脊髓损伤患者压力损伤伴骨髓炎的管理:法国转诊中心的一项全国性调查。

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Hélène Le Liepvre, Emma D'Anglejan, Haude Chaussard, Damien Marmouset, Killian Allepot, Frédérique Bouchand, Latifa Noussair, François Genêt, Vincent T Carpentier, Aurélien Dinh
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引用次数: 0

摘要

压迫性损伤在脊髓损伤患者中很常见,通常并发重复感染,导致败血症、住院和大量医疗费用。与压力损伤相关的骨髓炎提出了诊断挑战,需要有效的医疗和手术管理。为了调查目前的做法,对每年处理20多个病例的法国中心进行了全国调查。结果显示,手术技术、抗生素方案和患者护理途径存在显著差异。肌皮皮瓣和穿支皮瓣是常用的,但其应用在不同的中心有所不同。由于失败的风险,在急性感染期间没有进行皮瓣。卧床时间和髋关节屈曲方案各不相同,长期不活动与血栓栓塞和营养不良等并发症有关。抗生素持续时间从5-180天不等,反映了不同的感染管理方法。一年内的治愈率在70-90%之间。这些发现强调需要标准化的、基于证据的方案来优化对这一弱势群体的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of pressure injuries with associated osteomyelitis in people with spinal cord injury: a national survey of referral centers in France.

Pressure injuries are common among individuals with spinal cord injury and often complicated by superinfection, leading to sepsis, hospitalizations, and significant healthcare costs. Osteomyelitis associated with pressure injuries poses diagnostic challenges and requires effective medical and surgical management. To investigate current practices, a national survey of French centers managing over 20 cases annually was conducted. Results revealed significant variability in surgical techniques, antibiotic protocols, and people care pathways. Musculocutaneous and perforator flaps were commonly used, but their application differed among centers. No flaps were performed during acute infections due to failure risks. Bedridden periods and hip flexion protocols varied, with prolonged immobility linked to complications such as thromboembolism and malnutrition. Antibiotic durations ranged from 5-180 days, reflecting differing approaches to infection management. Cure rates within one year ranged from 70-90%. These findings underscore the need for standardized, evidence-based protocols to optimize care for this vulnerable population.

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来源期刊
Spinal cord
Spinal cord 医学-临床神经学
CiteScore
4.50
自引率
9.10%
发文量
142
审稿时长
2 months
期刊介绍: Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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