Prevalence and incidence rate of infection after partial tarsal arthrodesis in 89 dogs.

IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES
Erik Brudevold-Iversen, Tim Pearson, Giselle Hosgood, Lucas Beierer
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Abstract

Objective: To document the prevalence and incidence rate of infection in dogs undergoing partial tarsal arthrodesis (PTA). For context, findings were compared with the prevalence of infection following tibial plateau leveling osteotomy (TPLO) at the same institution. Independent variables associated with infection were also identified.

Study design: Case-control study.

Animals: Eighty-nine dogs underwent PTA; 292 dogs underwent TPLO.

Methods: Medical records for dogs that underwent PTA from 2017 to 2023 and dogs that underwent TPLO between January 2022 and December 2022 were reviewed. The prevalence, incidence rate, odds and incidence rate ratio of infection were calculated.

Results: The prevalence of infection following PTA was 43%; following TPLO it was 13%. The incidence rate of infection was 0.00276 (95% CI: 0.00198-0.00375) and 0.00010 (95% CI: 0.00007-0.00013) infections per dog-week, respectively. The odds ratio and incidence rate ratio for infection following PTA were 5.0 (95% CI: 3.1-9.0) and 28.2 (95% CI: 17.7-45.0), respectively.

Conclusion: The prevalence and incidence rate of infection were higher following PTA than TPLO. Dogs that underwent PTA were five times more likely to develop infection than dogs that underwent TPLO, and developed infection at 28 times the rate of dogs that underwent TPLO. Dogs with open wounds, no postoperative bandage, and treated with a combined medial and lateral approach, had a higher point prevalence of infection.

89只犬部分跗关节融合术后感染的流行及发病率。
目的:了解部分跗骨关节置换术(PTA)犬感染的患病率和发病率。作为背景,研究结果与同一机构胫骨平台水平截骨术(TPLO)后感染的流行率进行了比较。与感染相关的独立变量也被确定。研究设计:病例对照研究。动物:89只犬行PTA;292只狗接受了TPLO。方法:回顾2017年至2023年接受PTA治疗的犬的病历,以及2022年1月至2022年12月接受TPLO治疗的犬的病历。计算感染的患病率、发病率、几率和发病率比。结果:PTA术后感染发生率为43%;在TPLO之后,这一比例为13%。感染发生率分别为每犬周0.00276 (95% CI: 0.00198 ~ 0.00375)和0.00010 (95% CI: 0.00007 ~ 0.00013)。PTA后感染的优势比和发生率比分别为5.0 (95% CI: 3.1-9.0)和28.2 (95% CI: 17.7-45.0)。结论:PTA术后感染的患病率和发生率均高于TPLO。接受PTA治疗的狗感染的可能性是接受TPLO治疗的狗的5倍,而接受TPLO治疗的狗感染的可能性是接受TPLO治疗的狗的28倍。开放性伤口的狗,术后没有绷带,采用内侧和外侧联合入路治疗,感染的点患病率更高。
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来源期刊
Veterinary Surgery
Veterinary Surgery 农林科学-兽医学
CiteScore
3.40
自引率
22.20%
发文量
162
审稿时长
8-16 weeks
期刊介绍: Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.
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