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논문 기본 정보

자료유형
학술저널
저자정보
Gil Jae Lee (Gachon University College of Medicine) Kyu-Hyouck Kyoung (University of Ulsan College of Medicine) Ki Hoon Kim (Inje University) Namryeol Kim (Korea University Guro Hospital) Young Hoon Sul (Chungbuk National University Hospital) Kyoung Hoon Lim (Kyungpook National University, Kyungpook National University Hospital) Suk-Kyung Hong (University of Ulsan College of Medicine) Hangjoo Cho (The Catholic University of Korea)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.2
발행연도
2021.2
수록면
119 - 125 (7page)

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Purpose: Proper use of antibiotics during emergency abdominal surgery is essential in reducing the incidence of surgical site infection. However, no studies have investigated the type of antibiotics and duration of therapy in individuals with abdominal trauma in Korea. We aimed to investigate the status of initial antibiotic therapy in patients with solitary abdominal trauma.
Methods: From January 2015 to December 2015, we retrospectively analyzed the medical records of patients with solitary abdominal trauma from 17 institutions including regional trauma centers in South Korea. Both blunt and penetrating abdominal injuries were included. Time from arrival to initial antibiotic therapy, rate of antibiotic use upon injury mechanism, injured organ, type, and duration of antibiotic use, and postoperative infection were investigated.
Results: Data of the 311 patients were collected. The use of antibiotic was initiated in 96.4% of patients with penetrating injury and 79.7% with blunt injury. Initial antibiotics therapy was provided to 78.2% of patients with solid organ injury and 97.5% with hollow viscus injury. The mean day of using antibiotics was 6 days in solid organ injuries, 6.2 days in hollow viscus. Infection within 2 weeks of admission occurred in 36 cases. Infection was related to injury severity (Abbreviated Injury Scale of >3), hollow viscus injury, operation, open abdomen, colon perforation, and RBC transfusion. There was no infection in cases with laparoscopic operation. Duration of antibiotics did not affect the infection rate.
Conclusion: Antibiotics are used extensively (84.2%) and for long duration (6.2 days) in patients with abdominal injury in Korea.
#Abdoimnal Injury #Anti-bacterial agents #Blunt injury #Penetrating injury

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (21)

참고문헌 신청
Trunkey DD / 1983 / Trauma. Accidental and intentional injuries account for more years of life lost in the U.S. than cancer and heart disease. Among the prescribed remedies are improved preventive efforts, speedier surgery and further research / Sci Am 249:28~35 google schola Bratzler DW / 2013 / Clinical practice guidelines for antimicrobial prophylaxis in surgery / Surg Infect (Larchmt) 14:73~156 google schola Conger NG / 2008 / Prevention and management of infections associated with combat-related thoracic and abdominal cavity injuries / J Trauma 64(3 Suppl):S257~S264 google schola Lane JC / 2012 / Current concepts of prophylactic antibiotics in trauma: a review / Open Orthop J 6:511~517 google schola Brand M / 2013 / Prophylactic antibiotics for penetrating abdominal trauma / Cochrane Database Syst Rev (11):CD007370 google schola

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