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Colon Injuries and Infectious Complications in Concurrent Gunshot-Related Fractures
Kian C Banks1, Colin M Mooney1, Nathan J Alcasid1
1Department of Surgery, University of California, San Francisco- East Bay, Oakland, California.
The Journal of Surgical Research
|September 29, 2023
Summary
Gunshot fractures with concurrent colon injuries increase infectious orthopedic complication risk. Early broad-spectrum antibiotics may reduce these infections in trauma patients.
Area of Science:
- Trauma Surgery
- Infectious Disease
- Orthopedic Surgery
Background:
- Concurrent colon injuries in patients with gunshot-related fractures pose a significant risk for infectious complications.
- This study investigates the association between colon injuries and infectious orthopedic complications in gunshot victims with fractures.
Approach:
- A retrospective review of trauma patients with gunshot-related fractures and exploratory laparotomy was conducted.
- Patients with and without colon injuries were compared for baseline characteristics and outcomes, including infectious orthopedic complications.
Key Points:
- Patients with colon injuries had a higher incidence of infectious orthopedic complications (10.7% vs. 0.0%), particularly with infected pelvic fractures.
- A higher percentage of patients with colon injuries received early, repeat broad-spectrum antibiotics (16.1% vs. 3.9%).
- Colon injuries were associated with a longer hospital stay (3 days) but not increased ICU admission or ventilator use.
Conclusions:
- Concurrent colon injuries significantly elevate the risk of infectious orthopedic complications following gunshot fractures.
- Early administration of broad-spectrum antibiotics may be a protective factor against these infections.
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