The impact of wound age on the infection rate of simple lacerations repaired in the emergency department

Zehtabchi, Shahriar; Tan, Audrey; Yadav, Kabir; Badawy, Amr; Lucchesi, Michael

doi:10.1016/j.injury.2012.02.018

Cited by 48 publications

(32 citation statements)

References 17 publications

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“…Besides, previous studies suggested that wounds on head and neck were less commonly associated with infection development than other locations. In this regard, the incidence of infection estimated 1% to 2% in head and neck, whereas legs and lower extremities were as high is 23% (34)(35)(36)(37). Since these sites are considered to be more infection-prone (20), it is therefore important to consider the site of wounds once deciding to choose cleansing agents with better efficacy and lower adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Randomized, controlled trial of povidone-iodine to reduce simple traumatic wound infections in the emergency department

Ghafouri

Zare

Bazrafshan

et al. 2016

Injury

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Section: Discussionmentioning

confidence: 99%

Randomized, controlled trial of povidone-iodine to reduce simple traumatic wound infections in the emergency department

Ghafouri

Zare

Bazrafshan

et al. 2016

Injury

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“…It was believed that there exists a "golden period" beyond which the risk of infection signifi cantly increases, a recent systematic review ruled out the presence of association between any wound age cut off and a higher risk of infection. [11] Because of a small number of patients with wound infection, we were not able to perform the logistic regression analysis that was originally planned to identify factors that could predict wound infection in our study cohort. However, our univariate analyses did not identify any wound or host characteristics that were associated with a higher risk of infection.…”

Section: Discussionmentioning

confidence: 99%

The risk of wound infection after simple hand laceration

Roodsari

Zahedi

Zehtabchi

2015

World Journal of Emergency Medicine

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BACKGROUND: This prospective observational study aimed to determine the infection rate of simple hand laceration (SHL), and to compare infection rates between patients who were prescribed antibiotics and those who were not. METHODS:The study was performed at two urban hospitals enrolling 125 emergency department (ED) patients with SHL. Exclusion criteria included patients with lacerations for more than 12 hours, immunocompromized patients, patients given antibiotics, and patients with gross contamination, bites or crush injuries. Wound infection was defi ned as clinical infection at a follow-up visit (10-14 days) or wound was treated with antibiotics. Patient satisfaction was also measured using a visual analogue scale 1-10, asking the patients about wound appearance. Demographic data and wound characteristics were compared between the infected and non-infected wounds. The infection rates were also compared between patients who received prophylactic antibiotics and those who did not. The results were presented with medians and quartiles or percentages with 95% confi dence intervals (CI). RESULTS:In the 125 patients with SHL [median age: 28 (18, 43); range: 1-102 years old; 36% female], 44 (35%, 95% CI: 27%-44%) were given antibiotics in the ED. Wound infection was reported in 6 patients (4.8%, 95% CI: 2%-10%). Age, gender, history of diabetes and wound closure were not associated with wound infection (P>0.05). The infection rate was not signifi cantly different between patients with or without antibiotic prophylaxis [7% (3/44), 95% CI: 2%-10% vs. 4% (3/81), 95% CI: 1%-11%, P=0.66]. Patient's satisfaction with appearance of infected and non-infected wounds were signifi cantly different [7.5 (6, 8) vs. 9 (8, 10), P=0.01].CONCLUSION: Approximately 5% of simple hand lacerations become infected. Age, gender, diabetes, prophylactic antibiotics and closure technique do not affect the risk of infection.

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“…Innen disse tidsrammene vurderte vi om det var ulik infeksjonsrate i sår som ble suturert før det var gått tre timer og sår som ble suturert senere, men vi fant ingen slik forskjell. I nyere litteratur og litteraturgjennomganger er det satt spørsmålstegn ved om de gjeldende tidsrammene for tilrådelig primaerlukking av traumatiske sårskader er godt nok dokumentert, og det hevdes at tidsgrensene for enkelte typer traumatiske hudsår sannsynligvis kan utvides uten at infeksjonsfaren øker (10,17).…”

Section: Diskusjonunclassified