Prophylaxis of occipital pressure sores in patients after elective spinal surgery in a pandemic condition.

IF 1.4 Q3 RHEUMATOLOGY Reumatologia Pub Date : 2022-01-01 Epub Date: 2022-05-18 DOI:10.5114/reum.2022.116198

Piotr Tederko, Victoria Perovic-Kaczmarek, Robert Gasik, Beata Tarnacka

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引用次数: 2

Abstract

Background: Occipital pressure sores (OPS) are complications of the use of cervical collars. Prophylaxis of OPS in patients after cervical spinal surgery (CCS) appears to be neglected.

Material and methods: Cochrane Central, EMBASE, PubMed, SCOPUS, and Web of Science databases were searched for studies on OPS after CCS.

Results: We present the case of a patient with rheumatic arthritis who was secured with a hard collar after revision CCS and was not seen by a health professional due to the COVID-19 outbreak. The result was an OPS leading to deep tissue infection. The patient required a prolonged hospital stay and long-term antibiotic therapy. We found a lack of literature on OPS prevention in patients after CCS.

Conclusions: Patients with rheumatoid arthritis using collars after CCS are at risk of OPS. Protocols of prevention of OPS should be reviewed with respect to challenges resulting from epidemiological restrictions and accessibility of telemedical technologies.

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流感大流行条件下择期脊柱手术患者枕压疮的预防

背景:枕部压疮(OPS)是颈套使用后的并发症。预防OPS的患者后颈椎手术(CCS)似乎被忽视。材料和方法:检索Cochrane Central、EMBASE、PubMed、SCOPUS和Web of Science数据库，检索CCS后OPS的相关研究。结果:我们报告了一例风湿性关节炎患者，他在CCS翻修后用硬项圈固定，但由于COVID-19爆发而没有得到卫生专业人员的检查。结果是OPS导致深部组织感染。患者需要延长住院时间和长期抗生素治疗。我们发现缺乏关于CCS后患者OPS预防的文献。结论:类风湿关节炎患者在CCS后使用项圈有发生OPS的风险。针对流行病限制和远程医疗技术的可及性所带来的挑战，应审查项目事务处预防议定书。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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