Risk Factors for Surgical Site Infections Following Fasciotomy in Patients With Acute Compartment Syndrome: A Study on the February 2023 Kahramanmaraş Earthquake

• Published in: Curēus (Palo Alto, CA) CA), 2023-10, Vol.15 (10), p.e46880-e46880
• Main Authors: Akgun, Erkan, Emet, Abdulsamet, Sibar, Kemal, Çatma, Faruk M, Kocyigit, Ismail Aykut, Şahin, Ali, Imat, Emrah, Adiguzel, Ibrahim Faruk, Fırat, Ahmet
• Format: Article
• Language: English
• Subjects: Compartment syndrome; Debridement; Earthquakes; Fractures; Gender; Hemothorax; Hospitals; Injuries; Ischemia; Orthopedics; Statistical analysis; Surgical site infections; Trauma; Variables
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.46880

Introduction: Surgical site infections (SSIs) developing after fasciotomy are difficult to treat, costly, and an important source of mortality and morbidity. This study aimed to determine the risk factors affecting the development of SSI in patients who underwent fasciotomy with the diagnosis of acute compartment syndrome (ACS) within 72 hours after two consecutive earthquakes of 7.7 and 7.6 magnitude that occurred in Kahramanmaraş on February 6, 2023.Method: A total of 116 patients were retrospectively analyzed. Patients were divided into two groups: those who developed SSI and those who did not. In this study, variables such as basic demographic characteristics, time of fasciotomy, center performing fasciotomy, type of wound closure, affected extremity, concomitant renal failure, hyperbaric oxygen (HBO) therapy, blood creatine kinase (CK) level were examined.Results: Of 116 patients, 58 (50%) had SSI. It was statistically observed that patients who underwent treatment with vacuum-assisted closure (VAC), those who underwent primary closure with the shoelace method, those who went into renal failure, and those whose fasciotomy was performed in an earthquake zone had a higher incidence of SSI (p