Role Of Antibiotics In Management Of Open Wounds With Fractures

Al-Azzawi, Issam; Y. Qasem, Ghaith

	Role Of Antibiotics In Management Of Open Wounds With Fractures
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 28, Issue 3, 2015, Pages 151-155
Authors
Issam Al-Azzawi; Ghaith Y. Qasem
Abstract
Introduction; Open fractures due to high velocity missile injuries (bullets and shells) are very extensive injuries. Timing of antibiotics administration is a not a fundamental part of open wounds treatment. Aim of study: To compare the infection rate before and after use of antibiotics between two groups of patients with open wounds with fractures. Patients & Methods: A prospective study was conducted during the period from March 2009 to March 2010 on 133 patients who were presented to the orthopedic emergency department at Al-Yarmouk Teaching Hospital with open wounds. They were divided into two groups according to time of antibiotics administration. All the patients were followed up by infection signs and culture. Results:Mean age of the patients in this study was 31 years. The commonest mechanism of injury was a blast and bullets injury (56%) followed by road traffic accidents (44%) number of males was 128 and females were 5. There was no significant association between timing of antibiotics and infection of open wounds (p=0.1). Conclusions & Recommendations: Early antibiotics administration is not so vital for open wounds management. The provision of combined orthopedic and surgical plastic teams and early closure of open fractures grade I, II, IIIa are recommended.
Keywords
Open wounds; Antibiotics; Blast; IIIa

Statistics Article View: 176 PDF Download: 91