Surgical site infection after 769 Tibial Plateau Leveling Osteotomies.

Husi, Benjamin; Overesch, Gudrun; Forterre, Franck; Rytz, Ulrich (2023). Surgical site infection after 769 Tibial Plateau Leveling Osteotomies. Frontiers in veterinary science, 10, p. 1133813. Frontiers Media 10.3389/fvets.2023.1133813

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OBJECTIVE

To report surgical site infections (SSI) after Tibial Plateau Leveling Osteotomy (TPLO), treatment course, associated risk factors, bacterial isolates and antimicrobial resistance.

STUDY DESIGN

Retrospective clinical cohort study.

STUDY POPULATION

Six hundred and twenty seven dogs and 769 TPLO procedures.

METHODS

Data from electronic medical records of dogs undergoing TPLO between 2005 and 2015 at a single institution have been retrospectively reviewed. A generalized mixed logistic regression was used to determine possible risk factors. The Chi-Square test of independence was used to examine the relationship between the isolation of multidrug-resistant (MDR) bacteria and the development of major infections undergoing additional surgical treatment. To assess the correlation between number of SSI and number MDR isolate per year, Pearson's correlation coefficient was calculated.

RESULTS

The overall complication rate was 19.3% (n = 149). SSI was most frequent with 8.5% (n = 65). Major SSI occurred in 6.8% (n = 52) TPLO (80.0% SSI). Staphylococcus (S.) pseudintermedius (n = 37) and S. aureus (n = 10) were most frequently isolated. Multidrug-resistant bacteria were identified in 2.7% (n = 21) TPLO (32.3% SSI) but were not associated with major SSI (p = 0.426). There was a strong positive correlation between number of MDR isolates per year and number of SSI per year [r (9) = 0.79, p = 0.004]. Factors associated with SSI were previous TPLO in the contralateral stifle (p = 0.02, OR = 2.01, 95% CI = 1.11-3.64) and German Shepherd dogs (p = 0.035, OR = 4.41, 95% CI = 1.11-17.54). The use of non-locking implants was found to be protective (p = 0.02, OR = 0.179, 95% CI = 0.18-0.77).

CLINICAL SIGNIFICANCE

Infection with multidrug-resistant bacteria is an emerging problem in veterinary practice and treatment is challenging. The incidence of major SSI was found to be high but was not associated with the isolation of MDR bacteria.

Item Type:

Journal Article (Original Article)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV)
05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic
05 Veterinary Medicine > Department of Infectious Diseases and Pathobiology (DIP)
05 Veterinary Medicine > Department of Infectious Diseases and Pathobiology (DIP) > Institute of Veterinary Bacteriology

UniBE Contributor:

Overesch, Gudrun, Forterre, Franck, Rytz, Ulrich

Subjects:

600 Technology > 630 Agriculture

ISSN:

2297-1769

Publisher:

Frontiers Media

Language:

English

Submitter:

Pubmed Import

Date Deposited:

02 May 2023 09:43

Last Modified:

07 May 2023 02:26

Publisher DOI:

10.3389/fvets.2023.1133813

PubMed ID:

37124568

Uncontrolled Keywords:

MDR SSI TPLO Tibial Plateau Leveling Osteotomy multidrug-resistant bacteria surgical site infection

BORIS DOI:

10.48350/182182

URI:

https://boris.unibe.ch/id/eprint/182182

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