Preoperative Antibiotics in Wrist Arthroscopy
| Autor: | Deborah C. Bohn, Marcus J. Mittelsteadt, Ryan J. Hoel, S. Andrew Samborski |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Wrist Joint medicine.medical_specialty Adolescent Bone Nails Wrist Arthroscopy Young Adult 03 medical and health sciences 0302 clinical medicine medicine Wrist arthroscopy Humans Surgical Wound Infection Orthopedics and Sports Medicine 030212 general & internal medicine Child Aged Retrospective Studies 030222 orthopedics business.industry Soft tissue Evidence-based medicine Antibiotic Prophylaxis Middle Aged Surgery Carpal bones Percutaneous pinning medicine.anatomical_structure Concomitant Ambulatory Female business |
| Zdroj: | The Journal of Hand Surgery. 43:987-991.e1 |
| ISSN: | 0363-5023 |
| DOI: | 10.1016/j.jhsa.2018.03.040 |
| Popis: | Purpose This study seeks to evaluate the need for preoperative antibiotics for wrist arthroscopy. Methods A retrospective review of 576 consecutive wrist arthroscopies was performed over a 10-year period at a single ambulatory surgery center. The chart of each included patient was reviewed for postoperative infections following the National Nosocomial Infections Surveillance criteria for diagnosis. Results Of the 576 wrist arthroscopies reviewed, 324 met the inclusion criteria. Preoperative antibiotics were administered in 209 cases (65%) and not administered in 115 cases (35%). There were 116 cases (36%) with concomitant open soft tissue procedures. We identified 2 infections (0.6% overall infection rate), both of which were in patients who had received preoperative antibiotics. Both of these patients underwent concomitant percutaneous pinning of carpal bones with Kirschner wires, which were buried beneath the skin. Conclusions Administering preoperative antibiotics for routine wrist arthroscopy does not appear to lower the surgical site infection rate. The rate of surgical site infection is so low in both cohorts that a meaningful difference cannot be determined between the 2 groups. This study adds to the current body of literature suggesting that it is acceptable practice to withhold preoperative antibiotics for surgeries that have a very low rate of infection. Type of study/level of evidence Therapeutic IV. |
| Databáze: | OpenAIRE |
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