[翻译文章] 骨平原骨折感染的危险因素
A Coelho1, I Parés-Alfonso1, R Companys1
1Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.
Revista espanola de cirugia ortopedica y traumatologia
|November 23, 2023
概括
在骨平原骨折手术后的术后感染率很高 (11.3%). 关键的危险因素包括开放性骨折,严重的骨折类型和长时间的缺血,需要谨慎管理.
科学领域:
- 整形外科手术 整形外科手术
- 传染病流行病学 传染病流行病学
- 创伤护理 创伤护理
背景情况:
- 骨平原骨折 (TPFs) 与其他骨折相比,手术后感染的风险更高.
- 报告的感染率在5%至12%之间.
研究的目的:
- 为了确定骨平原骨折内部固定后的术后感染率.
- 确定与这些感染相关的特定风险因素.
主要方法:
- 一项回顾性队列研究分析了在2015年至2020年期间接受TPF骨质合成的124名患者.
- 根据手术后感染的存在或不存在来分组患者.
- 收集的数据包括人口统计,骨折特征,手术参数和重新手术细节.
主要成果:
- 全球感染率为11.3% (124名患者中有14人).
- 确定的重大风险因素包括开放性骨折,Schatzker V和VI骨折以及使用外部固定装置.
- 更长的缺血时间也是一个危险因素;金黄色葡萄球菌是最常见的病原体.
结论:
- 该研究证实,在TPF骨质合成后,感染率高达11.3%.
- 糖尿病,开口骨折,外部固定,严重的沙茨克尔等级和长期缺血等因素增加了感染风险.
相关概念视频
Infection
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Factors Affecting the Risk of Infection
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Urinary Tract Infection II: Pathophysiology
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...


