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 |
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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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J ; COLLINS, F. J. V ; BACH, A. W</creator><creatorcontrib>FOSTER, R. J ; COLLINS, F. J. V ; BACH, A. W</creatorcontrib><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.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>PMID: 3599108</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Lippincott Williams & Wilkins</publisher><subject>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. 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W</creatorcontrib><title>Concurrent oral surgery and orthopaedic treatment in the multiply injured patient: is there an increased incidence of orthopaedic sepsis?</title><title>The journal of trauma</title><addtitle>J Trauma</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial Infections - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cephalosporins - pharmacology</subject><subject>Cephalosporins - therapeutic use</subject><subject>Child</subject><subject>Drug Resistance, Microbial</subject><subject>Enterobacter - drug effects</subject><subject>Enterobacteriaceae Infections - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics - adverse effects</subject><subject>Postoperative Complications - epidemiology</subject><subject>Premedication</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Streptococcal Infections - epidemiology</subject><subject>Surgery, Oral - adverse effects</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds and Injuries - surgery</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkMlKBDEQhoMo4zj6CEIO4q0hSy-JF5HBDQa86LlJJxUnQ28m6UM_gm9tBhvBUyr1ffVD1Qla04LJTAgiT9GaEMayggl2ji5COBBC8pyLFVrxQkpKxBp9b4deT95DH_HgVYvD5D_Bz1j1JjXifhgVGKdx9KBid9Rcj-MecDe10Y3tnP6HyYPBo4ou8TvswlHwkDIS1GkwJJwqZ6DXgAf7LznAGFy4v0RnVrUBrpZ3gz6eHt-3L9nu7fl1-7DLRsaLmFHNoawaYGCFZLmtyoZYJo2smFAN0TnVmlFqCCeiIJxTRaTNra64pbRkhm_Q7W_u6IevCUKsOxc0tK3qYZhCXVUloVIUSbxexKnpwNSjd53yc73cLvGbhaugVWu9ShuGP02wMi9IxX8ApE17Gg</recordid><startdate>19870601</startdate><enddate>19870601</enddate><creator>FOSTER, R. J</creator><creator>COLLINS, F. J. V</creator><creator>BACH, A. 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W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-1c3e67be2ef8924f76b0f29d9728ab0c41cc211d030850331a09f4fc73f1162d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacterial Infections - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cephalosporins - pharmacology</topic><topic>Cephalosporins - therapeutic use</topic><topic>Child</topic><topic>Drug Resistance, Microbial</topic><topic>Enterobacter - drug effects</topic><topic>Enterobacteriaceae Infections - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics - adverse effects</topic><topic>Postoperative Complications - epidemiology</topic><topic>Premedication</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Streptococcal Infections - epidemiology</topic><topic>Surgery, Oral - adverse effects</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds and Injuries - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>FOSTER, R. J</creatorcontrib><creatorcontrib>COLLINS, F. J. V</creatorcontrib><creatorcontrib>BACH, A. W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FOSTER, R. J</au><au>COLLINS, F. J. V</au><au>BACH, A. W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concurrent oral surgery and orthopaedic treatment in the multiply injured patient: is there an increased incidence of orthopaedic sepsis?</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1987-06-01</date><risdate>1987</risdate><volume>27</volume><issue>6</issue><spage>626</spage><epage>638</epage><pages>626-638</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>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.</abstract><cop>Baltimore, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>3599108</pmid><tpages>13</tpages></addata></record> |
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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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