手部闭合性骨折手术中的抗生素预防。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2024-09-01 DOI:10.1016/j.hansur.2024.101753

Kristian Lidauer , Ilkka Helenius , Markus Pääkkönen

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引用次数: 0

摘要

目的：闭合性指骨和掌骨骨折内固定术术前预防使用抗生素，但其有效性尚不清楚：在119例接受Kirschner钢丝内固定治疗指骨或掌骨骨折的成年患者中，56.3%（n = 67）的患者接受了抗生素预防，43.7%（n = 52）的患者未接受抗生素预防：结果：接受抗生素预防治疗组的深部手术部位感染率为1.5%（n = 1），未接受预防治疗组的感染率为1.9%（n = 1）。使用抗生素预防组有13.4%的病例（n = 9）发生轻微皮肤刺激或针道感染，未使用抗生素预防组有9.6%的病例（n = 5）发生轻微皮肤刺激或针道感染：我们的研究结果表明，在使用活动钢钉治疗手部闭合性骨折时，可以减少抗生素预防性治疗的使用：治疗IV（回顾性研究）。

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Antibiotic prophylaxis in surgery for closed fracture of the hand

Purpose

Preoperative antibiotic prophylaxis is associated to internal fixation for closed phalangeal and metacarpal fracture, but its effectiveness is not known.

Methods

In a consecutive series of 119 adult patients undergoing Kirschner-wire fixation for phalangeal or metacarpal fracture, 56.3% (n = 67) received antibiotic prophylaxis and 43.7% (n = 52) did not.

Results

The rate of deep surgical site infection was 1.5% (n = 1) in the group with antibiotic prophylaxis and 1.9% (n = 1) in the group without. Minor skin irritation or infection of the pin tract occurred in 13.4% of cases (n = 9) in the group with antibiotic prophylaxis and 9.6% (n = 5) in the group without.

Conclusion

Our findings suggest that use of antibiotic prophylaxis could be reduced in the treatment of closed fractures of the hand treated with removable pins.

Type of study/level of evidence

Therapeutic IV (retrospective review).

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.