在皮肤移植轻微烧伤之前,是否需要进行手术前的伤口培养? 在低资源环境中进行试点研究的燃烧服务
Sebastian Holm1,2, Michelle T D Smith3,4, Fredrik Huss5,6
1Department of Head, Neck and Reconstructive Plastic Surgery, Örebro University Hospital, Örebro 70185, Sweden.
概括
在皮肤移植之前,不需要进行手术前的伤口拭子. 这项研究发现,阳性伤口培养不会增加移植失败,支持当前优先考虑手术前准备的协议.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 手术创新 在外科创新.
背景情况:
- 分厚皮肤移植 (STSG) 的失败通常与感染有关.
- 手术前的伤口培养有时用于减少移植前的细菌负担.
- 这种做法并不普遍,一些中心专注于手术内伤口准备.
研究的目的:
- 评估手术前伤口抹布在预测STSG结果中的适当性.
- 为了确定是否正的手术前伤口培养与移植失败相关.
- 评估手术内伤口准备方案的有效性.
主要方法:
- 未来的观察试点研究.
- 纳入标准:烧伤表面面积<10%,延迟接种 (>28天后烧伤).
- 收集的数据:人口统计,燃烧到移植时间,TBSA,脱bridement, gentamicin使用,移植结果和微生物生长.
主要成果:
- 75%的患者 (39/52) 取得了成功的移植.
- 在90%的成功移植中观察到积极的手术前伤口培养.
- 阳性培养不是移植失败的重要风险因素 (P = .993).
结论:
- 目前的手术内伤口准备方案是有效的.
- 手术前的伤口抹布不是必不可少的,不应该延迟移植.
- 专注于手术内技术可以确保高率.
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