在手部关闭骨折手术中的抗生素预防
Kristian Lidauer1, Ilkka Helenius2, Markus Pääkkönen1
1Department of Hand and Upper Limb Surgery, Diseases of the Musculoskeletal System Division, Turku University Hospital, University of Turku and CoE TYKS ORTO, Turku, Finland.
手术前的抗生素预防对于使用基尔施纳电线治疗的关闭手部骨折是不必要的. 这项研究发现,接受抗生素和不接受抗生素的患者之间的感染率相似,这表明减少使用可能是可能的.
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
背景情况:
- 手术前的抗生素预防通常用于内部固定,用于封闭的骨和手腕后骨折.
- 这种做法对这种伤害的有效性仍然不确定.
研究的目的:
- 评估手术前抗生素预防在预防手术部位感染方面的有效性.
- 为了确定抗生素的使用是否可以减少在治疗关闭的手部骨折与Kirschner-wire固定.
主要方法:
- 对119名接受基尔施纳线固定治疗的成年患者进行了回顾性审查.
- 患者被分为两组:接受抗生素预防的患者 (n=67) 和未接受抗生素预防的患者 (n=52).
主要成果:
- 深度手术部位感染率相似:预防后的1.5%,没有预防后的1.9%.
- 轻微的并发症,如皮肤刺激或针管感染发生在13.4%的预防 vs. 9.6%没有.
结论:
- 这项研究表明,手术前的抗生素预防可能不必用于用可拆卸针治疗的关闭手部骨折.
- 研究结果支持在这些特定的骨科手术中减少抗生素使用的可能性.
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