Infection rate in closed fractures after internal fixations in a municipal hospital in Ghana

This prospective study conducted in the Holy Family Municipal Hospital in Techiman, Ghana aimed to determine the incidence of wound infection following internal fixation of closed fractures in a municipal hospital in a developing country. Between May 2000 and February 2005, 194 patients were treated...

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Bibliographic Details
Published inTropical doctor Vol. 36; no. 4; p. 233
Main Authors Saris, C G J, Bastianen, C A, Mvan Swieten, E C A, Wegdam, H H J
Format Journal Article
LanguageEnglish
Published England 01.10.2006
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Fracture Fixation, Internal - adverse effects
Fractures, Bone - surgery
Fractures, Closed - surgery
Ghana - epidemiology
Hospitals, Municipal
Humans
Incidence
Male
Middle Aged
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Ghana
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Summary:This prospective study conducted in the Holy Family Municipal Hospital in Techiman, Ghana aimed to determine the incidence of wound infection following internal fixation of closed fractures in a municipal hospital in a developing country. Between May 2000 and February 2005, 194 patients were treated for closed fractures, implanting a total of 215 internal fixations. Patients were reviewed 10, 30 and 120 days after operation. In 141 (73%) patients, a follow-up of four months was achieved. Of all patients, six developed an infection, two deep and four superficial. The cumulative incidence of wound infection after internal fixation was 3.3%. This study demonstrates that the incidence of wound infection following internal fixation is comparable with hospitals in a temperate climate in industrialized countries. We therefore conclude that specific tropical risk factors play a minimal role in the development of wound infection.
ISSN:0049-4755
DOI:10.1258/004947506778604689