相关实验视频
Updated: Jun 5, 2025
08:03
In Vivo Mouse Model of Spinal Implant Infection
Published on: June 23, 2020
2.3K
开放手部骨折中的感染率:手术治疗可以推迟吗?
Mark Adam Tait1, John White Bracey2, Paulvalery Roulette3
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Cancer Institute, Little Rock, Arkansas.
Journal of surgical orthopaedic advances
|December 7, 2024
概括
与立即手术相比,延迟手部骨折的手术治疗不会增加感染率. 这项研究没有发现基于治疗时间的感染或重新手术率的显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 预防传染病 预防传染病
背景情况:
- 开放的手部骨折是复杂的伤害,需要迅速处理.
- 在开放式手部骨折中进行手术的最佳时间仍然是临床辩论的主题.
- 人们对延迟治疗可能增加感染风险存在担忧.
研究的目的:
- 为了比较延迟 (> 24 小时) 和立即 (< 24 小时) 的手术治疗开放手部骨折之间的感染率.
- 评估手术时间对重新手术率和非联合并发症的影响.
- 为了确定在急诊室的早期管理是否会影响结果.
主要方法:
- 在2008年至2014年期间,对129名患有开放手部骨折的患者进行了回顾性图表审查.
- 早期 (<24小时) 和延迟 (>24小时) 手术干预组之间的感染和重新手术率的比较.
- 经损伤严重程度调整后的统计分析.
主要成果:
- 在延迟和立即手术治疗组之间没有观察到感染率的显著差异.
- 无论手术时间如何,感染和非联合的重新手术率都相似.
- 与立即手术相比,早期治疗包括洗和抗生素并没有显著改变感染结果.
结论:
- 开放手部骨折的延迟外科手术 (> 24 小时) 是一个安全的选择,因为感染率很高.
- 手术时间似乎没有显著影响重新手术率或非联合并发症.
- 这些发现支持根据患者和资源因素根据开放式手臂骨折安排手术治疗的灵活性.
相关概念视频
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:23Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.0K
01:19Handwashing II: Pre-procedure and Initial Procedure Steps
892
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
892
01:18Endocarditis III: Medical Management
1
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
1