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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
    7 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.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    7 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.

    Copyright:

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    Download as PPTX, PDF, TXT or read online from Scribd
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    of 5

    Vacuum dressings

    Vacuum dressings
    Antibiotics

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    Open fractures Extent of
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    antibiotic
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    decrease in
    n contaminated
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    de n t on “ear contaminatio environment
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    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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