Infecções bacterianas e fraturas expostas em Tíbia

Abstract

Objective: To investigate the incidence of infections in open tibial fractures and their distribution according to clinical and epidemiological characteristics of patients. Methods: We studied patients diagnosed with open tibia fractures who underwent surgery at the São Vicente de Paulo Hospital (HSVP), from November 21, 2015 to November 20, 2018 and subsequent follow-up of at least nine months. Descriptive statistical analysis was performed by distributing frequencies of patient and treatment characteristics and testing for differences in infection outcome. Results: The sample consisted of 118 patients, of which 78% were male and 68.6% had elementary school, with adults more victims of traffic accidents, while the elderly suffered more falls (p=0.016). There were 13 cases of infection, representing an incidence of 11%, with positive association with systemic arterial hypertension (p=0.020), prolonged hospitalization period (p=0.043), severe fractures (p=0.018) and patients who weren’t treated with human tetanus immunoglobulin (p=0,043). Conclusions: Male patients, adults, with low education and traffic accident victims were more exposed to open tibia fractures. The incidence differed in relation to the severity of the injury, the patient's condition and care.