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《创伤后抗菌药物预防使用专家共识》解读

2017-12-30 医药导报.2017,36(12):1349-1350.

创伤抗菌药物预防性应用

该文针对预防非战伤所致的创伤性感染，如与农业生产相关的切割伤、碾压伤等皮肤软组织损伤，与创伤相关的开放性骨折、颅脑损伤、腹部创伤等。除动物咬伤感染外，不涉及创伤感染的抗菌药物治疗使用。提出创伤后3 h内是预防使用抗菌药物的“黄金时间”，针对创伤路径可能的污染菌，选择适当的单一品种，避免不必要的联合使用，严格控制氟喹诺酮类药物作为外科预防用药，预防用药时间一般不超过3 d。

中文标题：

《创伤后抗菌药物预防使用专家共识》解读

发布机构：

发布日期：

2017-12-30

简要介绍：

该文针对预防非战伤所致的创伤性感染，如与农业生产相关的切割伤、碾压伤等皮肤软组织损伤，与创伤相关的开放性骨折、颅脑损伤、腹部创伤等。除动物咬伤感染外，不涉及创伤感染的抗菌药物治疗使用。提出创伤后3 h内是预防使用抗菌药物的“黄金时间”，针对创伤路径可能的污染菌，选择适当的单一品种，避免不必要的联合使用，严格控制氟喹诺酮类药物作为外科预防用药，预防用药时间一般不超过3 d。

作者：解放军武汉总医院感染控制科 董玉梅 靳桂明

 

拓展指南：与创伤相关指南：

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    2018-04-02 1223a0a4m67暂无昵称

    学习了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=302104, encodeId=df7a30210430, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/02/1d596e051785ffaa1ac49cc59c6b817c.jpg, createdBy=1fb82316383, createdName=1223a0a4m67暂无昵称, createdTime=Mon Apr 02 19:27:47 CST 2018, time=2018-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=278408, encodeId=a4c72e840857, content=下载了.慢慢看., beContent=null, objectType=guider, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/12/31/a88428e95e462b5a95499ced50b4325e.jpg, createdBy=60182225250, createdName=15121100f4m, createdTime=Sun Jan 14 10:58:32 CST 2018, time=2018-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=278385, encodeId=a5ae2e838555, content=学习了很有用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Sun Jan 14 10:18:42 CST 2018, time=2018-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=278375, encodeId=f0872e837555, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sun Jan 14 09:19:11 CST 2018, time=2018-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=278356, encodeId=651c2e835602, content=了解了解.学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Sun Jan 14 08:49:51 CST 2018, time=2018-01-14, status=1, ipAttribution=)]
    2018-01-14 15121100f4m

    下载了.慢慢看.

    0

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    2018-01-14 飛歌

    学习了很有用

    0

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    2018-01-14 龙胆草

    学习谢谢分享

    0

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    2018-01-14 1dd8c52fm63(暂无匿称)

    了解了解.学习学习

    0

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