Baraza Njalalle, Leith Jordan
Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
Joints. 2018 Mar 13;6(1):54-57. doi: 10.1055/s-0038-1636950. eCollection 2018 Mar.
The purpose of this study was to find out from the literature the difference in infection rates between patients who did and patients who did not receive prophylactic antibiotics in arthroscopic shoulder surgery. We conducted a comprehensive search of the literature using Medline Ovid for prospective studies that looked at infection as the primary outcome following shoulder arthroscopy. The articles were then assessed for study design, outcome, and relevance to the specific question as part of the critical appraisal. Eight partially relevant articles were obtained from the search, but there were no prospective studies comparing infection in patients who had prophylactic antibiotics versus those who did not in shoulder arthroscopy. No compelling evidence exists on the role of prophylactic antibiotics in preventing infections in shoulder arthroscopy. Level IV, systematic review of level IV studies.
本研究的目的是从文献中找出在肩关节镜手术中接受预防性抗生素治疗的患者与未接受预防性抗生素治疗的患者之间的感染率差异。我们使用Medline Ovid对文献进行了全面检索，以查找将感染作为肩关节镜检查后主要结局的前瞻性研究。然后，作为批判性评价的一部分，对这些文章的研究设计、结局以及与特定问题的相关性进行评估。检索获得了八篇部分相关的文章，但没有前瞻性研究比较肩关节镜手术中接受预防性抗生素治疗的患者与未接受预防性抗生素治疗的患者的感染情况。关于预防性抗生素在预防肩关节镜手术感染中的作用，目前尚无令人信服的证据。IV级，IV级研究的系统评价。
