患有青素过敏的儿科骨科患者的外科预防:一个多中心的回顾性预后研究
Ahmed S Khokhar1, Brian D Batko1, Gabriel Hanna1
1Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.
Journal of pediatric orthopedics. Part B
|September 15, 2023
概括
类药物对患有青素过敏的儿科骨科患者是安全的. 这项研究没有发现过敏反应的风险增加,表明这些抗生素可以在这个人群中安全地使用.
科学领域:
- 整形外科手术 整形外科手术
- 过敏和免疫学 过敏和免疫学
- 儿科医学 儿科医学
背景情况:
- 许多整形外科医生犹不决在患有青素过敏的儿科患者中使用头素.
- 现有的数据表明,在一般儿科和成人外科手术群体中,塞法洛斯波林的安全性.
研究的目的:
- 评估有史以来青素过敏的儿科骨科患者对类素的不良反应和过敏反应的发生率.
- 为了将这些反应与没有青素过敏的儿科骨科患者的反应进行比较.
主要方法:
- 在三个1级创伤中心进行了多中心的回顾性图表审查.
- 2013年1月至2020年2月的数据包括患者人口统计,抗生素使用和记录的过敏反应.
- 评估了2289次手术,重点是85名青素过敏和95名非过敏的儿科患者.
主要成果:
- 只有一个患有已知的塞法林过敏反应史的患者对塞法林产生反应.
- 报告没有其他过敏反应,手术部位感染或并发症.
- 青素过敏和非过敏组之间的过敏反应率没有统计学上显著的差异 (P > 0.05).
结论:
- 预防性使用黄素与儿科骨科患者过敏反应风险的增加无关.
- 类药物可以安全地给予接受骨科手术的青素过敏的儿科患者.
相关概念视频
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Tonsillitis II: Management
134
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
134
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K
Mitral Stenosis III: Medical Management
12
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
12
Rheumatic Heart Disease III: Medical Management
12
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
12
Acute Pharyngitis
807
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
807


