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Study Comparing Antibiotic Treatment And Antibiotic Profilaxys for the Treatment of Open Fractures of the Hand Swanson Type I
Paulo Randal Pires Junior, MD1; Paulo Randal Pires, MD1; Leandro de Azevedo Figueiredo, MD2
1Orthopedics, Madre Teresa Hospital, Belo Horizonte, Brazil; 2Orthopedics, Madre Teresa Hospital, Vitoria, Brazil

Objective: To compare the effectiveness of antibiotics and antibiotic prophylaxis as an adjunct to surgical treatment of fractures of the hand, type 1 Swanson, having as parameter the rate of infection observed.

Materials and Methods: Between April 2002 and August 2003 were prospectively studied 179 patients with fractures of hand, like a Swanson type 1. They were divided into two groups being the first with 92 patients undergoing antibiotic intravenous form for three days and the second with 87 patients who received intravenous antibiotic prophylaxis with three doses at intervals of 4 hours between them.

Results: The groups as compared with each other and were statistically similar in both variables. The crushing was the most frequent mechanism of injury (29.6%). Seventy-five patients (41.9%) had 108 associated soft tissue injuries. Predominated (p <0.001) injury of the extensor tendons. The infection rate was statistically similar in both groups.

Conclusion:
The procedure antibiotic prophylaxis is as effective as antibiotic therapy as an adjunct to surgical treatment of fractures of the hand like a Swanson type 1. The descriptive characteristics of the sample are the same of previous studies.



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