足骨折手术后的手术后感染:当前概念的审查
Jasper Tausendfreund1, Jens Halm2, Erik Tanis1
1Trauma Unit, Noordwest Hospital Group, Wilhelminalaan 12, 1815 JD, Alkmaar, The Netherlands.
概括
手术部位感染 (SSIs) 在关节骨折手术后很常见,风险因素包括年龄和糖尿病. 早期干预和适当的抗生素使用可以帮助预防这些感染,改善患者的治疗结果.
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
- 创伤护理 创伤护理
背景情况:
- 手术部位感染 (SSIs) 是足骨折手术治疗后的一个重要并发症,报告的发病率在1.5%至16%之间.
- 关键疾病导致患者的治疗结果较差,并造成相当大的社会经济负担.
- 了解与SSI相关的当前概念对于有效的管理和预防至关重要.
研究的目的:
- 在骨骨折的背景下,提供有关手术部位感染 (SSIs) 的当前概念的最新概述.
- 整合有关关节骨折手术修复后SSI风险因素,诊断,治疗,结果和预防策略的信息.
主要方法:
- 进行了一项描述性的文献综述.
- 该审查综合了现有研究的信息,以提供全面的概述.
主要成果:
- 关键的SSI风险因素包括晚年,糖尿病,开口骨折和骨折脱.
- 诊断方法包括实验室测试 (CRP,WBC),各种成像方式 (CT,MRI,PET扫描) 和微生物采样.
- 治疗策略多样化,包括手术修复,抗生素,除菌,软组织重建和严重病例的关节切除.
- 患上SSI的患者通常会经历更糟糕的功能结果.
- 预防措施至关重要,早期手术干预 (24小时内) 和适当的抗生素预防表明并发症率降低.
结论:
- 本综述总结了普遍存在的风险因素,诊断方法和SSI的治疗方式,这些风险因素在关节骨折的开放缩减和内部固定 (ORIF) 后存在.
- 它强调了早期手术时间和适当的抗生素预防在预防SSI方面的重要性.
- 该审查强调SSI对患者结果的负面影响,并强调需要全面的管理策略.
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