穿孔尾切除术后不同医院出院抗生素治疗方案的结果
William Cobb1, John Hoff1, Caroline Shin1
1Department of General Surgery, AdventHealth Orlando, Orlando, FL, USA.
The American surgeon
|May 24, 2025
概括
穿孔性尾炎手术后的排泄抗生素不会影响患者的结果. 消除这些可能会减少住院时间和费用,改善儿科护理中的抗生素管理.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 急性尾炎是一种常见的儿科手术紧急情况,具有很高的穿孔率.
- 目前关于尾切除术后对穿孔尾炎的抗生素管理的指导方针缺乏共识.
研究的目的:
- 评估不同排泄抗生素治疗方案对患有穿孔尾炎的儿科患者手术后结果的影响.
主要方法:
- 对106名为穿孔性尾炎进行腹腔镜尾切除的儿科患者的回顾性审查.
- 对三个排泄抗生素组的分析:没有,1-7天和>8天.
- 测量结果:30/60天再入院,术后感染,并发症和重新干预.
主要成果:
- 在抗生素组之间,再接收率,感染,并发症或重新干预没有统计学上显著的差异.
- 接受放出抗生素的患者与没有接受抗生素的患者相比,住院时间明显长.
结论:
- 手术后的抗生素释放管理不会影响儿科穿孔尾炎的结果.
- 停止放出抗生素可能会改善抗生素管理,降低成本,缩短住院时间.
- 建议进行进一步的前性试验以证实这些发现.
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