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手部择期软组织手术中术前抗生素的使用:一项批判性分析综述

The Use of Preoperative Antibiotics in Elective Soft-Tissue Procedures in the Hand: A Critical Analysis Review.

作者信息

Shapiro Lauren M, Zhuang Thompson, Li Kevin, Kamal Robin N

机构信息

Department of Orthopaedic Surgery, Stanford University, Redwood City, California.

出版信息

JBJS Rev. 2019 Aug;7(8):e6. doi: 10.2106/JBJS.RVW.18.00168.

Abstract

» The use of preoperative antibiotic prophylaxis is not supported for elective cases of patients undergoing soft-tissue hand procedures that are ≤2 hours in length. » The use of preoperative antibiotic prophylaxis is not supported for patients with diabetes undergoing elective, soft-tissue hand surgical procedures. » There is a paucity of literature evaluating the use of preoperative antibiotic prophylaxis in patients with rheumatoid arthritis, those with cardiac valves, and those taking corticosteroids; because of this, there is no evidence to vary from our general recommendations.

摘要

» 对于手术时长≤2小时的择期手部软组织手术患者,不支持使用术前抗生素预防。

» 对于接受择期手部软组织手术的糖尿病患者,不支持使用术前抗生素预防。

» 评估类风湿关节炎患者、心脏瓣膜病患者和服用皮质类固醇患者使用术前抗生素预防的文献较少;因此,没有证据表明与我们的一般建议有所不同。

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本文引用的文献

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Emergence of Global Antibiotic Resistance.全球抗生素耐药性的出现
Prim Care. 2018 Sep;45(3):467-484. doi: 10.1016/j.pop.2018.05.006.
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Current Evidence Regarding Routine Antibiotic Prophylaxis in Hand Surgery.手部手术中常规抗生素预防的当前证据
Hand (N Y). 2018 May;13(3):259-263. doi: 10.1177/1558944717701241. Epub 2017 Mar 27.
7
Antimicrobial Stewardship: A Call to Action for Surgeons.抗菌药物管理:对外科医生的行动呼吁。
Surg Infect (Larchmt). 2016 Dec;17(6):625-631. doi: 10.1089/sur.2016.187. Epub 2016 Nov 9.

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