骨科创伤手术后早期淋浴协议的结果
Robert E Bilodeau1,2, Alona Katzir1, Heather S Haeberle1
1Orthopaedic Trauma Service - Hospital for Special Surgery, NY, USA and New York Presbyterian - Weill Cornell Medical Center, New York, NY, USA.
骨折手术后的早期淋浴是安全的. 手术后三天允许摘下带和洗的协议显示感染率很低,深部感染1.1%的重新手术和1.1%的表面手术部位感染.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 患者护理协议 患者护理协议
背景情况:
- 标准的术后护理往往涉及到长时间的敷料应用.
- 早期出行和卫生对于患者的康复至关重要.
- 早期伤口暴露和清洁骨折后手术的安全性需要评估.
研究的目的:
- 评估标准化术后方案的临床结果.
- 评估骨折手术后三天脱掉带和洗的安全性.
- 确定伤口并发症的发生率与早期术后卫生.
主要方法:
- 对接受骨折手术的成年患者的回顾性审查.
- 包括标准:手术治疗创伤,年龄≥18,至少3个月的随访.
- 排除标准:开放性骨折,最近的先前手术,排除固定,已知的感染,皮肤创伤,后续治疗不足.
主要成果:
- 分析了444名患者的465次手术 (平均年龄为59岁).
- 平均随访时间为11.7个月.
- 由于感染/伤口并发症而重新进行手术:1.1%,表面手术部位感染:1.1%.
结论:
- 一个允许在手术后三天取下带和洗的协议对于没有并发症的手术伤口是安全的.
- 观察到的深层 (1.1%) 和表面 (1.1%) 感染率支持早期淋浴的安全性.
- 该协议可以安全地在骨折手术患者中实施.
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