在创伤患者中进行抗菌预防
Ashley Alexander1, Bethany Malone1, Amelia Tower1
1Texas Health Resources Harris Methodist Fort Worth, Department of Surgery, Fort Worth, Texas.
创伤患者早期使用抗生素因年龄和受伤类型而异. 个性化治疗和优先考虑抗生素管理对于创伤护理的最佳结果至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 传染性疾病 传染性疾病
- 抗生素管理局 抗生素管理局
背景情况:
- 抗微生物药物耐药性的增加需要量身定制的抗生素协议.
- 创伤患者的需要与选择性手术患者在抗生素治疗方面有所不同.
- 在高激活创伤中评估早期抗生素的使用是非常重要的.
研究的目的:
- 为了比较高激活创伤患者接受抗生素治疗的结果与初始评估期间没有接受抗生素治疗的患者的结果.
- 确定与创伤患者早期抗生素治疗相关的因素.
主要方法:
- 2021年对最高创伤激活标准患者的回顾性图表审查.
- 数据收集包括人口统计,伤害细节和抗菌药物管理.
- 从机构创伤登记册中手动抽取数据.
主要成果:
- 近一半的创伤患者接受了抗生素后初始评估.
- 年龄较小与在1.5小时内服用抗生素显著相关.
- 穿透性伤害的年轻男性更有可能接受抗生素;78%的早期抗生素接受者接受了手术,而非接受者的比例为61% (P < 0.001).
结论:
- 创伤的抗生素治疗应根据患者的年龄和受伤模式进行个性化.
- 创伤提供者必须优先考虑抗生素管理,以有效管理患者.
- 早期的抗生素与创伤患者的手术率更高有关.
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