[Antibiotic prophylaxis in hip joint surgery].
Nosocomial deep wound infections are serious complications after hip joint surgery. Our aim was to determine whether there is a difference in rates of nosocomial infections between group of patients after elective surgery of hip replacement and group of patients with hip replacement after trauma. Both groups of patients had perioperative prophylaxis with amoxycillin. We found that the overall trauma patients infection rate was 0.9 per cent compared with 1.5 per cent for elective surgery infections. In both groups of patients a postsurgery stress was documented according to increase of acute phase proteins (C-reactive protein, orosomucoid and fibrinogen) in plasma for a minimum 10 days after surgery. We conclude, that both groups of patients had benefit from amoxycillin prophylaxis therapy.
Krska
Z
Z
I. chirurgická klinika Vseobecné fakultní nemocnice a 1. lékarské fakulty Univerzity Karlovy, U nemocnice 2, 128 01 Praha 2, Czech Republic.
Kudrna
K
K
Schmidt
D
D
Kvasnicka
J
J
D000209:Acute-Phase Proteins / Q000032:analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000658:Amoxicillin / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006620:Hip Fractures / Q000601:surgery; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use*; D013530:Surgical Wound Infection / Q000517:prevention & control
D000209:Acute-Phase Proteins; D010406:Penicillins; D000658:Amoxicillin
Antibiotická profylaxe operací kycelního kloubu.