在骨和关节感染中使用Stimulan
Praveen Mereddy1, Somasekhar R Nallamilli2, Veda P Gowda1
1Yashoda Hospitals, Hyderabad, India.
Bone & joint open
|July 10, 2023
概括
在一个多中心研究中,局部抗生素浸的可溶性硫酸珠有效治疗骨和关节感染. 这种方法表明,在手术治疗的患者中,感染控制率高,并发症最小.
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
- 生物材料是一种生物材料.
背景情况:
- 肌肉骨感染在创伤和选择性骨科手术后造成显著的发病率.
- 有效的局部抗生素输送对于管理骨和关节感染至关重要.
研究的目的:
- 评估局部抗生素浸可溶性合成硫酸珠 (Stimulan Rapid Cure) 在手术治疗骨关节感染中的疗效和并发症.
- 为了评估这些珠子在多个中心和外科医生的性能.
主要方法:
- 一项涉及106名患者的多中心研究,在2019年1月至2022年12月期间接受治疗.
- 手术除,然后插入硫酸珠,用于局部抗生素化.
- 抗生素的选择是根据微生物培养和敏感性量身定制的,通常使用万科米辛与热稳定抗生素相结合.
主要成果:
- 在100名随访患者中,95% (95/100) 实现了感染控制.
- 只有5% (5/100) 患有持久性感染.
- 观察到的并发症率很低,4.2% (4/95) 需要进一步的非工会程序.
结论:
- 多中心的经验证实,手术除结合硫酸珠插入是治疗骨和关节感染的有效方法.
- 这种方法表明了有利的安全性,没有报告任何显著的副作用或并发症.
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