<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-215X</journal-id>
<journal-title><![CDATA[Revista Cubana de Ortopedia y Traumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Ortop Traumatol]]></abbrev-journal-title>
<issn>0864-215X</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-215X2021000200005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incidencia de infección en una cohorte histórica del registro nacional de las 1738 artroplastias de cadera operadas por artrosis en 2014 en Uruguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidence of Infection in a Historical Cohort from the National Registry of 1738 Hip Arthroplasties Operated for Osteoarthritis in 2014 in Uruguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Branco]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Albornoz da Silva]]></surname>
<given-names><![CDATA[Henry]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa Adano]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saona Olivera]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rey Nande]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica de Traumatología y Ortopedia]]></institution>
<addr-line><![CDATA[ Montevideo]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Medicina Cátedra de Enfermedades Infecciosas ]]></institution>
<addr-line><![CDATA[ Montevideo]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fondo Nacional de Recursos  ]]></institution>
<addr-line><![CDATA[ Montevideo]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-215X2021000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-215X2021000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-215X2021000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las infecciones de artroplastia total de cadera tienen una incidencia baja, pero cuando suceden generan un problema sanitario no solo para el paciente, sino también para el sistema de salud. Las mismas pueden generar dolor, disminución de la capacidad funcional, pobre calidad de vida, múltiples cirugías, y en ocasiones, la muerte.  Objetivos: Evaluar la incidencia nacional de infecciones en las artroplastias primarias de cadera operadas por artrosis en el 2014 en Uruguay, y los factores de riesgo vinculados al paciente, medio ambiente y acto quirúrgico, incluido el abordaje quirúrgico.  Métodos:  Estudio observacional analítico de todos los pacientes operados por artrosis. Se selecciona una muestra aleatoria de 633 pacientes, representativa de las 1738 artroplastias realizadas en Uruguay durante el año 2014. Mediante entrevista telefónica y revisión de historias clínicas se identi&#64257;caron los pacientes con infección profunda del sitio quirúrgico. Se estimó la incidencia de infección y se realizó un análisis uni- multivariado mediante regresión logística para identi&#64257;car factores asociados a la infección periprotésica profunda.  Resultados:  Se presentaron 8 infecciones, con una incidencia de 1,21 % (IC 95 % 0,59 - 2,20) en la población general. Los factores asociados a la infección protésica con signi&#64257;cancia estadística fueron: a) IMC &#8805; 35, p= 0,006; b) procedencia de Montevideo 2,07 % (1,03 - 4,11) p= 0,031; c) procedencia del subsector privado 1,47 % (0,77 - 2,78) p= 0,009; d) centro quirúrgico donde se realizó la cirugía 4,3 % (1,6 - 10,9) p= 0,03, e) uso de cemento con antibiótico 1,59 % (0,65 - 3,25) p= 0,034. Se presentó sospecha de infección en 6 de 8 pacientes, en los primeros 30 días postoperatorios; a 7 de 8 pacientes se les realizó limpieza quirúrgica y solo a 1 de 8 pacientes se le realizó la revisión protésica de&#64257;nitiva.  Conclusiones: La incidencia de infección en cirugía protésica electiva de cadera por artrosis en el Registro Nacional de Uruguay, fue similar a lo publicado en la bibliografía. De las variables frecuentemente citadas como incidentales en esta complicación, solo el índice de masa corporal fue asociado en esta serie. Llaman la atención las asociaciones dependientes de la procedencia, nivel socioeconómico y centro quirúrgico. Los resultados respecto al uso de cemento con antibiótico deben ser evaluados en estudios futuros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Total hip arthroplasty infections have a low incidence, but when they occur they generate health problems for the patient, and for the health system. They can cause pain, decreased functional capacity, poor quality of life, multiple surgeries, and sometimes death.  Objectives: To evaluate the national incidence of infections in primary hip arthroplasties operated for osteoarthritis in 2014, and the risk factors related to the patient, the environment and the surgical act, including the surgical approach.  Methods:  Analytical observational study of all patients operated on for osteoarthritis. A random sample of 633 patients was selected, representative of 1738 arthroplasties performed in Uruguay in 2014. Through a telephone interview and review of medical records, patients with deep infection of the surgical site were identified. The incidence of infection was estimated and univariate and multivariate analysis was performed using logistic regression to identify factors associated with deep periprosthetic infection.  Results:  There were 8 infections, with an incidence of 1.21% (95% CI 0.59 - 2.20) in the general population. The statistically significant factors associated with prosthetic infection were: a) BMI &#8805; 35, p = 0.006; b) origin of Montevideo 2.07% (1.03 - 4.11) p = 0.031; c) origin of the private subsector 1.47% (0.77 - 2.78) p = 0.009; d) surgical center where the surgery was performed 4.3% (1.6 - 10.9) p = 0.03, e) use of cement with antibiotic 1.59% (0.65 - 3.25) p = 0.034. Suspicion of infection was presented in 6 of 8 patients, in the first 30 postoperative days; 7 of 8 patients underwent surgical cleaning and only 1 of 8 patients underwent final prosthetic revision.  Conclusions:  The incidence of infection in elective prosthetic hip surgery for osteoarthritis in the Uruguayan National Registry was similar to that published in the literature. Body mass index was the only variable associated as incidental to this complication in this series, out of those frequently cited. The associations depending on the origin, socioeconomic level and surgical center are striking. The results regarding the use of cement with antibiotics should be evaluated in future studies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fractura de cadera]]></kwd>
<kwd lng="es"><![CDATA[artroplastia primaria de cadera]]></kwd>
<kwd lng="es"><![CDATA[infecciones]]></kwd>
<kwd lng="en"><![CDATA[hip fracture]]></kwd>
<kwd lng="en"><![CDATA[primary hip arthroplasty]]></kwd>
<kwd lng="en"><![CDATA[infections]]></kwd>
</kwd-group>
</article-meta>
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