在全踝关节置换术（TAA）或其他足部和踝关节手术中，使用万古霉素粉末在伤口中的益处和风险有哪些？
What Are the Benefits and Risks Associated With the Use of Vancomycin Powder in the Wound During Total Ankle Arthroplasty (TAA) or Other Foot and Ankle Procedures?
机构信息
1 Department of Foot and Ankle Surgery, Institute of Orthopaedics, Rosario, Argentina.
2 Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):12S-14S. doi: 10.1177/1071100719859010.
RECOMMENDATION
Though one study supporting topically applied vancomycin has shown it to reduce the rate of deep infection in diabetic patients undergoing foot and ankle surgery, there is insufficient evidence to show benefits or to show any risks associated with the use of vancomycin powder during total ankle arthroplasty (TAA) or other foot and ankle procedures in a general population.
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
虽然有一项支持局部应用万古霉素的研究表明，它可以降低糖尿病患者足部和踝关节手术后深部感染的发生率，但没有足够的证据表明在全踝关节置换术（TAA）或其他足部和踝关节手术中使用万古霉素粉末的益处，也没有证据表明其存在任何风险。
证据等级
共识。
代表投票
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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