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首页> 外文期刊>The international journal of lower extremity wounds >Limb wounding and antisepsis: Iodine and chlorhexidine in the early management of extremity injury
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Limb wounding and antisepsis: Iodine and chlorhexidine in the early management of extremity injury

机译：肢体创伤和防腐：碘和洗必泰在四肢损伤的早期处理中

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摘要

Extremity injury and contamination as consequence are features of high-energy wounding. A leading cause of disability and the commonest cause of late complications, prevention of wound infection determines the ultimate outcome in these populations. Multiple variables influence the development of infection, one of which is the dressing used on the wound. Antiseptic-soaked gauze dressings feature in the early management of limb trauma despite a lack of evidence to support this. Iodine and chlorhexidine are ubiquitous in other aspects of health care however, and a plethora of studies detail their role in skin antisepsis, the recommendations from which are often anecdotally applied to acute wounding. To contextualize the role for antiseptic dressing use in acute, significant limb injury this review explores the evidence for the use of chlorhexidine and iodine in skin antisepsis. The paucity of experimental data available for antiseptic use in early wound management and the need for further research to address this evidence void is highlighted.
机译：因此，肢体受伤和污染是高能伤的特征。导致伤口致残和后期并发症的最常见原因是，伤口感染的预防决定了这些人群的最终结果。多个因素影响感染的发展，其中之一是伤口上使用的敷料。尽管缺乏证据支持，浸泡消毒的纱布敷料仍可早期治疗肢体创伤​​。然而，碘和洗必太在卫生保健的其他方面无处不在，并且大量的研究详细介绍了它们在皮肤防腐中的作用，这些建议通常在急性伤口治疗中很常见。为了了解抗菌敷料在急性，严重肢体损伤中的作用，本文探讨了洗必泰和碘在皮肤防腐中的使用证据。强调了在早期伤口处理中可用的杀菌剂的实验数据很少，并且需要进一步研究来解决这一证据空白。

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