A Retrospective Study of Dogs with Osteomyelitis Secondary to Fractures (2016-2020)

Bulletin of University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca: Horticulture Pub Date : 2020-11-22 DOI:10.15835/buasvmcn-vm:2020.0013

C. Igna, L. Schuszler, D. Bumb, R. Dascalu, C. Zaha, B. Sicoe

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Abstract

The purpose of this work was to evaluate the role of surgical procedures and the effectiveness of antimicrobial therapy in dogs with osteomyelitis secondary to fractures repair. Medical records between 2016 and 2020 were analyzed. Clinical data including signalment, affected bone segment, fracture type, isolated microorganisms, antimicrobial susceptibility profiles, applied therapeutic management and fracture healing time were documented. Eleven cases were confirmed with exogenous osteomyelitis of long bones secondary to fractures repair. The most common microorganisms isolated were Staphylococcus spp., Streptoccocus spp., and Escherichia coli. Amoxicillin and clavulanate potassium followed by ceftriaxone were the most effective drugs. High-resistance rates were documented for penicillin and clindamycin. All 10 cases undergoing surgical revision were cured in 10-17 weeks. Simultaneous debridement with implant removal, reduction, and rigid internal fracture fixation is a satisfactory method for revision surgery in treatment of long bones fractures complicated with osteomyelitis.

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犬骨折继发性骨髓炎的回顾性研究(2016-2020)

这项工作的目的是评估外科手术的作用和抗菌治疗在犬骨折修复继发骨髓炎中的有效性。分析了2016年至2020年的医疗记录。记录了临床数据，包括信号、受影响的骨段、骨折类型、分离的微生物、抗菌药物敏感性、应用的治疗管理和骨折愈合时间。11例被证实为继发于骨折修复的外源性长骨骨髓炎。分离出的最常见的微生物是葡萄球菌属、链霉菌属和大肠杆菌。阿莫西林和克拉维酸钾是最有效的药物，其次是头孢曲松。青霉素和克林霉素的耐药率较高。10例患者均在10～17周内治愈。同时清创、移植物、复位和刚性骨折内固定是治疗长骨骨折合并骨髓炎的一种令人满意的翻修手术方法。

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Bulletin of University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca: Horticulture

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