ArticleJB & JS open access
Infection Epidemiology, Antibiotic Treatment, and Microorganism Profiles in Urban Civilian Low Energy Firearm Fractures.
Article in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
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Abstract
Background: Civilian fractures resulting from firearm injuries are a challenging clinical entity associated with a high risk of infection. This study aims to characterize rates, associated risk factors, and pathogen profile of infections after low-energy civilian firearm fractures. Methods: This study included 1,508 adults with low-velocity firearm fractures at a Level I trauma center (2018-2022). Demographic, injury, and clinical data were collected with infection status determining stratification. Outcomes of interest in the infection cohort included pathogen, timing of antibiotics, and clinical course. Results: Of 1,508 patients, 140 patients (9.3%) developed an infection. Factors significantly associated with infection included age, male gender, lower extremity fracture, vascular injury, compartment syndrome, visceral injury, retained foreign body, and operative intervention. Polymicrobial infections were found in 67 patients (68%), and the mean time from injury to positive culture was 70.8 ± 129.2 days. Conclusion: Infections after firearm fractures are a challenging complication with a predominance of methicillin-resistant Level of Evidence: Level III. See Instructions for Authors for a complete description of levels of evidence.
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