The efficacy of local gentamicin-collagen sponge in prevention of infection following open fracture of femur /

Open fractures are known as a major predisposing factor for a higher incidence of infection. The aim of this study is to assess the efficacy of the antibiotic impregnated collagen sponge in reducing the risk of infection in open fractures Grade 3. Observational cohort study, evaluating incidence of...

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Bibliographic Details
Main Author: Kularaj Subramaniam (Author)
Format: Thesis
Language:English
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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040 |a UIAM  |b eng  |e rda 
041 |a eng 
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100 0 |a Kularaj Subramaniam,  |e author 
245 1 4 |a The efficacy of local gentamicin-collagen sponge in prevention of infection following open fracture of femur /  |c by Kularaj a/l Subramaniam 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2018 
300 |a x, 61 leaves :  |b illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
347 |2 rdaft  |a text file  |b PDF 
502 |a Thesis (MORTH)--International Islamic University Malaysia, 2018. 
504 |a Includes bibliographical references (leaves 48-50). 
520 |a Open fractures are known as a major predisposing factor for a higher incidence of infection. The aim of this study is to assess the efficacy of the antibiotic impregnated collagen sponge in reducing the risk of infection in open fractures Grade 3. Observational cohort study, evaluating incidence of infection in open fractures of the femur Grade 3A following insertion of gentamicin impregnated collagen sponge (Collatamp®) during definitive fracture fixation. ESR and TWC were used as blood parameters to observe for possibility of infection from pre-operatively up to follow up visits at clinic. A total number of 36 patients, whom had sustained open fracture of the femur Grade 3A, underwent internal fixation with antibiotic impregnated collagen sponge insertion. Overall ESR and TWC in both male and female gender were down going trend, with P values <0.001. The data analysis shows that there was no infection identified in 97.2% of patients, following the internal fixation and antibiotic impregnated collagen sponge insertion. There was only 1 patient (2.8%) who had developed infection following the definitive internal fixation and antibiotics impregnated collagen sponge insertion. The use of antibiotic impregnated collagen sponge in open fractures was effective in reducing the risk infection. Furthermore, this allows for an uncomplicated union of the bone following definitive fixation. 
596 |a 1 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/j0vjTXN9R58luTj4EPo8fPVI8fM1fVip20200722080610491  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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