Management of open tibia fracture following fresh water contamination

dc.contributor.authorSnyckers, Christian Hugo
dc.contributor.authorVisser, Adele
dc.contributor.authorHoosien, E.
dc.contributor.authorMonni, T.
dc.contributor.authorIsmail, Nazir Ahmed
dc.contributor.emailadele@up.ac.zaen_US
dc.date.accessioned2010-10-26T06:43:06Z
dc.date.available2010-10-26T06:43:06Z
dc.date.issued2010
dc.description.abstractThe treatment of contaminated open fractures of the tibia remains problematic. Research has shown that the combination of early wound debridement, fracture stabilisation, soft tissue cover and empiric antibiotic use can reduce the incidence of infective complications. Empiric choice of antimicrobial(s) should target the most likely pathogens at the site of infection. Staphylococci and Streptococci are the most common aetiological agents for wound sepsis in the orthopaedic setting, and are typically covered by the first generation cephalosporins. Wound infections secondary to exposure to water sources poses a unique challenge in that a different spectrum of microorganisms are expected and varies according to the type of water source. A recent article published by Ribeiro et al focusing on the management of bums patients, noted that water exposure due to irrigation of the wounds as part of first aid management resulted in Gram-negative colonisation and infection. Thus, different empiric antimicrobials were suggested according to the water sources used for irrigation. Local epidemiology and resistance patterns need to be taken into account when deciding on the initial empiric antibiotic regimen.en_US
dc.identifier.citationSnyckers, CH, Visser, A, Hosien, E, Monni, T & Ismail, NA 2010, 'Management of open tibia fracture following fresh water contamination', SA Orthopaedic Journal, vol. 9, no. 3, pp. 41-46. [http://www.charpublications.co.za/C_JournalsORTH.asp]en_US
dc.identifier.issn1681-150X
dc.identifier.urihttp://hdl.handle.net/2263/15062
dc.language.isoenen_US
dc.publisherSouth African Orthopaedic Association / Char Publicationsen_US
dc.rightsSouth African Orthopaedic Association / Char Publicationsen_US
dc.subjectFractureen_US
dc.subjectOpen tibiaen_US
dc.subjectFresh water contaminationen_US
dc.subjectManagementen_US
dc.subjectOpen fracturesen_US
dc.subjectContaminationen_US
dc.subjectInfectionsen_US
dc.subjectAntimicrobialsen_US
dc.titleManagement of open tibia fracture following fresh water contaminationen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Snyckers_Management(2010).pdf
Size:
795.73 KB
Format:
Adobe Portable Document Format
Description:
Article

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
2.44 KB
Format:
Item-specific license agreed upon to submission
Description: