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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2000, Number 1

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An Med Asoc Med Hosp ABC 2000; 45 (1)

Prevention of infections in arthroplasties and hemiarthroplasties of the hip

Campos ALF, Lazcano MMA

Language: Spanish
References: 23
Page: 27-30
PDF size: 107.21 Kb.


ABSTRACT

Wound contamination may occur in the operating room from 3 sources. 1, airborne particles. 2, particles from the skin of the operating room personal and 3: endogenous infections. Airborne contamination is controlled with clean laminar airflow. Bacterial shedding with impermeable gowns. The endogenous infections with local and systemic antibiotics. In total hip arthroplasty the incidence of infection reported by Nelson is 5.8% without antibiotics and 1.3% with antibiotics, in sterile operating room 0.7% without antibiotics and 0.6% with antibiotics. 1.0% with ultraviolet high and antibiotics. In a previous study 100 operations without clean operating room in total hip arthroplasties we found 4% of infections, and 1% with clean operating room. In the present study with 90 patients with partial and total hip arthroplasties cement with gentamicin was used, as well as collagen with gentamicin we had no deep infections and one superficial 0.9%. In sterile operating room. With the use with collagen and gentamicin, local concentration of the antibiotic is 500 to 100 times superior to the hematic concentration, and prevents infections. It is important to use in patients with renal problems in which systemic antibiotics can not be used.


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