| アブストラクト | Although surgical site infection (SSI) risk after hand trauma surgery is around 5%, the severity of these infections is not known. The risk of superficial SSI in a cohort study was evaluated using NHS UK-wide primary care records (n = 641,223), using the Clinical Practice Research Datalink GOLD database. Within this cohort, a subcohort of those who had undergone a hand surgery operation for trauma were identified (n = 3,088). Antibiotic and analgesic prescriptions were analysed at 30 and 90 days postoperatively. By 30 days, 6.2% had been prescribed antibiotics appropriate for SSI, rising to 14.4% (CI [13.2 to 15.8]) by 90 days. By 30 days, 10% had been prescribed opioid analgaesia and by 90 days this had increased to 13.8%. Antibiotics prescriptions for SSI in primary care are substantially higher than the NICE estimate for SSI overall and the expected risk in hand trauma. The implications of this study are that many patients are receiving treatment for SSI in primary care and may be in more pain, for longer, than we expect. Further exploration of this is warranted and future research in hand trauma surgery should capture adverse events occurring outside of the hospital environment. Level of evidence: II. |
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| ジャーナル名 | The Journal of hand surgery, European volume |
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| Pubmed追加日 | 2025/5/9 |
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| 投稿者 | Wormald, Justin Cr; Lane, Jennifer Ce; Catala, Marti; Delmestri, Antonella; Cook, Jonathan; Rodrigues, Jeremy N; Costa, Matthew L; Prieto-Alhambra, Daniel |
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| 組織名 | Kadoorie Centre for Critical Care Research and Education, Nuffield Department of;Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford,;UK.;Barts Bone and Joint Health, Faculty of Medicine and Dentistry, Queen Mary;University of London, UK.;Botnar Institute for Musculoskeletal Sciences, Nuffield Department of;Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, UK.;Department of Plastic Surgery, Stoke Mandeville Hospital, Buckinghamshire;Healthcare NHS Trust, UK.;Oxford Trauma and Emergency Care, Kadoorie Centre, Nuffield Department of |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40340493/ |
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