by 8 cases of tibia fracture (26.7%). This is
in line with previous studies which found that the overall incidence of fractures in the upper limbs was 159 (95% CI: 152-166), whereas the
incidence of fractures in the lower limbs was 247 (95% CI: 238-256) (Meling et al, 2009 ) Similarly, the study by Yongu et al (2014) in Nigeria
found that femoral fractures were found in 55.6% of samples, followed by 21.1% of tibia and 􀃶bula fractures, and humeral fractures of
15.7%. To determine the relationship between the length of time of surgery and the incidence of post-ORIF super􀃶cial surgical wound
infection in long closed bone fractures, Spearman's rho correlation test was performed. In this study we found the results of the Spearman
rho correlation test found p <0.001 and r = 0.624. That is, there is a correlation between the length of time of surgery and the incidence of
post ORIF super􀃶cial surgical wound infection in long closed bone fractures, with moderate relationship strength (r between 0.6-0.79).
Conclusion The relationship between the length of time of surgery and the incidence of post-ORIF super􀃶cial surgical wound infection in
long closed bone fractures. Short operating times can reduce the incidence of surgical area infections. To shorten the operating time, the
surgeon must be able to evaluate the fracture in detail when preoperative.


Keywords


Operating Time, Surgical Wound Infection, Orif

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