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BACKGROUND: Despite the ubiquity of hand trauma, there remains insufficient published data to reliably inform these patients of surgical site infection (SSI) risk. We describe the risk of SSI in a single-centre cohort of patients with hand trauma, with an analysis of the impact of the coronavirus disease-2019 (COVID-19) pandemic. METHODS: Retrospective data collection of consecutive patients who underwent surgery for hand and wrist trauma in a single plastic surgery centre over two, three-month periods. Demographic, injury and operative details, alongside prophylactic antibiotic use, were recorded. Burn injuries and wounds infected at presentation were excluded. Presence of SSI at 30 days (90 days if a surgical implant was used) was assessed. RESULTS: Overall, 556 patients - 'Pre-COVID-19' (n = 310) and 'During COVID-19' (n = 246) - were included. Risk of SSI was 3.6% in the aggregated cohort. Female patients were more likely to develop an SSI, even when adjusted for their greater prevalence of bite aetiologies (adj OR 2.5; 95% CI, 1.00-6.37 and p 

Original publication




Journal article


J plast reconstr aesthet surg

Publication Date





3080 - 3086


COVID-19, Hand injuries, Plastic surgery, Surgical site infection, Wrist injuries, Adult, COVID-19, Cohort Studies, Female, Hand Injuries, Humans, Interrupted Time Series Analysis, Male, Middle Aged, Pandemics, Retrospective Studies, Surgical Wound Infection, United Kingdom, Wrist Injuries, Young Adult