圣安德鲁医院对动物和人类咬伤和局部感染的门诊护理策略
R C I Jica1, S Shahid1, D Zberea1
1St Andrew's Anglia Ruskin (StAAR) Research Group, St Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Court Road, Chelmsford CM1 7ET, UK.
Injury
|December 25, 2024
概括
对于感染咬伤和局部感染的门诊护理是有效的,减少了静脉注射抗生素的使用. 这种方法显示了与传统的住院治疗相似的结果,突出显示了它对特定患者的可行性.
科学领域:
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 传染病管理 传染病管理
- 创伤护理协议的治疗方案
背景情况:
- 感染动物咬伤和局部感染的传统治疗包括住院治疗,静脉注射抗生素和手术洗.
- 手部创伤协议被调整为应对COVID-19大流行期间的挑战.
研究的目的:
- 为了比较在感染咬伤和局部感染的门诊与住院治疗的结果.
- 评估在COVID-19大流行期间实施的修改手部创伤协议的有效性.
主要方法:
- 对于门诊组,从2020年3月到7月的前性数据收集.
- 对于住院患者组,2019年3月至7月的回顾性数据分析.
- 包括动物或人类咬伤和感染的成人和儿科患者,重点是抗生素的使用,管理和临床进展.
主要成果:
- 门诊组 (2020) 与住院组 (2019) (42.8%) 相比,门诊治疗的患者比例较高 (76.1%).
- 静脉注射抗生素的使用在门诊组 (25.0%) 与住院组 (54.2%) 相比显著较低.
- 两组的并发症率和再入院率相似,没有统计学上显著的差异.
结论:
- 对于经过精心挑选的患有非严重感染咬伤和局部感染的患者,门诊护理途径的结果与传统的住院治疗结果相似.
- 这表明门诊管理有潜力减少医疗保健资源的利用,而不会影响患者的安全或临床结果.
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