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风险因素和感染 呈现的阴性骨折 相关的感染
Elizabeth M Benson1, Robert W Rutz, Austin C Atkins
1University of Alabama Department of Orthopaedic Surgery Birmingham, AL.
阴性 (GN) 骨折相关感染 (FRI) 与男性性别,创伤严重程度和特定的手术干预有关. 虽然非联合率相似,但GN FRI增加截肢风险,而Gram阳性感染仅增加了截肢风险.
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:
- 骨折相关感染 (FRI) 在骨科创伤护理中构成重大挑战.
- 格拉姆阴性 (GN) 细菌越来越多地被认为是FRI中重要的病原体.
研究的目的:
- 为了确定与GN FRI相关的因素.
- 评估 GN 感染对 FRI 治疗和结果的影响.
主要方法:
- 在一级创伤中心进行回顾性队列研究.
- 在2013-2020年期间包括所有四肢FRI患者.
- 单变量分析比较了格拉姆阴性 (GN) 与格拉姆阳性 (GP) FRI,以及三组分析 (仅GN,仅GP,多微生物GN与GP).
主要成果:
- 分析了299名患者;25%的人有GN微生物.
- GN FRI与男性性别,多系统创伤,外部固定,皮肤移植和片覆盖有关.
- 在GN FRI患者中观察到更高的截肢率 (15%与仅GP的6%相比).
- 非工会率 (20%对22%) 和重新运营率在 GN 和 GP 组之间是相似的.
结论:
- 男性性别,多系统创伤,外部固定,以及需要先进的软组织覆盖是GN FRI的危险因素.
- 国民统计学FRI并没有增加非工会感染率,但与全科医生感染相比,截肢的可能性更高.
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