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    1 Management

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    IndraYudhi
    Vacuum dressings are recommended for open fractures to help reduce contamination and infection rates. Prophylactic antibiotic therapy has been proven to decrease sepsis rates for open fractures from 13.9-2.7% depending on the extent of wound and injury, degree of contamination, and environment. Practice protocols suggest using a cephalosporin, aminoglycoside or alternative gram negative coverage, and penicillin for fractures involving farm/soil/ischemia injuries. The key take-home messages for treating open fractures are: treat as an emergency, debridement and re-debridement, stabilize fracture and soft tissue, early closure, and use of antibiotics.

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    1 Management

    Uploaded by

    IndraYudhi
    15 views5 pages
    Vacuum dressings are recommended for open fractures to help reduce contamination and infection rates. Prophylactic antibiotic therapy has been proven to decrease sepsis rates for open fractures from 13.9-2.7% depending on the extent of wound and injury, degree of contamination, and environment. Practice protocols suggest using a cephalosporin, aminoglycoside or alternative gram negative coverage, and penicillin for fractures involving farm/soil/ischemia injuries. The key take-home messages for treating open fractures are: treat as an emergency, debridement and re-debridement, stabilize fracture and soft tissue, early closure, and use of antibiotics.

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    Vacuum dressings are recommended for open fractures to help reduce contamination and infection rates. Prophylactic antibiotic therapy has been proven to decrease sepsis rates for open fractures from 13.9-2.7% depending on the extent of wound and injury, degree of contamination, and environment. Practice protocols suggest using a cephalosporin, aminoglycoside or alternative gram negative coverage, and penicillin for fractures involving farm/soil/ischemia injuries. The key take-home messages for treating open fractures are: treat as an emergency, debridement and re-debridement, stabilize fracture and soft tissue, early closure, and use of antibiotics.

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    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    15 views5 pages

    1 Management

    Uploaded by

    IndraYudhi
    Vacuum dressings are recommended for open fractures to help reduce contamination and infection rates. Prophylactic antibiotic therapy has been proven to decrease sepsis rates for open fractures from 13.9-2.7% depending on the extent of wound and injury, degree of contamination, and environment. Practice protocols suggest using a cephalosporin, aminoglycoside or alternative gram negative coverage, and penicillin for fractures involving farm/soil/ischemia injuries. The key take-home messages for treating open fractures are: treat as an emergency, debridement and re-debridement, stabilize fracture and soft tissue, early closure, and use of antibiotics.

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    Vacuum dressings

    Vacuum dressings
    Antibiotics

    ractures
    Open fractures Extent of
    Prophylactic
    Prophy act c
    13.9–2.7%
    13 9–2 7% are wound and n ury
    antibiotic
    ant b ot c Injury
    decrease in
    n contaminated
    contam nated by degree
    degree of
    o
    therapy definition “earlyy
    de n t on “ear contaminatio environment
    env ronment
    sepsis
    seps s rate contam nat o
    proven treatment” n

    Practice protocols
    • Cephalosporin
    • Aminoglycoside or alternative
    gram negative coverage
    • Penicillin (farm/soil/ischemia)
    Take-home messages: the “big 5”
    • Treat as an emergency

    • Debridement and re-debridement

    • Stabilize fracture and soft tissue

    • Early closure

    • Antibiotics
    Thanks

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