ID | 52402 |
JaLCDOI | |
FullText URL | |
Author |
Hagiya, Hideharu
Naito, Hiromichi
Hagioka, Shingo
Okahara, Shuji
Morimoto, Naoki
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Abstract | The effect of antibiotics during the perioperative period of percutaneous dilatational tracheostomy (PDT) is still controversial. A total of 297 patients who underwent the PDT procedure were divided into 2 groups:those administered antibiotics perioperatively and those not administered antibiotics. Wound infections were noted in 7 cases (incidence rate, 2.36%) and no death was recorded. Of the 69 patients without antibiotics, 5 developed wound infections (incidence rate, 7.25%), while only 2 of the 228 patients with antibiotics developed wound infections (incidence rate, 0.88%) (p=0.002;risk ratio, 8.82;95% confidence interval, 1.67-46.6). Of the 7 cases of wound infection, 5 cases occurred during the early period after PDT (within 7 days). Collectively, the present results suggest that prophylactic administration of antibiotics may prevent the incidence of PDT-induced wound infection, especially in the early phase after the PDT procedures. The need for antibiotics in PDT should be reconsidered.
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Keywords | airway management
critically ill patient
percutaneous dilatational tracheostomy
surgical site infection
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Amo Type | Original Article
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Publication Title |
Acta Medica Okayama
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Published Date | 2014-04
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Volume | volume68
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Issue | issue2
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Publisher | Okayama University Medical School
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Start Page | 57
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End Page | 62
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2014 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |