[Multidrug-resistant bacterial colonisation in Ukrainian war injuries: a need for multimodal therapy].

IF 0.4 4区 医学 Q4 SURGERY
Wolfram Demmer, Irene Mesas Aranda, Paul Severin Wiggenhauser, David Braig, Fabian Gilbert, Riccardo Giunta
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引用次数: 0

Abstract

This case report describes the interdisciplinary treatment of a complex shrapnel injury to the right femur of an 18-year-old Ukrainian soldier. This open multifragmentary fractur of the femur with a large bone defect, soft tissue damage and osteomyelitis was complicated by several multidrug-resistant bacteria, including Acinetobacter baumanii, which could not be eradicated by antibiotic treatment. Sterility was only achieved by multiple radical debridement and by negative pressure wound therapy with instillation (NPWTi) using hypochlorous acid. The femur was then reconstructed with a chimeric double-barrel fibula free flap. This report highlights the importance of multimodal antimicrobial wound treatments in an era of increasing antibiotic resistance to enable a successful und functional reconstruction of complex and infected fractures.

[乌克兰战争创伤中的多药耐药细菌定植:需要多模式治疗]。
本病例报告描述了一名18岁乌克兰士兵右股骨复杂弹片损伤的跨学科治疗。这种股骨开放性多碎片骨折伴有大的骨缺损、软组织损伤和骨髓炎,并伴有多种多重耐药细菌,包括鲍曼不动杆菌,这些细菌无法通过抗生素治疗根除。无菌只能通过多次彻底清创和使用次氯酸滴注(NPWTi)的负压伤口治疗来实现。然后用嵌合体双管腓骨游离皮瓣重建股骨。本报告强调了在抗生素耐药性不断增加的时代,多模式抗菌伤口治疗的重要性,以成功重建复杂和感染性骨折的und功能。
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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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