Risk factors for surgical site infections after open reduction and internal fixation of acetabulum fracture in the west of Iran

Abstract Background Still, surgical site infections (SSIs) remain a significant clinical problem. We aim to investigate the Incidence and risk factors (RFs) for SSIs occurrence following the open reduction and internal fixation (ORIF) of acetabulum fracture. Materials and methods An observational cohort study conducted on 788 patients who underwent the ORIF procedures for acetabulum fracture between April 2012 and May 2019. The possible RFs associated with SSIs identified by univariate Chi-square and multivariate logistic regression models. Results 512 (69%) males and 276 (31%) females included. SSIs occurred in 35 of 512 males (4.03%), and 18 of 276 females (4.80%). The overall incidence of SSIs was 6.7% (53/788). In a multivariate analysis, advance age (OR, 3.21 (1.82–5.58), 95% CI,P   5 days (OR, 1.54 (0.87–4.67).95% CI,P  Conclusion Most SSIs can treat with antibiotics. Sometimes an additional operation or procedure may be required to manage the SSIs. Hence, prevention requires complete attention to RFs, to reduce the risk of SSI and improve the patient's defenses.