Colon Injuries and Infectious Complications in Concurrent Gunshot-Related Fractures

IntroductionConcurrent colonic injury among patients with gunshot-related fractures presents a potential risk for infectious complications. We hypothesized that colon injuries are associated more orthopedic complications gunshot victims concurrent fractures.Materials and methodsWe reviewed trauma arriving at our level 1 center from January 1, 2019 to May 31, 2022 who suffered any fracture also underwent an exploratory laparotomy. Of these patients, those were compared without injuries. Baseline characteristics, including antibiotic regimens, collected in addition outcomes of length stay, intensive care unit admission, ventilator requirement, development complications.ResultsOverall, 56 the 107 included had Age, sex, race/ethnicity, Injury Severity Score similar between groups. injuries, 16.1% received early, repeat dosing broad-spectrum antibiotics, while only 3.9% this (P = 0.04). Interestingly, developed none such (10.7% versus 0.0%, P 0.03). All infections infected pelvic fractures. Length stay was 3 d longer group There no difference or death.ConclusionsConcurrent higher complications, likely direct spread fecal contaminant. Early, antibiotics may be reduced