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Infektionsprophylaxe bei Implantation von Hüftkopfprothesen

Prophylactic measures against infections in the implantation of head prostheses of the hip

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Summary

An account of 581 patients managed with head prosthesis after femoral neck fractures between 1975–1988 revealed that the administration of prophylactic antibiotics coupled with the use of a lamine airflow system in the operating room reduced the infection rate from 5% to 0.75%. The important risk factors which predispose infection are poor physical state, chronic urinary tract infection as well as diabetes mellitus.

Zusammenfassung

Anhand von 581 Patienten, die 1975–1988 mit Kopfprothese versorgt wurden, wird gezeigt, daß durch gleichzeitige Verwendung eines prophylaktischen Antibioticums und Verwendung eines Reinraum-OP's die Infektionsrate von 5% auf 0,75% gesenkt werden kann. Die wichtigsten Risikofaktoren für die Entstehung einer Infektion sind reduzierter Allgemeinzustand, ein chronischer Harnwegsinfekt sowie Diabetes mellitus.

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Authors and Affiliations

  1. I. Universitäts-Klinik für Unfallchirurgie, Wien

    O. Kwasn & W. Scharf

  2. I. Chirurgische Universitäts-Klinik, Alser Straße 4, A-1097, Wien

    M. Schemper

Authors
  1. O. Kwasn
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  2. W. Scharf
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  3. M. Schemper
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Kwasn, O., Scharf, W. & Schemper, M. Infektionsprophylaxe bei Implantation von Hüftkopfprothesen. Langenbecks Arch Chiv 374, 227–231 (1989). https://doi.org/10.1007/BF01359558

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  • DOI: https://doi.org/10.1007/BF01359558

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