在平民中传染性概况与枪击相关的长骨骨折有关
Abdullah N Ghali1, Vivek Venugopal2, Nicole Montgomery2
1Department of Orthopaedics, Baylor College of Medicine, Houston, TX, USA. ghaliabdullah@gmail.com.
International orthopaedics
|June 19, 2023
概括
民用枪伤骨折的感染率为9.3%,主要是像黄金葡萄球菌 (Staphylococcus aureus) 这样的格拉姆阳性细菌. 下肢骨折带来更高的感染风险,需要有针对性的抗生素覆盖和脱bridement.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 创伤护理 创伤护理
背景情况:
- 关于与枪击有关的长骨折感染的文献有限.
- 报告的感染率在0%至15.7%之间存在很大差异.
研究的目的:
- 调查与枪支相关的民用长骨骨折中的感染率.
- 识别感染高风险的四肢.
- 描述这些感染的细菌分离物.
主要方法:
- 在一级创伤中心 (2010-2017) 进行了347名18-64岁患者 (384例骨折) 的回顾性评估.
- 包括手术治疗的长骨折,但不包括骨盆,脊柱,脚和手.
- 分析了患者,伤害和治疗变量,包括感染结果.
主要成果:
- 总体感染发病率为9.3% (32/347名患者,8.3%的骨折).
- 格拉姆阳性细菌 (72%) 占主导地位,其中葡萄球菌 (50%) 和MRSA (31.3%的葡萄球菌分离物).
- 下肢骨折具有更高的感染风险 (11.7%对3.7%),而受感染的骨折显示出更大的碎片化.
结论:
- 感染率与现有文献一致,其中格拉姆阳性细菌占主导地位.
- MRSA和Gram阴性生物体是显著的,表明需要广泛的经验抗生素覆盖范围.
- 强调仔细评估碎的下肢骨折,并建议将枪伤纳入预防算法.
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