Nasser Elias, Alshaer Nour, Wajahath Muaaz, Irfan Bilal, Tahir Mohammed, Nasser Mosab, Saleh Khaled J
UT Southwestern Medical Center, Dallas, TX 75390, USA.
FAJR Scientific (NGO), Houston, TX 77041, USA.
Antibiotics (Basel). 2024 Oct 30;13(11):1020. doi: 10.3390/antibiotics13111020.
: Fracture-related infections (FRIs) are a significant complication in conflict zones, where limited resources and damaged infrastructure complicate orthopedic care. : This study retrospectively reviews the management of FRIs during medical missions to Gaza from April to July 2024. : Among 135 patients treated for war-related fractures, 30% were identified with suspected FRIs, which were primarily following explosive injuries. Contributing factors to the high incidence of infection included malnutrition, poor sanitation, and the scarcity of sterile surgical supplies. The absence of standard infection control measures further complicated treatment. : These findings highlight the critical need for a comprehensive approach that incorporates infection prevention, sustainable healthcare planning, and quality assurance tailored to the realities of conflict zones. The study underscores the importance of international support to ensure the availability of essential medical supplies and to develop effective, context-specific strategies for infection management. By applying these insights, healthcare providers can improve patient outcomes and reduce the burden of FRIs in resource-limited settings affected by conflict.
骨折相关感染（FRI）是冲突地区的一种重大并发症，在这些地区，资源有限和基础设施受损使骨科护理变得复杂。本研究回顾性分析了2024年4月至7月在加沙地带医疗任务期间对骨折相关感染的管理情况。在135例因战争相关骨折接受治疗的患者中，30%被确定为疑似骨折相关感染，主要发生在爆炸伤之后。感染发生率高的促成因素包括营养不良、卫生条件差以及无菌手术用品短缺。缺乏标准的感染控制措施使治疗更加复杂。这些发现凸显了采取综合方法的迫切需求，该方法应包括感染预防、可持续医疗规划以及针对冲突地区实际情况的质量保证。该研究强调了国际支持的重要性，以确保基本医疗用品的供应，并制定有效的、因地制宜的感染管理策略。通过应用这些见解，医疗服务提供者可以改善患者的治疗效果，并减轻受冲突影响的资源有限地区骨折相关感染的负担。
