Risk of wound infections in trauma patients |
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| Authors: | John A. Weigelt MD FACS |
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| Affiliation: | 1. Cardiac MR PET CT Program, Massachusetts General Hospital and Harvard Medical School, 165 Cambridge Street, Boston, MA 02114, USA;2. Department of Diagnostic and Interventional Radiology, Esslingen Hospital, Esslingen, Germany;3. Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Germany;4. Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;5. Department of Internal Medicine II and Cardiology, University of Ulm Medical Center, Ulm, Germany;1. Department of Oral and Cranio-Maxillofacial Surgery (Head & Chairman Univ.: Prof. Dr. med. Dr. med. dent. F. Hölzle), University Hospital Aachen, Pauwelstraße 30, 52074, Aachen, Germany;2. Department of Orthodontics (Head & Chairman Univ.: Prof. Dr. med. dent. U. Fritz), University Hospital Aachen, Pauwelstraße 30, 52074, Aachen, Germany;3. Department of Medical Statistics (Head & Chairman Univ.: Prof. Dr. rer. nat. R.-D. Hilgers), University Hospital Aachen, Pauwelstraße 30, 52074, Aachen, Germany;1. Centre for Nanobiotechnology, VIT University, Vellore 632014, Tamil Nadu, India;2. School of Advanced Sciences, VIT University, Vellore 632014, Tamil Nadu, India;1. Infectious Diseases Division, Santa Maria Misericordia University Hospital, Udine;2. Bacteriology Unit, San Martino Hospital, Genova;3. Infectious Diseases Department, San Martino Hospital and University of Genoa, Genoa, Italy;1. University of Engineering and Technology, 47050 Taxila, Pakistan;2. National Center for Physics, 44000 Islamabad, Pakistan;3. Advance Polymer Laboratory, Department of Metallurgy and Materials Engineering, Pakistan Institute of Engineering & Applied Sciences (PIEAS), 45650 Islamabad, Pakistan |
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| Abstract: | Surgical incisions used to treat trauma wounds can be classified by risk of wound infection according to a modified system based on the NRC classification for surgical incisions. The wounds are classified by the amount of bacterial contamination and the time from injury to operative therapy as clean, clean-contaminated, and contaminated. The records of a total of 1,436 patients who had surgical therapy for traumatic wounds were reviewed. The infection rate for 331 clean wounds was 3.3 percent; for 855 clean-contaminated wounds, 10.5 percent; and for 250 contaminated wounds, 24.8 percent. These rates are similar to those seen with equivalent classes of elective operations. |
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