[火器所致开放性骨折感染的相关危险因素]
[Associated risk factors for infection in open fractures by firearms].
作者信息
Pérez-Ruiz S A, Matus-Jiménez J
机构信息
Hospital General de Zona 1 del Instituto Mexicano del Seguro Social (IMSS) de Tapachula, Chiapas, México.
Hospital General Xoco, Secretaría de Salud. Ciudad de México, México.
出版信息
Acta Ortop Mex. 2019 Jan-Feb;33(1):28-35.
BACKGROUND
The introduction of firearms has increased deaths, assassinations and suicides. Firearm projectile injuries (PAF) increasingly affect civilian populations (500,000 injuries annually), it is the second cause of death in young people. Half required fracture treatment (45%), accompanied by reports of 6% who developed a deep infection.
MATERIAL AND METHODS
Retrospective, observational, cross-sectional study in four hospitals of the Secretary of Health of CDMX of the frequency of infection in fractures exposed by PAF and if there is any other factor that is associated with the infection.
RESULTS
In the review of the files of the four hospitals, 67 patients were found, men, with an incidence of infections of 4.5%, when analyzing the risk factors these did not present a significant association.
DISCUSSION
No risk factor has statistical significance for any infectious process to occur, probably due to a good initial treatment.
背景
枪支的引入增加了死亡、暗杀和自杀事件。火器投射物损伤（PAF）对平民的影响日益增加（每年有50万例损伤），它是年轻人死亡的第二大原因。一半患者需要进行骨折治疗（45%），同时有6%的患者报告发生了深部感染。
材料与方法
在墨西哥城卫生部的四家医院进行回顾性、观察性横断面研究，以了解PAF所致骨折的感染频率以及是否存在与感染相关的其他因素。
结果
在对四家医院的病历进行审查时，发现了67例男性患者，感染发生率为4.5%，在分析危险因素时，这些因素未呈现出显著相关性。
讨论
对于任何感染过程的发生，没有危险因素具有统计学意义，这可能是由于初始治疗良好所致。
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