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ISSN 2306-4102 (Impreso)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Número 6

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Acta Ortop Mex 2007; 21 (6)


Revisión de las acciones para prevenir infecciones en la artroplastía total de cadera

Montalvo GM, Velutini KJA, León PM, Zamora MPM

Idioma: Español
Referencias bibliográficas: 27
Paginas: 328-332
Archivo PDF: 102.39 Kb.


RESUMEN

El uso de profilaxis antibiótica durante las artroplastías de cadera ha sido motivo de debate continuo. La prevención de las infecciones postquirúrgicas es de materia compleja y aún requiere de mayor investigación. Es indispensable aplicar principios quirúrgicos básicos con el fin de optimizar las condiciones de la herida quirúrgica, respuesta inmune y disminución de una posible contaminación durante el período preoperatorio y postoperatorio para reducir la frecuencia de infecciones. Se presenta un estudio retrospectivo del esquema antibiótico y complicaciones infecciosas en 532 artroplastías de cadera realizadas en el Centro Médico ABC de Enero de 1999 a Julio de 2003. El principal antibiótico utilizado fue cefalotina en 53.76%, sin embargo sólo en 3.2 se utilizó el esquema corto recomendado en la literatura, con un aflojamiento séptico de 3.9%.


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