Evaluation of pulmonary infections in patients with extremity fractures and blunt chest trauma.
The use of preventive antibiotics has become the standard of care in the management of patients with multiple trauma who have injuries at risk for infection. In many areas of surgical practice, preventive antibiotic utilization has been restricted to the perioperative period only. In this study we reviewed a series of trauma patients with combined blunt chest injuries and extremity fractures to determine whether the duration of postoperative antibiotic administration would have adverse effects upon nosocomial pneumonia rates and severity.
D'Alise
M D
MD
Department of Surgery, University of New Mexico, School of Medicine, Albuquerque.
Demarest
G B
GB
Fry
D E
DE
Olson
S E
SE
Osler
T M
TM
Clevenger
F W
FW
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004334:Drug Administration Schedule; D004352:Drug Resistance, Microbial; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D005597:Fractures, Open / Q000150:complications; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications* / Q000188:drug therapy; D011014:Pneumonia / Q000150:complications* / Q000382:microbiology / Q000517:prevention & control; D012189:Retrospective Studies; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
D000900:Anti-Bacterial Agents