抗生素使用可以在跨口内镜甲状腺切除术期间降级:基于细菌培养的研究
Bingbing Wu1,2, Xiao Chen1, Junwei Huang1
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Ear, nose, & throat journal
|February 26, 2025
概括
这项关于横口内镜甲状腺切除术前体方法 (TOETVA) 的研究发现,在手术后停止常规抗生素并不会增加感染风险. 在甲状腺切除术患者中,适当的排水是安全降低抗生素的关键.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 透口内镜甲状腺切除术前庭治疗方法 (TOETVA) 是甲状腺手术的一种微创手术.
- 在TOETVA手术期间使用抗生素的必要性仍在调查中.
- 优化抗生素协议可以降低医疗保健成本和抗菌素耐药性.
研究的目的:
- 评估在TOETVA之后减少或消除抗生素使用的可行性.
- 为了比较干净与干净受污染的手术场所的感染率和细菌殖民.
- 在TOETVA中评估抗生素给药对术后结果的影响.
主要方法:
- 针对T1差异化甲状腺癌或良性肠 (2022-2024) 接受TOETVA的患者的回顾性分析.
- 清洁和清洁污染切口组之间的感染率,排水液中的细菌培养和抗生素使用的比较.
- 基于经外科手术期间使用抗生素的结果分析.
主要成果:
- 没有观察到术后感染或延迟愈合.
- 在干净和干净污染的切口之间,感染率或细菌培养没有显著的差异.
- 接受抗生素和不接受抗生素的患者之间的感染率没有显著差异.
- 与干净的切口相比,在干净受污染的切口中,致病细菌的流行率更高.
结论:
- 在TOETVA中,经过适当的排水,外科手术期间的抗生素使用可能会减少或消除.
- 在手术腔中存在细菌并不一定会导致感染.
- 尽量减少TOETVA中的抗生素暴露是安全的,不会增加感染率.
相关概念视频
01:30Acute Pharyngitis
357
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
357
01:23Chronic Pharyngitis
892
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
892
01:26Tonsillitis II: Management
101
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
101
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
161
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
161