重新评估在成人上肢硬件手术中对抗生素预防的需要
Yufan Yan1, Nathan Khabyeh-Hasbani2, Rami Z Abuqubo2
1Department of Plastic Surgery, Montefiore Einstein, Bronx, NY, USA.
概括
在涉及硬件植入的上肢手术中,不需要常规抗生素预防. 这项研究发现,接受抗生素和不接受抗生素的患者之间的手术部位感染率没有显著差异.
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
- 外科手术的结果
背景情况:
- 已建立的指导方针建议在软组织上肢手术中不使用抗生素预防.
- 在涉及上肢硬件植入的病例中,关于抗生素预防的必要性存在缺乏共识.
研究的目的:
- 调查上肢手术中抗生素预防的必要性,并进行硬件植入.
- 为了确定手术前的抗生素给药是否会影响术后手术部位感染 (SSI) 率.
主要方法:
- 对232名接受了硬件植入 (板,螺丝,线,) 的上肢手术的患者进行回顾性队列分析.
- 在接受抗生素预防和未接受抗生素预防的患者之间,术后14天和30天SSI率的比较.
- 使用费舍尔精确测试和威尔科克森等级和和测试进行统计分析.
主要成果:
- 两组之间在人口因素,并发症或吸烟状况方面没有发现显著差异.
- 手术部位感染率相似:抗生素预防组的4.6%,无抗生素组的2.5%.
- 感染的治疗,包括手术洗和硬件移除,在两组之间没有差异.
结论:
- 在涉及硬件植入的上肢外科病例中,抗生素预防并非必不可少.
- 这些发现支持在这些特定的手术场景中减少常规抗生素的使用.
相关概念视频
Hand 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
Pre-Procedural Guidelines for Assessing Blood Pressure
520
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
520
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K


