吸烟是骨科植入物手术部位感染的一个危险因素。
Smoking is a risk factor of organ/space surgical site infection in orthopaedic surgery with implant materials.
机构信息
Department of Infectious Diseases, University Hospital and University Jean Monnet, Saint-Etienne, France.
出版信息
Int Orthop. 2013 Apr;37(4):723-7. doi: 10.1007/s00264-013-1814-8. Epub 2013 Feb 27.
Abstract
PURPOSE
In recent guidelines, smoking is reported as a factor increasing the risk of surgical site infection (SSI). The accurate analysis of the literature shows that this recommendation relies on low level of evidence in orthopaedic surgery with material implantation (arthroplasty components or implants for internal fixation). This study aimed to assess the attributable risk of smoking on organ/space SSI in orthopaedic surgery with implants.
METHODS
Risk factors of organ/space SSI were studied in a prospective cohort including 3,908 patients from June 2003 to December 2006.
RESULTS
Smoking was found as a significant risk factor for organ/space SSI. We also observed a significant difference between smokers and non-smokers for surgical wound complications (hematoma, discharge or wound dehiscence) during the period between surgical procedure and discharge from hospital.
CONCLUSION
This is the first large prospective report of a significant association between smoking and organ/space SSI in orthopaedic surgery with implants.
摘要
目的
在最近的指南中，吸烟被报告为增加手术部位感染（SSI）风险的因素。对文献的准确分析表明，这一建议依赖于骨科植入物手术（关节置换部件或内固定植入物）中低水平的证据。本研究旨在评估吸烟对骨科植入物手术中器官/腔隙 SSI 的归因风险。
方法
对 2003 年 6 月至 2006 年 12 月期间的 3908 例患者进行前瞻性队列研究，以研究器官/腔隙 SSI 的危险因素。
结果
吸烟被发现是器官/腔隙 SSI 的一个显著危险因素。我们还观察到吸烟者和非吸烟者在手术期间和出院期间之间的手术伤口并发症（血肿、渗液或伤口裂开）方面存在显著差异。
结论
这是第一份关于吸烟与骨科植入物手术中器官/腔隙 SSI 之间显著关联的大型前瞻性报告。
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