EAST PRACTICE MANAGEMENT GUIDELINES East Practice Management Guidelines Work Group: Update to Practice Management Guidelines for Prophylactic Antibiotic Use in Open Fractures

نویسندگان

  • William S. Hoff
  • John A. Bonadies
چکیده

STATEMENT OF THE PROBLEM An open fracture is defined as one in which the fracture fragments communicate with the environment through a break in the skin. The presence of an open fracture either isolated or as part of a multiple injury complex increases the risk of infection and soft tissue complications. In 1976, Gustilo and Anderson1 described a system to classify open fractures based on the size of the associated laceration, the degree of soft issue injury, contamination, and presence of vascular compromise. In a subsequent article, Gustilo et al.2 refined the classification of severe open fractures. In general, risk of infection and incidence of limb loss correlate with the Gustilo type (Table 1).

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تاریخ انتشار 2011