Association between higher ambient temperature and orthopaedic infection rates: a systematic review and meta-analysis.
infection
orthopaedics
risk
seasonal
temperature
Journal
ANZ journal of surgery
ISSN: 1445-2197
Titre abrégé: ANZ J Surg
Pays: Australia
ID NLM: 101086634
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
15
09
2018
revised:
29
12
2018
accepted:
05
01
2019
pubmed:
12
4
2019
medline:
2
9
2020
entrez:
12
4
2019
Statut:
ppublish
Résumé
Many infectious diseases display seasonal variation corresponding with particular conditions. In orthopaedics a growing body of evidence has identified surges in post-operative infection rates during higher temperature periods. The aim of this research was to collate and synthesize the current literature on this topic. A systematic review and meta-analysis was performed using five databases (PubMed, Embase, CINAHL, Web of Science and Central (Cochrane)). Study quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation method. Odds ratios (ORs) were calculated from monthly infection rates and a pooled OR was generated using the DerSimonian and Lairds method. A protocol for this review was registered with the National Institute for Health Research International Prospective Register of Systematic Reviews (CRD42017081871). Eighteen studies analysing over 19 000 cases of orthopaedic related infection met inclusion criteria. Data on 6620 cases and 9035 controls from 12 studies were included for meta-analysis. The pooled OR indicated an overall increased odds of post-operative infection for patients undergoing orthopaedic procedures during warmer periods of the year (pooled OR 1.16, 95% confidence interval 1.04-1.30). A small but significantly increased odds of post-operative infection may exist for orthopaedic patients who undergo procedures during higher temperature periods. It is hypothesized that this effect is geographically dependent and confounded by meteorological factors, local cultural variables and hospital staffing cycles.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1028-1034Informations de copyright
© 2019 Royal Australasian College of Surgeons.
Références
Fisman DN. Seasonality of infectious diseases. Annu. Rev. Public Health 2007; 28: 127-43.
Morley C, Grimwood K, Maloney S, Ware RS. Meteorological factors and respiratory syncytial virus seasonality in subtropical Australia. Epidemiol. Infect. 2018; 146: 757-62.
Paireau J, Chen A, Broutin H, Grenfell B, Basta NE. Seasonal dynamics of bacterial meningitis: a time-series analysis. Lancet Glob. Health 2016; 4: e370-7.
Borges IC, Andrade DC, Cardoso MA et al. Seasonal patterns and association of meteorological factors with infection caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis in childhood community-acquired pneumonia in a tropical region. Infect. Dis. (Lond.) 2017; 49: 147-50.
Sagi HC, Cooper S, Donahue D, Marberry S, Steverson B. Seasonal variations in posttraumatic wound infections after open extremity fractures. J. Trauma Acute Care Surg. 2015; 79: 1073-8.
Banco SP, Vaccaro AR, Blam O et al. Spine infections - variations in incidence during the academic year. Spine 2002; 27: 962-5.
Haws BE, Braun BM, Creech TB, Barnard ER, Miller AN. Is there a seasonal influence on orthopaedic surgical wound infection rates. J. Surg. Orthop. Adv. 2016; 25: 172-5.
Anthony CA, Peterson RA, Sewell DK et al. The seasonal variability of surgical site infections in knee and hip arthroplasty. J. Arthroplasty 2017; 33: 510-4.
Durkin MJ, Dicks KV, Baker AW et al. Postoperative infection in spine surgery: does the month matter? J. Neurosurg. Spine 2015; 23: 128-34.
Gruskay J, Smith J, Kepler CK et al. The seasonality of postoperative infection in spine surgery: clinical article. J. Neurosurg. Spine 2013; 18: 57-62.
Kane P, Chen C, Post Z, Radcliff K, Orozco F, Ong A. Seasonality of infection rates after total joint arthroplasty. Orthopedics 2014; 37: e182-6.
Ohya J, Chikuda H, Oichi T et al. Seasonal variations in the risk of reoperation for surgical site infection following elective spinal fusion surgery. Spine 2017; 42: 1068-79.
Sagi HC, Donohue D, Cooper S et al. Institutional and seasonal variations in the incidence and causative organisms for posttraumatic infection following open fractures. J. Orthop. Trauma 2017; 31: 78-84.
Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int. J. Surg. 2010; 8: 336-41.
Centers for Disease Control and Prevention. Infection control 2019. Available from URL: https://www.cdc.gov/infectioncontrol/guidelines/index.html.
Guyatt GH, Oxman AD, Vist G et al. GRADE guidelines: 4. Rating the quality of evidence - study limitations (risk of bias). J. Clin. Epidemiol. 2011; 64: 407-15.
Julian PTH, Sally G (eds). Cochrane Handbook for Systematic Reviews of Interventions. Chichester, West Sussex; Hoboken NJ: John Wiley & Sons, 2008.
Huang PY, Shie SS, Ye JJ et al. Acquisition and clearance of multidrug resistant Acinetobacter baumannii on healthy young adults concurrently burned in a dust explosion in Taiwan: the implication for antimicrobial stewardship. BMC Infect. Dis. 2017; 17: 598.
Bohl DD, Fu MC, Golinvaux NS, Basques BA, Gruskay JA, Grauer JN. The “July Effect” in primary total hip and knee arthroplasty: analysis of 21,434 cases from the ACS-NSQIP database. J. Arthroplasty 2014; 29: 1332-8.
Bono KT, Klingele KE. Pediatric orthopaedic infection season: an analysis of the seasonal variation of pediatric osteomyelitis and septic arthritis. J. Pediatr. Infect. Dis. 2014; 9: 67-70.
Hoashi JS, Samdani AF, Betz RR, Cahill PJ, Bastrom TP. Is there a “July effect” in surgery for adolescent idiopathic scoliosis? J. Bone Joint Surg. Am. 2014; 96: e55.
Kao HK, Chen MC, Lee WC, Yang WE, Chang CH. Seasonal temperature and pin site care regimen affect the incidence of pin site infection in pediatric supracondylar humeral fractures. Biomed. Res. Int. 2015; 2015: 838913.
Lindsay EA, Tareen N, Jo CH, Copley LA. Seasonal variation and weather changes related to the occurrence and severity of acute hematogenous osteomyelitis in children. J. Pediatric Infect. Dis. Soc. 2017; 7: e16-e23.
McDonald JS, Clarke MJ, Helm GA, Kallmes DF. The effect of July admission on inpatient outcomes following spinal surgery. J. Neurosurg. Spine 2013; 18: 280-8.
Nandyala SV, Marquez-Lara A, Fineberg SJ, Singh K. Perioperative characteristics and outcomes of patients undergoing anterior cervical fusion in July: analysis of the “July effect”. Spine (Phila Pa 1976) 2014; 39: 612-7.
Parkinson B, Armit D, McEwen P, Lorimer M, Harris IA. Is climate associated with revision for prosthetic joint infection after primary TKA? Clin. Orthop. Relat. Res. 2018; 476: 1200-4.
Uckay I, Betz M, Vaudaux P et al. Is there a significant seasonality in the occurrence of osteoarticular infections? Infect. Dis. (Lond.) 2015; 47: 252-4.
Chen YE, Tsao H. The skin microbiome: current perspectives and future challenges. J. Am. Acad. Dermatol. 2013; 69: 143-55.
Leekha S, Diekema DJ, Perencevich EN. Seasonality of staphylococcal infections. Clin. Microbiol. Infect. 2012; 18: 927-33.
Wang X, Towers S, Panchanathan S, Chowell G. A population based study of seasonality of skin and soft tissue infections: implications for the spread of CA-MRSA. PLoS One 2013; 8: e60872.
Durkin MJ, Dicks KV, Baker AW et al. Seasonal variation of common surgical site infections: does season matter? Infect. Control Hosp. Epidemiol. 2015; 36: 1011-6.