犬胫骨平台平整截骨术中阳性术中细菌培养的临床意义：一项回顾性研究。
Clinical relevance of positive intraoperative bacterial culture in tibial plateau leveling osteotomy in dogs: a retrospective study.
机构信息
Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Bünteweg 9, 30559, Hannover, Germany.
出版信息
BMC Vet Res. 2024 May 4;20(1):175. doi: 10.1186/s12917-024-04007-w.
BACKGROUND
Tibial plateau leveling osteotomy (TPLO) belongs to the most frequently used surgical method for the treatment of cranial cruciate ligament rupture in dogs. Surgical site infection (SSI) is one of the possible postoperative complications. The aim of this study was to evaluate the diagnostic value of intraoperative bacterial culture as a tool for the detection of intraoperative bacterial contamination progressing to infection development in canine TPLO. Electronic patient records from dogs who underwent TPLO between January 2018 to December 2020 were retrospectively reviewed. Intraoperative bacterial culture results, used antimicrobial drugs and presence of SSI were recorded.
RESULTS
Ninety-eight dogs were included in the study. SSI rate was 10.2%. All dogs who developed SSI (n = 10) had negative intraoperative bacterial cultures. None of the dogs with positive intraoperative bacterial culture (n = 6) developed SSI. The most cultured bacteria causing SSI was Staphylococcus pseudintermedius (n = 4).
CONCLUSIONS
Intraoperative bacterial culture in dogs undergoing TPLO is not suitable as a predictor of surgical site infection.
背景
胫骨平台平整截骨术（TPLO）是治疗犬十字韧带断裂最常用的手术方法之一。手术部位感染（SSI）是术后可能出现的并发症之一。本研究旨在评估术中细菌培养作为检测术中细菌污染进展为犬 TPLO 感染发展的工具的诊断价值。回顾性分析了 2018 年 1 月至 2020 年 12 月期间接受 TPLO 的犬的电子病历。记录了术中细菌培养结果、使用的抗菌药物和 SSI 的存在情况。
结果
本研究纳入了 98 只狗。SSI 发生率为 10.2%。所有发生 SSI（n=10）的狗的术中细菌培养结果均为阴性。术中细菌培养阳性（n=6）的狗无一例发生 SSI。引起 SSI 的最常见细菌是中间葡萄球菌（n=4）。
结论
TPLO 术后犬的术中细菌培养不适合作为手术部位感染的预测指标。
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