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在干净的,基于植入物的手术中放弃手术前的抗生素不会增加术后的感染风险
Emma S Dahmus1, Brian K Foster2, Clarice R Callahan3
1Division of Plastic and Reconstructive Surgery, Geisinger Surgical Institute, Geisinger Medical Center, Danville, PA.
Journal of hand surgery global online
|May 31, 2024
概括
对于基于植入物的手术,跳过手术前的抗生素并没有增加术后感染的风险或需要进一步的抗生素. 这一发现支持在这些程序中使用抗生素的最新临床指南.
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
- 手术手术手术手术手术
背景情况:
- 术前使用抗生素是许多手术程序的标准.
- 有证据支持在门诊软组织手术中不使用手术前的抗生素.
- 有限的数据涉及在基于植入物的手术中使用抗生素.
研究的目的:
- 在接受植入式手术的患者中评估早期的术后感染性并发症.
- 为了确定是否扣留术前抗生素会影响术后抗生素或感染再手术的需要.
主要方法:
- 1,394个基于植入物的手术的回顾性队列分析 (2015年1月-2021年10月).
- 主要结局:抗生素处方或在90天内因感染重新手术.
- 协变平衡和加权后勤回归用于比较接受和没有接受手术前抗生素的患者之间的结果.
主要成果:
- 16.9%的患者没有接受手术前的抗生素.
- 两组之间30天或90天术后抗生素处方率没有显著差异.
- 没有接受手术前抗生素的患者没有显著增加需要术后抗生素的几率.
- 男性性别,暂时的基尔施纳线固定和高的BMI预测了术后抗生素使用的增加.
结论:
- 在基于植入物的手术中不服用手术前的抗生素不会增加术后感染的风险或需要抗生素.
- 研究结果表明,所有接受这些特殊手术的患者可能不需要手术前使用抗生素.
关键词:
抗生素 抗生素是一种抗生素.手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...感染 感染 感染质量改善 质量改善进行手术预防.相关概念视频
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