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对于接受全身麻醉的马来说,抗微生物预防不适用于选择性骨科MRI
Sloane Hoblick1, Thomas N Denagamage1, Alison J Morton1
1Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA.
Equine veterinary journal
|August 2, 2023
概括
麻醉后发烧发生在接受选择性MRI的马中的5.6%. 预防性抗微生物药物和年轻的年龄与发烧风险增加有关,而不是风险降低.
科学领域:
- 兽医麻醉学 兽医麻醉学
- 马类内部医学 马类内部医学
背景情况:
- 麻醉后发烧是马的全身麻醉的一个已知的并发症.
- 马的选择性磁共振成像 (MRI) 后发烧的发病率和危险因素尚未得到充分确定.
研究的目的:
- 为了确定经过选择性骨科MRI的马匹中麻醉后发烧的发生率.
- 调查预防性抗菌药物治疗是否减少了麻醉后发烧的发生率.
主要方法:
- 对791匹接受选择性骨科MRI的马进行了回顾性横截面研究.
- 评估信号,旅行时间,麻醉前诊断,抗菌药物的使用,NSAID的使用以及麻醉/康复时间.
- 多变量逻辑回归分析以确定与麻醉后发烧相关的因素.
主要成果:
- 观察到5.6% (44/791) 的麻醉后发烧发生率.
- 接受预防性抗微生物药物的马患发烧的可能性明显更高 (OR 3.8,P ≤ 0.001).
- 年轻的马 (1-4岁) 与成年马相比更容易发烧 (OR 2.8,P = 0.01).
结论:
- 预防性抗菌剂的使用并没有降低,而是增加了接受选择性MRI的马匹麻醉后发烧的风险.
- 大多数发烧患者在没有确定的感染的情况下自发消失,这表明有其他原因.
- 在这种情况下,不建议进行常规的预防性抗微生物药物治疗,以减少麻醉后发烧.
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