Case Series

Continuous Local Antibiotics Perfusion Therapy for Acute Deep Infections after Open Fractures

Table 2

Summary of management and clinical results.

Patient numberDuration of CLAP (days)Surgical interventionSystemic antibioticsCRP (mg/dL)
Pre
CRP (mg/dL)
Post
OutcomesFollow-up (months)
RecurrenceBone union

112DebridementTAZ/PIPC, 15 days4.202.84NoYes45
210DebridementMINO, 10 days0.570.12NoYes45
38DebridementCEZ, 11 days0.640.13NoYes46
47DebridementSBT/ABPC, 8 days1.960.76NoYes20
59DebridementCEZ, 29 days8.400.44NoYes18
611DebridementSBT/ABPC, 21 days5.464.22NoYes43
Average9.53.541.4236

CLAP: continuous local antibiotic perfusion; CRP: C-reactive protein; TAZ/PIPC: tazobactam/piperacillin; MINO: minocycline; CEZ: cefazolin; SBT/ABPC: sulbactam/ampicillin; “Pre” indicates immediately before starting CLAP therapy. “Post” indicates within two days after finishing CLAP therapy.