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. 2007 Aug;31(4):483-5.
doi: 10.1007/s00264-006-0227-3. Epub 2006 Aug 15.

Urinary catheterisation and deep wound infection after hip fracture surgery

David Cumming  1 , Martyn J Parker
Affiliations

Urinary catheterisation and deep wound infection after hip fracture surgery

David Cumming et al. Int Orthop. 2007 Aug.

Abstract
in English, French

We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nail or the 816 patients treated with parallel screws. The use of urinary catheterisation was compared with a control group of patients. In the sepsis group, 12/18 patients had been catheterised peri-operatively or within 24 h, as opposed to 18/36 patients in the control group; the difference between these two groups was not statistically significant (P=0.38). There was a statistically significant increase in the proportion of patients who had more than two urinary catheterisations (6/18 versus 3/36, P=0.05) or who had a long-term catheter (7/16 versus 3/36, P=0.01) in the sepsis group.

Le but de cette étude est de déterminer la fréquence des infections profondes après traitement chirurgical sur fracture de hanche et la relation de ces infections avec le sondage urinaire. Les infections après hémi arthroplastie sont survenues dans 16/949 cas et dans 10/1,143 cas de vis plaques en compression. Aucun cas d’infections profondes n’est survenu chez 203 patients traités par clous intra médullaires ni sur les 816 patients traités par vissage simple. L’utilisation du sondage urinaire a également été comparée chez un groupe de patients contrôle. Dans le groupe des patients infectés, 12/18 ont été sondés dans les 24 h péri opératoires en opposition aux 18/36 patients du groupe contrôle, la différence entre ces deux groupes n’étant pas significative (P=0.38). Par contre, il existe une différence significative chez les patients qui ont eu deux, ou plus de deux sondages urinaires (6/18 versus 3/36, P=0.05) ou qui ont eu un sondage de longue durée (7/16, versus 3/36, P=0.01) dans le groupe des septiques.

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