Abstract
In a prospective study we assessed 440 patients, sequentially admitted to the trauma unit with hip fracture. The superficial infection rate was 7.7% and the deep infection was 1.8%. The commonest organism responsible for surgical site infection was MRSA (47.6%). 45.2% of the patients with SSI and 50 % of the patients with MRSA wound infection were admitted from institutional care or other hospital. The high prevalence of MRSA wound infection and increased mortality rate in this subgroup highlights the need for a good surveillance programme in place, to monitor trends and identify risk factors with an emphasize on minimising infection rates. Using the National Hip Fracture Database (NHFD) to make surveillance for surgical site infection a routine part of hip fracture care would be best practice in monitoring the trend and comparing care and outcomes against national benchmarks and quality standards. We recommend a close surveillance of wound in this vulnerable group.
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