Shapiro Lauren M, Zhuang Thompson, Li Kevin, Kamal Robin N
Department of Orthopaedic Surgery, Stanford University, Redwood City, California.
JBJS Rev. 2019 Aug;7(8):e6. doi: 10.2106/JBJS.RVW.18.00168.
» 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.
» 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。