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首页> 外文期刊>Journal of orthopaedic nursing >The impact of different methods of wound closure and dressing on the rate of wound infection in patients with fracture of the neck of femur
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The impact of different methods of wound closure and dressing on the rate of wound infection in patients with fracture of the neck of femur

机译：不同闭合和包扎方法对股骨颈骨折患者伤口感染率的影响

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摘要

A prospective, pilot study was conducted to compare infection rates in four groups with different methods of wound closure and dressing among a convenience sample (n = 65) of patients with a fracture of the neck of femur. The four groups were:Clips with Mepore dressing (n = 25)Subcuticular suture with Mepore (n = 11)Clips with Opsite dressing (n = 16)Subcuticular suture with Opsite (n = 13)There were a total of 65 participants (5 males and 60 females) with ages ranging from 70 to 103 years (mean = 86, sd = 5.7). Patients were followed during their stay on the ward. The four groups were evaluated with respect to infection rates. Gross purulent discharge, dehiscence, or purulent discharge from a single suture was considered a wound infection and this was confirmed microbiologically. Infection was noted in 6/25 (24%) of cases in which clips were used with Mepore dressing as compared to 1/11 (9%) when subcuticular sutures and Mepore were used. Infection rates for clips and Opsite, and subcuticular and Opsite were 2/16 (12.5%) and zero, respectively.
机译：进行了一项前瞻性的前瞻性研究，以比较便利组（n = 65）股骨颈骨折患者中采用不同伤口闭合和包扎方法的四组感染率。这四组患者分别为：带有Mepore敷料的夹子（n = 25）带有Mepore的皮下缝合线（n = 11）带有相反的敷料的夹子（n = 16）有相反的皮下缝合的缝合（n = 13）共有65位参与者（5男性和60位女性），年龄介于70至103岁之间（平均= 86，标准差= 5.7）。在病房期间对患者进行随访。对四组进行了感染率评估。从单个缝合线产生的总脓性分泌物，裂开或脓性分泌物被认为是伤口感染，这在微生物学上得到了证实。在使用Mepore敷料的夹子中有6/25（24％）发生感染，而在使用表皮下缝线和Mepore的情况下则为1/11（9％）。夹子和对位以及皮下和对位的感染率分别为2/16（12.5％）和零。

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