2013, Number 3
Prescription of Antibiótics in Pediatric Exposed Fractures at Regional Hospital General Ignacio Zaragoza
Acevedo CMJ, Mora RFG, Mejía RC, López MA, Ramírez MC, Leal OA, Acevedo CJJ
Full text
Language: Spanish
References: 10
Page: 177-181
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ABSTRACT
Background: An exposed fracture is any solution of continuity of a bone segment in contact with the outside. The primary objectives of the orthopedic surgeon are: to prevent infection, to promote the consolidation of the fracture, to restore the function and to stabilize the fragments. Gustilo classification is the most common classification used in open fractures. We must consider that the site of the injury includes vessels and nerves trauma in addition to the soft tissue and bone.Objective: To communicate the treatment of exposed fractures and prescription of antibiotics at emergency service.
Patients and methods: A retrospective and observational study of pediatrics patients with exposed fracture diagnosis was done from March 1st 2009 to March 1st 2013.
Results: We included 69 patients, 38 male and 31 female, in a range of 2 to 17 years old, with a total of 71 exposed fractures: open fracture type I (48 cases), type II (15 cases) and type III (8 cases). Two patients had exposed fractures in different anatomical areas. The open fractures type I of Gustilo were managed with dicloxacillin, in allergic patients clindamycin was prescribed. The type II, IIIA and IIIC were treated with ceftriaxone and amikacin. In the type IIIB ceftriaxone, amikacin and metronidazole were administered. The scheme was modified according to the sensitivity observed in antibiogram.
Conclusion: The antibiotic and antimicrobial therapy schemes used at Regional Hospital General Ignacio Zaragoza showed no signs of infection or sequelae at the time of the study.
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