Risk Factors for Surgical Site Infections Following Anterior Cruciate Ligament Reconstruction

• DOI: 10.1017/ice.2016.65
• Publication Date: 2016-04-01T11:21:44Z
• Authors: Michael V. Murphy; Dongyi (Tony) Du; Wei Hua; Karoll J. Cortez; Melissa G. Butler; Robert L. Davis; Thomas A. DeCoster; Laura Johnson; Lingling Li; Cynthia Nakasato; James D. Nordin; Mayur Ramesh; Michael Schum; Ann Von Worley; Craig Zinderman; Richard Platt; Michael Klompas
• Keywords: Adult; Male; Bone Transplantation; Adolescent; Anterior Cruciate Ligament Reconstruction; Age Factors; Infant; 3. Good health; Young Adult; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Patellar Ligament; Risk Factors; Child, Preschool; Humans; Surgical Wound Infection; Female; Child; Retrospective Studies

OBJECTIVE To determine the effect of graft choice (allograft, bone-patellar tendon-bone autograft, or hamstring autograft) on deep tissue infections following anterior cruciate ligament (ACL) reconstructions. DESIGN Retrospective cohort study. SETTING AND POPULATION Patients from 6 US health plans who underwent ACL reconstruction January 1, 2000, through December 31, 2008. METHODS We identified reconstructions and potential postoperative using claims data. A hierarchical stratified sampling strategy was used to identify patients for medical record review confirm allograft vs autograft implanted, clinical characteristics, infection status. estimated rates overall by type. logistic regression assess association between patients' demographic comorbidities, graft. RESULTS On 1,452 records, we found 55 wound infections. With correction weights, varied type: 0.5% (95% CI, 0.3%-0.8%) with allografts, 0.6% (0.1%-1.5%) autografts, 2.5% (1.9%-3.1%) autograft. After adjusting confounders, an increased risk autografts compared allografts (odds ratio, 5.9; 95% 2.8-12.8). However, there no difference in among 1.2; 0.3-4.8). CONCLUSIONS The is low but it does vary Infection highest recipients recipients. Infect Control Hosp Epidemiol 2016;37:827-833.