Evaluation of the Effect of Prophylactic Antibiotics in the Prognoses of Patients with Chest Tube after Penetrating Chest Trauma Refferring to the Emergency Wards (2011)

Chest injuries cause 20% to 25% of morbidity of traumas. However، with chest tube intervention and appropriate prophylaxis the rate of morbidity can be decreased. Chest tubes can cause infection، but this kind of infection can be prevented by using prophylactic antibiotics. This survey is performed to exert the effect of prophylactic antibiotics in patients with chest tube. In this clinical trial study، 70 patients who were hospitalized in the emergency care units because of chest trauma، were selected by accessible sampling in the year 2011 and divided into two equal groups (35 patients in each group). The intervention group was given sephalosporin prophylaxis and the control group received placebo، then the patients were followed for 2 weeks (after 3، 7 and 14 days). Data were analyzed using paired t test، independent t and X2 using SPSS 18. The difference between total mean score of fever in case (37. 73±0. 41) and control (37. 63±0. 39) groups، did not indicate a significant difference in the complication of chest tube after trauma (p>0. 05). The major symptom after the second week was ploritic pain. Findings represented that in the group which intervention was carried out the mean scores of fever and the other complications were not different with the patients in the control group. Thus using prophylactic antibiotics in patients with chest tube is not recommended for the care of the patients who suffer from chest trauma.