Application of Intrawound Vancomycin Powder during Spine Surgery in a Patient with Dialysis-Dependent Renal Failure
المؤلفون المشاركون
Kim, Jackson
Burke, Shane M.
Qu, Evan
Hwang, Steven W.
Riesenburger, Ron I.
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-06-22
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Surgical site infections (SSIs) after spinal surgery are a serious complication that can be minimized with prophylaxis.
Vancomycin is a common agent used in the prevention of SSI.
Given that vancomycin is renally cleared, its use requires careful observation in dialysis-dependent patients due to toxicity at supratherapeutic levels.
Since minimum inhibitory concentrations (MICs) for vancomycin have increased due to the emergence of resistant pathogens, the use of vancomycin in such patients is further complicated.
Local instillation of vancomycin powder is thought to provide additional protection against SSI and have lower systemic absorption.
We present a patient with end-stage renal disease that developed progressively debilitating cervical spondylotic myelopathy necessitating multilevel laminectomy and instrumented fusion.
Prior to closure, 1 gram of vancomycin powder was sprinkled into the surgical incision.
Postoperative serum vancomycin levels were well below those associated with nephrotoxicity and ototoxicity.
Based on this experience, we reviewed the relevant guidelines that were designed to prevent postoperative infections in such dialysis-dependent patients.
Intrawound application of vancomycin may be a legitimate and safe option for SSI prophylaxis in patients with renal failure on dialysis.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kim, Jackson& Burke, Shane M.& Qu, Evan& Hwang, Steven W.& Riesenburger, Ron I.. 2015. Application of Intrawound Vancomycin Powder during Spine Surgery in a Patient with Dialysis-Dependent Renal Failure. Case Reports in Surgery،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060036
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kim, Jackson…[et al.]. Application of Intrawound Vancomycin Powder during Spine Surgery in a Patient with Dialysis-Dependent Renal Failure. Case Reports in Surgery No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1060036
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kim, Jackson& Burke, Shane M.& Qu, Evan& Hwang, Steven W.& Riesenburger, Ron I.. Application of Intrawound Vancomycin Powder during Spine Surgery in a Patient with Dialysis-Dependent Renal Failure. Case Reports in Surgery. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060036
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1060036
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر