Incidence and risk factors for acute infection after proximal humeral fractures
The rate of acute infection after surgery for proximal humeral fractures is not known. The aims of this study were to report the incidence and to analyze the risk factors for infection after proximal humeral fracture treatment.
This retrospective multicentre cohort study of 452 proximal humeral fractures appropriately determined odds ratios. Known confounders were considered in the analysis.
The mean age was 62.1 years, and 314 patients were female patients. Of the patients, 18 (4%) had an acute infection. The factors that correlated with infection were length of surgery, preoperative skin preparation with chlorhexidine gluconate and prophylactic antibiotic).
This study suggests that washing the shoulder with chlorhexidine gluconate and avoiding the use of first-generation cephalosporin in favour of more effective prophylactic therapy are effective at reducing the risk of infection after treatment for proximal humeral fractures.
The authors however, have confused risk markers with risk factors as the casual relationship is currently unknown and the sample of those infected was small limiting the findings. > From Blonna et al. J Shoulder Elbow Surg 23 (2014) 528-535. All rights reserved to Elsevier Ltd.
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