抗微生物预防在经过 sutured 割的马的影响
Ida Sjöberg1, Isabella Horn2, Karl Ljungvall1
1Department of Clinical Sciences, Swedish University of Agricultural Science (SLU), Uppsala, Sweden.
Veterinary surgery : VS
|March 31, 2025
概括
手术抗菌预防 (SAP) 并没有显著影响经过 sutured castration 的马的并发症或手术部位感染 (SSI) 率. 这些发现表明,可能需要重新评估在无菌性马术手术中常规使用SAP的方法.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 马类医学 马类医学
- 传染病控制和控制传染病
背景情况:
- 手术抗微生物预防 (SAP) 常用于马术.
- 它在诸如 sutured castration 等程序中的常规使用需要对有效性进行调查.
- 了解SAP对并发症和手术部位感染 (SSI) 率的影响对于基于证据的实践至关重要.
研究的目的:
- 为了确定手术抗微生物预防 (SAP) 是否影响经过割的马的并发症率和手术部位感染 (SSI).
- 分析SAP管理与马类患者的术后结果之间的关联.
主要方法:
- 对 220 匹经过 sutured castration 的马 (小马和马) 进行了回顾性图表审查.
- 收集的数据包括患者的特征,药物和六周内术后并发症.
- 使用统计分析,包括千二测试,来评估SAP对并发症和SSI率的影响.
主要成果:
- 整体并发症率为10.0% (22/220).
- 在接受SAP (11.8%) 和不接受SAP (7.1%) (p=0.36) 的马之间,在整体并发症率上没有明显的差异.
- 在两组中,手术部位感染的发生率相似:使用SAP的4.4%,不使用SAP的3.6% (p=1.0).
结论:
- 进行手术抗微生物预防 (SAP) 并没有影响经过 sutured castration 的马的整体并发症率或手术部位感染率.
- 这些结果表明,需要重新考虑在无菌条件下进行 sutured 割的 SAP 常规使用.
- 这些发现为未来的随机对照试验提供了基础,以进一步调查SAP疗效.
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