低度开放前臂骨折中脱皮的时间不会影响感染风险:一项回顾性研究
Dani Rotman1, Franck Atlan2, Katherine Shehadeh2
1Department of Orthopedic Surgery, Laniado Hospital, Adelson School of Medicine, Ariel University, Ariel 4070000, Israel.
Journal of clinical medicine
|May 14, 2025
概括
延迟低度开放前臂骨折的手术超过24小时,在回顾性研究中没有增加感染率. 对于这些伤害,迅速的抗生素和灌可能会优先于立即的手术干预.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 预防传染病 预防传染病
背景情况:
- 目前的协议强调对开放的四肢骨折进行迅速的手术.
- 证据将脱bridement的时间与感染率联系在一起仍然不一致.
- 这项研究调查了低度开放前臂骨折的延迟手术治疗.
研究的目的:
- 为了确定延迟外科除超过24小时是否会影响低度开放前臂骨折的感染率.
- 评估优先使用抗生素而不是立即进行手术的安全性和有效性.
主要方法:
- 62名古斯蒂洛1型或2型开放前臂骨折患者的回顾性审查 (2017-2020年).
- 标准治疗包括急诊室灌和72小时静脉注射抗生素.
- 结果措施:手术的时间,感染率和工会率.
主要成果:
- 手术的中位时间为47小时,69%的患者在24小时后进行手术.
- 观察到的低感染率为1.6% (1例).
- 非工会的比例为4.8% (3个案例).
结论:
- 对低度开放前臂骨折的延迟手术治疗在没有风险因素的患者中似乎是安全的.
- 推迟手术并没有增加感染的可能性.
- 治疗方案可以优先考虑及时给予抗生素,而不是对这些骨折进行紧急手术.
相关概念视频
Fractures: Bone Repair
2.8K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.8K
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Burn Injuries
2.3K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.3K
Handwashing II: Pre-procedure and Initial Procedure Steps
881
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
881
Factors Affecting the Risk of Infection
10.6K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
10.6K


