PubMed Health⌕ Search

Biomedical subjects

I Skråmm

Publications and source records attributed to I Skråmm.

2 recordsLinked to original sources

Use of rifampicin and ciprofloxacin combination therapy after surgical debridement in the treatment of early manifestation prosthetic joint infections.

Prosthetic joint infections are difficult to eradicate, and antibiotic and surgical treatment strategies lack standardisation. The present study followed 29 patients (median age 72 years, median American Society of Anesthesia score of two) with early prosthetic joint infections. Treatment consisted of device retention, surgical debridement and therapy with rifampicin and ciprofloxacin for 3 months. This treatment regimen failed in five patients during the study, with a median observation period of 674 days. The results of this study confirm the findings of the only previous study on device retention with antibiotic treatment.

Aged↗

Breech delivery. An obstetrical analysis.

Fivehundred and eighty consecutive breech births during the period 1972-79 were analvsed for factors associated with neonatal mortality. The overall neonatal mortality in breech deliveries in this series of cases was 4.1%. Multivariate analyses (logistic regression) selected only 4 of 56 variables tested as significant (p less than 0.05) risk factors for neonatal death. The overall most important risk factor was low birth weight (p less than 0.0001). In addition, diabetes in the mother, malformations, and Apgar score 5 min less than 7 increased the risk of neonatal death. Cesarean section was carried out in 8.1% during the period 1972-75, but increased to 32.6% from 1976-79 without any reduction in neonatal mortality. Neonatal mortality figures were not significantly improved for infant delivered by cesarean section compared with those born vaginally.

Adult↗