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肩关节置换手术医生避免感染方法的调查

Survey of shoulder arthroplasty surgeons' methods for infection avoidance of .

作者信息

Parada Stephen A, Shaw K Aaron, Eichinger Josef K, Stadecker Monica J, Higgins Laurence D, Warner Jon J P

机构信息

Orthopaedic Surgery, Eisenhower Army Medical Center, Ft Gordon, GA, United States.

Medical University of South Carolina, Charleston, SC, United States.

出版信息

J Orthop. 2018 Feb 2;15(1):177-180. doi: 10.1016/j.jor.2018.01.052. eCollection 2018 Mar.

DOI:10.1016/j.jor.2018.01.052
PMID:29657463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5895935/
Abstract

INTRODUCTION

infection after shoulder arthroplasty remains a source of morbidity. Determining practices amongst shoulder surgeons is the first step in developing infection-prevention best-practices.

METHODS

A survey was sent to a shoulder fellowship alumni group to determine their arthroplasty infection prevention methods.

RESULTS

74% completed the survey. Cefazolin (90%), vancomycin (50%) and clindamycin (18%) were the most commonly used antibiotics, 61% utilized more than one antibiotic. Most (76%) reported using an experience-based protocol learned during residency/fellowship.

DISCUSSION AND CONCLUSION

There are no clear standards for prevention of infections in shoulder arthroplasty. There is a general non-scientific approach to the prevention of shoulder arthroplasty infection.

摘要

引言

肩关节置换术后感染仍是发病的一个原因。确定肩关节外科医生的做法是制定感染预防最佳实践的第一步。

方法

向一个肩关节 fellowship 校友团体发送了一份调查问卷，以确定他们的关节置换感染预防方法。

结果

74%的人完成了调查。头孢唑林（90%）、万古霉素（50%）和克林霉素（18%）是最常用的抗生素，61%的人使用了不止一种抗生素。大多数人（76%）报告使用在住院医师/ fellowship 期间学到的基于经验的方案。

讨论与结论

肩关节置换术中感染预防没有明确的标准。预防肩关节置换感染通常采用非科学的方法。

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