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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2019 - IJCMAS--ICV 2019: 96.39 For more details click here
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2020)
[Effective from January 1, 2020]
For more details click here

ICV 2019: 96.39
Index Copernicus ICI Journals Master List 2019 - IJCMAS--ICV 2019: 96.39
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2016.5(1): 818-825
DOI: http://dx.doi.org/10.20546/ijcmas.2016.501.084


Assessment of Frequency of Long Bone Osteomyelitis in Traumatic Patients Undergoing Orthopedic Surgery in Imam Reza (AS) Hospital-Tabriz
Mohammad Irajian1 and Arman Beheshtirooy2*
1Department of Orthopedic, Faculty of Medicine, Tabriz University of Medical Sciences,Tabriz, Iran
2Medical Student, Faculty of Medicine, Islamic Azad university Tabriz branch, Tabriz, Iran
*Corresponding author
Abstract:

Despite significant progress in the field of infectious diseases, osteomyelitis remains a problem for the orthopedic community. Rate of infection in open fractures in long bones is 64-4% mentioned. Chronic infections have serious side effects, including disability and even amputation, and still is not a desirable treatment. This study aimed to assess the incidence of osteomyelitis in Imam Reza hospital of Tabriz and its influencing factors and methods to reduce and prevent osteomyelitis is done in traumatic patients.  All cases of traumatic patients with long-bone fractures who is admitted to Imam Reza hospital from March 2010 until the end of December 2013 extracted. Recorded variables are age, sex, multiple trauma or trauma of single organs, from admission until orthopedic surgery time, fracture type (open or closed), received prophylactic antibiotics before and after surgery, systemic diseases were analyzed. 151 of the 184 patients were male (82.1%) and 33 were female (17.9%).Fractures in 73 patients with a frequency of 39% was open and in 111 patients was close (60%).111 of the patients had associated diseases that were respectively 47 patients ICU hospitalization (25%),43 patients surgery (23%) and 9 patients diabetes (4%).Only 24 patients with frequency of 13% were suffering from osteomyelitis. The relationship between delay in surgery was significantly associated with osteomyelitis (p-value <0.01).The study not found any significant relationship between age and osteomyelitis (p-value = 0.79).The relationship between sex and osteomyelitis, were significant which represents an increase of osteomyelitis in male sex (p-value <0.01).The relationship between type of fracture and osteomyelitis were significant, which increases in open fractures (p-value <0.01).The relationship between systemic diseases associated with osteomyelitis was significant (p-value <0.01).There is no relationship between receiving antibiotics before surgery and osteomyelitis (p-value = 0.67).The relationship between receive antibiotics after surgery and osteomyelitis was significant (p-value <0.01). According to the study it can be concluded that systemic disease, older age, open fracture, In Males and a delay in orthopedic surgery in traumatic patients increases osteomyelitis and take antibiotics after surgery reduce the risk of osteomyelitis.


Keywords: Osteomyelitis, Open Fractures, Closed Fractures, Antibiotics, Trauma.
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How to cite this article:

Mohammad Irajian and Arman Beheshtirooy. 2016. Assessment of Frequency of Long Bone Osteomyelitis in Traumatic Patients Undergoing Orthopedic Surgery in Imam Reza (AS) Hospital-Tabriz.Int.J.Curr.Microbiol.App.Sci. 5(1): 818-825. doi: http://dx.doi.org/10.20546/ijcmas.2016.501.084