在硬件手术中不需要使用手术前的抗生素:单个外科医生的经验
Emma S Dahmus1, Katie Frank2, Glen Jacob3
1From the Division of Plastic and Reconstructive Surgery.
Annals of plastic surgery
|July 3, 2023
概括
在硬件手术中不需要手术前的抗生素,因为这项研究没有发现接受抗生素和不接受抗生素的患者之间的术后感染率有显著差异. 这项研究支持在手术中使用抗生素的基于证据的指导方针.
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
- 手术手术手术手术手术
背景情况:
- 手术前在手术中使用抗生素是不一致的,之前的研究表明,对于干净的软组织手术来说,抗生素是不必要的.
- 关于手术前抗生素对于硬件手术的必要性的证据有限.
研究的目的:
- 在接受硬件手术的患者中,与手术前的抗生素和没有抗生素进行比较,以比较感染结果.
主要方法:
- 365名接受硬件手术的患者的回顾性队列分析 (2015年1月至2021年10月).
- 患者接受了永久的硬件或临时的k-wire固定.
- 结果包括30日和90天的术后抗生素处方和返回手术室的感染.
主要成果:
- 两组之间30天 (5.9%对3.4%,P=0.288) 或90天 (7.3%对5.5%,P=0.508) 术后抗生素处方没有显著差异.
- 在没有抗生素的组中,有一名患者需要灌和除菌.
结论:
- 这项单个外科医生研究表明,在硬件手术中,手术前使用抗生素或不使用手术前使用抗生素时,感染结果没有显著差异.
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