术后抗生素在肩膀透镜患者的使用
Bulletin of the Hospital for Joint Disease (2013)
|August 16, 2024
概括
手术后的抗生素在肩膀关节镜检查后并没有显著降低感染风险. 这项研究发现,接受或不接受这些抗生素的患者之间的感染率没有统计差异.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 手术部位感染 手术部位感染
背景情况:
- 肩部镜手术和相关的深层组织感染的发生率有所上升.
- 外科医生通常倾向于在手术期间使用抗生素,但缺乏对术后预防的明确指导方针.
- 需要进一步的研究,以建立基于证据的术后抗生素方案.
研究的目的:
- 为了评估接受手术后预防性口服抗生素的肩膀关节镜患者与没有接受手术后预防性口服抗生素的患者的感染发病率.
- 基于抗生素使用的两个不同的患者队伍之间的感染率进行比较.
主要方法:
- 在10年内对1,801次肩部关节镜进行了回顾性审查.
- 根据国际疾病分类第十次修订 - 临床修改 (ICD-10 CM) 代码定义的感染.
- 奇二测试用于群体之间的感染发病率的统计比较.
主要成果:
- 在接受术后抗生素治疗的223名患者中发生了零感染.
- 在没有接受术后抗生素的患者中发生了一例感染 (0.06%).
- 感染率的差异没有统计学意义 (p = 0.71).
结论:
- 手术后的预防性口服抗生素似乎不能降低在肩膀透镜后感染的风险.
- 目前避免术后使用抗生素的做法与这些发现一致,尽管可能需要进一步调查.
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