在普通的一般儿科手术中,我们是否需要手术前的抗生素?
Takayuki Fujii1, Aya Tanaka1, Hiroto Katami1
1Pediatric Surgery, Kagawa University, Takamatsu, JPN.
Cureus
|September 2, 2024
概括
在涉及未下降丸 (UDT) 和开放 inguinal hernia (OIH) 修复的儿科手术中,没有必要使用手术前的抗生素. 然而,接受带 (UH) 手术的患者需要额外的护理,因为手术部位感染 (SSI) 的风险更高.
科学领域:
- 儿科手术 儿科手术
- 预防传染病 预防传染病
背景情况:
- 关于手术前抗生素对于儿科手术的必要性存在有限的研究,例如未下降的丸 (UDT), inguinal hernia (IH) 和椎 (UH).
- 手术部位感染 (SSI) 是这些手术的潜在并发症.
研究的目的:
- 调查手术前抗生素使用与小儿UDT,IH和UH手术中SSI发生率之间的关联.
- 评估特定类型的手术中SSI的风险,并比较抗生素预防的结果.
主要方法:
- 对926名接受UDT,IH或UH手术的儿科患者的医疗记录进行了回顾性分析.
- 在接受和没有接受手术前抗生素的患者之间比较SSI率.
- 肠道外科手术的细分分为开放性肠道外科 (OIH) 修复和腹腔镜穿皮外皮关闭 (LPEC).
主要成果:
- 在所有程序中,整体SSI率都很低 (UDT/UH:0.2%,OIH:2.7%,LPEC:0.3%).
- 在接受或不接受UDT,OIH和LPEC手术前抗生素的患者之间没有观察到SSI率的显著差异.
- 接受UH手术的患者与部区域手术相比,SSI的相对风险增加了9.8倍,这是统计学上显著的.
结论:
- 在儿科 UDT 和 OIH 修复手术中,没有指示进行手术前的抗生素预防.
- 儿童椎间 (UH) 手术具有SSI的高风险,需要加强外科手术期间的护理和注意.
关键词:
inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia手术前使用的抗生素.手术部位感染的感染.一个带.没有下降的丸.相关概念视频
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