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The Role of Antibiotics in the Management of Open Fractures
MICHAEL J. PATZAKIS; J. PAUL HARVEYJR.; DANIEL IVLER
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From the Department of Surgery-Orthopedics and the Department of Microbiology, University of Southern California School of Medicine and Los Angeles County General Hospital, Los Angeles
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:532-541 
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Abstract

In 310 patients, divided into groups receiving penicillin and streptomycin, cephalothin, or no antibiotics, culture specimens were taken at four stages of triage, and each patient was followed and observed for infection. A correlation was made between retrieval of bacteria after injury and incidence of infection. In control patients the incidence of infection was 13.9 per cent while in the group receiving penicillin and streptomycin it was 9.7 per cent, the difference not being statistically significant. The group of patients receiving cephalothin had a significantly lower infection rate of 2.3 per cent.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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