当前位置： SCI文献检索 > JOURNAL OF ORTHOPAEDIC TRAUMA期刊下所有文献 > Infection Rates and Treatment of Low-Velocity Extremity Gunshot Injuries.

Infection Rates and Treatment of Low-Velocity Extremity Gunshot Injuries.

Abstract：

OBJECTIVES:To determine the rates of infection in low-energy gunshot wounds (GSWs) to the extremity. DESIGN:Retrospective review. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Patients (N = 140) with at least 90-day follow-up for extremity-only low-energy GSW injuries from 2010-2014 were retrospectively reviewed. Treatment was recorded, including type and duration of antibiotics and details of nonoperative and operative managements. MAIN OUTCOME MEASURES:The rates of superficial and deep infections. RESULTS:The overall infection rate was 15.7% (22 patients), and the deep infection rate was 3.6% (5 patients). Age, sex, and injury location were similar between the groups that did and did not receive antibiotic prophylaxis. Injury Severity Scores were higher in the group that did receive antibiotics. Regarding soft tissue-only injuries, antibiotic prophylaxis trended toward a lower rate of overall infection versus no antibiotic prophylaxis (6.1% vs. 25.9%, respectively, P = 0.07). Multiple doses of antibiotics did not reduce the rate of infection when compared with a single dose (14.6% vs. 12.5%, respectively, P = 1.00). No deep infections occurred in patients with nonoperatively treated fractures, regardless of antibiotic administration. All operatively treated fractures received antibiotic prophylaxis and demonstrated superficial and deep infection rates of 15.1% and 5.7%, respectively. CONCLUSIONS:Infections after low-energy extremity GSWs are infrequent. For soft tissue injuries without fracture, a single dose of intravenous antibiotics in the emergency department was associated with a lower rate of infection compared with no antibiotics. Operatively treated low-energy GSW fractures should receive standard perioperative antibiotics. LEVEL OF EVIDENCE:Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

journal_name

J Orthop Trauma

journal_title

Journal of orthopaedic trauma

authors

Nguyen MP,Savakus JC,OʼDonnell JA,Prayson NF,Reich MS,Golob JF Jr,McDonald AA,Como JJ,Vallier HA

doi

10.1097/BOT.0000000000000827

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

326-329

issue

eissn

0890-5339

issn

1531-2291

journal_volume

pub_type

杂志文章

在线工具

Infection Rates and Treatment of Low-Velocity Extremity Gunshot Injuries.