Study Of ESR, CRP And WBC Levels As A Marker In Immediate Post-Operative Orthopaedic Infection
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Aim - Our study is to evaluate the levels of Erythrocyte sedimentation rate, C – reactive protein and WBC as a marker of immediate post-operative orthopaedic infections. Basis of the study is to evaluate the value of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell on day 0, day 3 and day 7 of surgery as markers of infection. The physiological response in infected cases was measured by mean values of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell plotted on a bar chart and compared with that of the non-infected cases. Methods and material - We studied the kinetics of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell levels in 200 post-operative orthopedic cases. Out of 200 cases operated, 193 were found uneventful and remaining 7 presented with signs of infection in form as fever, local rise of temperature and serous discharge at the end of day 7. Result - There was no significant difference in the Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell level between the infected and non-infected cases on DAY 0. On DAY 3 there was significant difference in the levels of C – reactive protein in infected[0.015(S)] and non-infected cases. Also, significant difference in ESR[0.001 (S)] amongst non-infected cases was noted. On DAY 7 there was significant difference in the levels of C – reactive protein in infected and non-infected cases. Conclusion - Our study does not show Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell as a definitive marker of infection in immediate post-operative cases. However, a rising trend must be observed to suspect infection.
Authors and Affiliations
Sunil H Shetty, Amit B Dhond, Piyush M Jadho, Manit Arora
Keywords
Related Articles
- EP ID EP394857
- DOI -
- Views 154
- Downloads 0
24 Hour Urinary Metabolic Profile After Percutaneous Nephrolithotomy
Introduction: Renal stone disease is a common problem and prevalence ranges about 1% to 15%. Recurrence is seen in up to 50% in the next 10 years after first stone episode. Identifying and correcting the metabolic abnor...
To Evaluate The Efficacy Of Prophylaxis Against Deep Vein Thrombosis With Peroperative Electro-Stimulation Of Calf Muscles In Patients Undergoing Surgery Around The Hip Joint
Background: The venous stasis of soleal vein during surgery may be an important factor in the development of deep vein thrombosis (DVT). Various measures available for DVT prophylaxis, include early mobilization, physi...
Functional And Radiological Outcomes In Intra-Articular Fractures Of Proximal Tibia: A Prospective Study
Background: Proximal tibia fractures are complex injuries associated with a high incidence of soft tissue complications. Its management is determined by the type of fracture and its outcome requires an aggressive approac...
Retrograde Enders Nail –An Excellent Option For Tibial Shaft Fractures With Compound Wound Over And Around The Knee
Aims & Objectives: A mode of treatment using retrograde enders nailing for compound (Gustillo- Anderson type 2 and type 3A) tibial shaft fractures with wound over and around the knee where intermedullary nailing is not p...
Unstable Intertrochanteric Fractures Treated With Proximal Femoral Nail Antirotation-II: An Evaluation Of Functional Outcome In The Elderly
Background: The incidence of unstable intertrochanteric fractures is increasing due to increased life span. These fractures require stable fixation and early mobilisation to reduce the morbidity and mortality. Extra-me...