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Infectious complications of open leg fractures

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Description

Open leg fractures account for 5 to 10% of all fractures. They are prone to numerous complications, particularly infection. Their emergency management is medical and surgical. We conducted a prospective cohort study of patients with open leg fractures over a 6-month period from 17 May to 30 September 2015. Fifty-seven patients were included in the study. The infection rate was 19.3% (11 cases). Gustilo type III fractures (RR = 13.75) and externalization of the bone (RR = 3.52) were identified as infectious risk factors. A very high C-Reactive Protein level of more than 100 mg/l in the first week predicted the occurrence of an infection. Pseudomonas predominated (33.33%), followed by Staphylococcus aureus (20%). Multidrug resistant bacteria had a high proportion (40%). Sensitivity to Gentamycin and third generation Cephalosporins was good. In conclusion, apart from bone stabilisation, surgical debridement combined with antibiotic prophylaxis is essential to minimise the risk.

Product Specifications

Format
paperback
Domain
Amazon UK
Release Date
20 March 2023
Listed Since
21 March 2023

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No barcode data available

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