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Antibiotic prophylaxis in surgery for closed fracture of the hand.
- Source :
-
Hand surgery & rehabilitation [Hand Surg Rehabil] 2024 Sep; Vol. 43 (4), pp. 101753. Date of Electronic Publication: 2024 Jul 26. - Publication Year :
- 2024
-
Abstract
- Purpose: Preoperative antibiotic prophylaxis is associated to internal fixation for closed phalangeal and metacarpal fracture, but its effectiveness is not known.<br />Methods: In a consecutive series of 119 adult patients undergoing Kirschner-wire fixation for phalangeal or metacarpal fracture, 56.3% (n = 67) received antibiotic prophylaxis and 43.7% (n = 52) did not.<br />Results: The rate of deep surgical site infection was 1.5% (n = 1) in the group with antibiotic prophylaxis and 1.9% (n = 1) in the group without. Minor skin irritation or infection of the pin tract occurred in 13.4% of cases (n = 9) in the group with antibiotic prophylaxis and 9.6% (n = 5) in the group without.<br />Conclusion: Our findings suggest that use of antibiotic prophylaxis could be reduced in the treatment of closed fractures of the hand treated with removable pins.<br />Type of Study/level of Evidence: Therapeutic IV (retrospective review).<br /> (Copyright © 2024 SFCM. Published by Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Humans
Male
Female
Adult
Middle Aged
Retrospective Studies
Aged
Bone Wires
Young Adult
Anti-Bacterial Agents therapeutic use
Anti-Bacterial Agents administration & dosage
Adolescent
Bone Nails
Antibiotic Prophylaxis
Surgical Wound Infection prevention & control
Fractures, Closed surgery
Metacarpal Bones injuries
Metacarpal Bones surgery
Fracture Fixation, Internal
Finger Phalanges injuries
Finger Phalanges surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2468-1210
- Volume :
- 43
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Hand surgery & rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 39069003
- Full Text :
- https://doi.org/10.1016/j.hansur.2024.101753