Concurrent oral surgery and orthopaedic treatment in the multiply injured patient: is there an increased incidence of orthopaedic sepsis?

Fifty-five patients requiring oral surgery and orthopaedic care were studied prospectively and compared to a control group. Six patients received no antibiotics and one developed an orthopaedic operative site infection due to a mouth organism. Seventeen patients had concurrent surgery and perioperat...

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Veröffentlicht in:The journal of trauma 1987-06, Vol.27 (6), p.626-638
Hauptverfasser: FOSTER, R. J, COLLINS, F. J. V, BACH, A. W
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container_title The journal of trauma
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creator FOSTER, R. J
COLLINS, F. J. V
BACH, A. W
description Fifty-five patients requiring oral surgery and orthopaedic care were studied prospectively and compared to a control group. Six patients received no antibiotics and one developed an orthopaedic operative site infection due to a mouth organism. Seventeen patients had concurrent surgery and perioperative antibiotic usage and no infections occurred. Twenty-six patients required multiple operations and courses of antibiotic treatment and five developed infections. Enterobacter infections were common and emerge because they are resistant to first-generation cephalosporins. Treatment by a perioperative first-generation cephalosporin is recommended, followed by throat cultures and treatment by antibiotics specific for cultured organisms for patients requiring subsequent operations.
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identifier ISSN: 0022-5282
ispartof The journal of trauma, 1987-06, Vol.27 (6), p.626-638
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Bacterial Infections - epidemiology
Biological and medical sciences
Cephalosporins - pharmacology
Cephalosporins - therapeutic use
Child
Drug Resistance, Microbial
Enterobacter - drug effects
Enterobacteriaceae Infections - epidemiology
Female
Humans
Male
Medical sciences
Middle Aged
Orthopedics - adverse effects
Postoperative Complications - epidemiology
Premedication
Staphylococcal Infections - epidemiology
Streptococcal Infections - epidemiology
Surgery, Oral - adverse effects
Surgical Wound Infection - epidemiology
Traumas. Diseases due to physical agents
Wounds and Injuries - surgery
title Concurrent oral surgery and orthopaedic treatment in the multiply injured patient: is there an increased incidence of orthopaedic sepsis?
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