在选择性脚手术中,我们是否需要常规的术后预防性口服抗生素?
Andrew D Lachance1, Margaret E Giro1, Alexander Edelstein1
1Department of Orthopaedic Surgery, Guthrie Clinic, Sayre, PA, USA.
Foot & ankle orthopaedics
|January 30, 2024
概括
在选择性脚手术后,不需要常规的术后口服抗生素. 这项研究发现感染率没有显著差异,但确定吸烟,男性性别和多次切口是关键风险因素.
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
- 外科手术的结果
背景情况:
- 有限的研究存在于手术后口服抗生素在足手术中的疗效.
- 大多数研究侧重于静脉内外经手术期间的抗生素预防.
研究的目的:
- 为了比较足手术后有或没有术后口服抗生素的患者的感染和伤口并发症率.
- 为了确定这些程序后并发症的独立风险因素.
主要方法:
- 在两年内对366次选择性脚和脚手术进行了回顾性审查.
- 根据接受术后口服抗生素的情况,患者被划分为几组.
- 用于识别风险因素的多变量逻辑回归.
主要成果:
- 两组之间手术后感染或伤口并发症率没有显著差异.
- 表面感染率:1.7% (使用抗生素) 与3.2% (不使用抗生素).
- 确定了独立的风险因素:吸烟,男性性别,瘤病史和多次切口.
结论:
- 常规的术后口服抗生素不适用于选择性脚手术.
- 特定的患者因素增加了手术部位感染和并发症的风险.
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