RESUMO
Totally, 185 patients, operated on for a fresh hip fracture, were randomly allocated to either methicillin antibiotic prophylaxis or no prophylaxis and followed for 1 month. Two superficial wound infections were recorded in the prophylaxis group and one in the control group. Prophylactic use of antibiotics in surgery for hip fractures seems unnecessary provided strict aseptic routines in the operating room are followed.
Assuntos
Fraturas do Quadril/cirurgia , Meticilina/uso terapêutico , Complicações Pós-Operatórias/prevenção & controle , Infecção dos Ferimentos/prevenção & controle , Adulto , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada , Feminino , Fraturas do Quadril/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/microbiologia , Estudos Prospectivos , Ensaios Clínicos Controlados Aleatórios como Assunto , Infecção dos Ferimentos/etiologiaRESUMO
In an urban population of half a million, all proximal humeral fractures were recorded in 1983. A total of 565 fractures, of which 77 per cent occurred in women, were seen. The overall incidence per 100,000 was 48 in men and 142 in women, with an exponential increase from the 5th decade of age. This rise was due to a higher incidence of minimally displaced fractures associated with moderate trauma, and thus of fractures associated with osteoporosis.
