Agricultural Trauma Causing Open Fractures: Is Antibiotic Coverage Against Anaerobic Organisms Indicated?

• DOI: 10.1097/bot.0000000000002192
• Publication Date: 2021-05-30T00:15:43Z
• Authors: Malynda Wynn; Kyle Kesler; John Morellato; Robert Higginbotham; Michael Robertson; John Lawrence Marsh; Matthew Hogue
• Keywords: Open fracture; Trauma Center; Demographics

Objective: To compare deep infection rate and causative organisms in open fractures of the lower extremity from agricultural trauma with similar injuries nonagricultural trauma. Design: Retrospective. Setting: Two tertiary care institutions. Methods: Open sustained between 2003 2018 caused by agriculture-related adult patients were reviewed. A nonagriculture fracture control group (NAG) was identified for comparison. Patient demographics injury characteristics assessed. Outcomes included occurrence organisms. Results: One hundred seventy-eight agriculture (AG) (n = 89) groups. Among injury, farm machinery most common mechanism 69 (77.5%) them. foot (38.2%) tibial shaft (25.8%) AG NAG groups, respectively. Deep seen 21% compared 10% ( P < 0.05). In group, anaerobic occurred 44% 9.1% The enterococci, Pseudomonas aeruginosa , Clostridium perfringens . Conclusions: This study supports that due to have a high rate, occurring at higher rates than Prophylactic treatment antibiotics directed against anaerobes is indicated these injuries. Level Evidence: Prognostic III. See Instructions Authors complete description levels evidence.