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Антикоагулянти підвищують ризик інфекцій - Травматологія і ортопедія - Форум лікарів
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Антикоагулянти підвищують ризик інфекцій

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Аватар користувача
Костоправ
Повідомлень: 25
З нами з: 22 лютого 2015, 14:40
Спеціальність: травматолог
Звідки: Україна
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Антикоагулянти підвищують ризик інфекцій

Повідомлення#1 » 30 серпня 2018, 17:19

Колеги !!
Кілька разів зустрічався з публікаціями, що антикоакулянти підвищують ризик розвитку інфекційних раневих ускладнень (SSI - surgical site infection). І ось ще цитата з матеріалів AAOS. Ривароксабан збільшує в два рази ... в порівнянні з НМГ ... при протезуванні кульшового суглоба. Чи є у кого свої власні спостереження?

a multi-center study by Jameson et al comparing low molecular weight heparins for thromboprophylaxis was recently published. English hospital trusts replaced low molecular weight heparin with rivaroxaban for prophylaxis in lower-limb arthroplasty. There were significantly fewer wound complications in the low molecular weight heparin group (2.81% vs 3.85%; p=0.005). There was no difference in rates of pulmonary embolism, major bleeding or all-cause mortality. Jensen et al also noted a greater number of wound complications (1.8% vs 3.94%; p=0.046) in patients receiving rivaroxaban compared to tinzaparin. The morbidity of repeat surgeries associated with rivaroxaban without a reported benefit of fewer pulmonary emboli events is of great concern. The concern is especially relevant as the control or comparison group treatment (low molecular weight heparin) has also been associated with increased wound drainage and infection when compared to other means of thromboembolic disease prevention

Darmidon
Повідомлень: 1055
З нами з: 19 березня 2015, 19:29
Спеціальність: хipургiя
Звідки: Україна
Місце роботи: ЛПЗ
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Re: Антикоагулянти підвищують ризик інфекцій

Повідомлення#2 » 30 серпня 2018, 20:26

так це ж порівняння з антикоагулянтами, я так розумію, такі операції без антикоагулянтів не роблять?
Раньові складнення 1,8% можуть співпадати з операціями без антикоагулянтів.

Аватар користувача
Бойко
Повідомлень: 164
З нами з: 06 березня 2015, 21:29
Спеціальність: хірургія
Звідки: Україна
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Re: Антикоагулянти підвищують ризик інфекцій

Повідомлення#3 » 31 серпня 2018, 13:45

Це не означає, що треба відмовлятися від профілактики ВТЕО...

Полиграф Полиграфыч
Повідомлень: 748
З нами з: 05 червня 2015, 20:17
Спеціальність: не врач
Звідки: фортеця Калаур
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Re: Антикоагулянти підвищують ризик інфекцій

Повідомлення#4 » 31 серпня 2018, 14:34

имеет косвенное отношение к обсуждаемой теме - - http://www.med2.ru/story.php?utm_source ... 2&id=99478

Аватар користувача
dr.Viktor
Повідомлень: 929
З нами з: 19 березня 2015, 13:56
Звідки: Україна
Спеціальність: Хірург
Звідки: Україна
Місце роботи: Туніс, HRM
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Re: Антикоагулянти підвищують ризик інфекцій

Повідомлення#5 » 02 вересня 2018, 00:09

Ось що радять фахівці-:
" СОВРЕМЕННЫЕ ПОДХОДЫ К АНТИКОАГУЛЯНТНОЙ ТЕРАПИИ У ПАЦИЕНТОВ ПОСЛЕ ПРОТЕЗИРОВАНИЯ ТАЗОБЕДРЕННОГО И КОЛЕННОГО СУСТАВОВ"-:

http://www.mif-ua.com/archive/article/9051
Звідки-:
"Стало жить лучше, стало жить веселей!"
Де і куди-:
"Ще нам Браття Молодії усміхнеться Доля! ТАК!!!"

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