Efficiency of Paraffin Tulle Gras Coated with Chlorhexidine Acetate Againt Infection in Open Fracture of the Distal Phalanx of Hand Compare with Antibiotic Prophylaxis and Control Group
Keywords:
open fracture, distal phalanx, antibiotic prophylaxis, paraffin tulle grasAbstract
Objective: This is to compare postoperative infection in patients with open fracture of distal phalanges of fingers among antibiotic prophylaxis group , paraffin tulle gras coated with chlorhexidine acetate group , and the control group.
Methods: In this prospective randomized study, 136 patients with an open fracture of the distal phalanx of finger undergoing meticulous wound toilet surgery, were randomized into 3 groups. Paraffin tulle gras coated with chlorhexidine acetate group, antibiotic prophylaxis group , and control group. The three groups were compared as to the postoperative wound infections.
Results: No significant differences were found in postoperative wound infections in paraffin tulle gras coated with chlorhexidine acetate group and the antibiotic prophylaxis group. But there was a significant difference found in postoperative wound infections in paraffin tulle gras coated with chlorhexidine acetate group and control group. This appeared to be the same significant difference found in postoperative wound infections of the antibiotic prophylaxis group and control group.
Conclusion: Wound dressings with paraffin tulle gras coated with chlorhexidine acetate, which is not an antibiotic, has both inhibition and killing of bacteria. Therefore, it is useful in preventing infections of the wounds and bones of patients with open fractures of distal phalanges of fingers.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
