{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T13:15:28Z","timestamp":1776431728065,"version":"3.51.2"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Handgelenksarthroskopie (HG-ASK) ist ein handchirurgisches\n                    Standardverfahren zur Diagnose und Behandlung von Handgelenksbeschwerden. Obwohl\n                    f\u00fcr elektive handchirurgische Eingriffe die perioperative Antibiotikagabe zur\n                    Infektprophylaxe (PAP) nicht allgemein empfohlen wird, gibt es bez\u00fcglich der\n                    elektiven HG-ASK keinen offiziellen Standard. In dieser Studie sollte daher die\n                    tats\u00e4chliche klinische Anwendung von PAP bei elektiven HG-ASK in Deutschland\n                    ermittelt und in Bezug zu den strukturellen Voraussetzungen der durchf\u00fchrenden\n                    Kliniken gesetzt werden.<\/jats:p><jats:p>\n          Material und Methoden Es wurde eine systematische Recherche aller\n                    Einrichtungen in Deutschland, die HG-ASK anbieten, durchgef\u00fchrt. Unter diesen\n                    wurde eine Online-Umfrage mit dem Online-Tool SoSci Survey per E-mail\n                    durchgef\u00fchrt.<\/jats:p><jats:p>\n          Ergebnisse Von 396 befragten Einrichtungen nahmen 84 (21,2%) an der\n                    Umfrage teil. Eine PAP wird h\u00e4ufiger bei gleichzeitigen Eingriffen an Knochen\n                    verabreicht. Im Falle einer PAP-Gabe werden Cephalosporine mit Abstand am\n                    h\u00e4ufigsten verwendet. In Krankenh\u00e4usern wird h\u00e4ufiger PAP verabreicht als in der\n                    ambulanten Versorgung, wobei sich die meisten befragten Institutionen bei der\n                    Antibiotikagabe an einrichtungsspezifischen internen Standards orientieren. Die\n                    Anzahl der durchgef\u00fchrten Arthroskopien in den befragten Zentren hat keinen\n                    Einfluss auf die Antibiotikagabe.<\/jats:p><jats:p>\n          Schlussfolgerungen Die Anwendung von PAP bei Handgelenksarthroskopien ist\n                    in Deutschland uneinheitlich. Die vermehrte Anwendung bei Arthroskopien mit\n                    kn\u00f6cherner Beteiligung entspricht den AWMF-Leitlinien, eine generelle Empfehlung\n                    zu Handgelenksarthroskopien inklusive Weichteilarthroskopien ist aber notwendig,\n                    um den behandelnden \u00c4rzten Behandlungs- und medizinrechtliche Sicherheit zu\n                    geben.<\/jats:p>","DOI":"10.1055\/a-2273-4864","type":"journal-article","created":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T22:51:50Z","timestamp":1713999110000},"page":"250-256","source":"Crossref","is-referenced-by-count":1,"title":["Einsatz von Antibiotikum zur perioperativen Infektprophylaxe in der\n                    elektiven Handgelenksarthroskopie: Eine deutschlandweite\n                    Befragung"],"prefix":"10.1055","volume":"56","author":[{"given":"Wolfram","family":"Demmer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuel","family":"Meyer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elias","family":"Volkmer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Helios Klinikum M\u00fcnchen West, M\u00fcnchen,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Ehrl","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"},{"name":"Klinik f\u00fcr Plastische, Wiederherstellende und Handchirurgie, Zentrum\n                    f\u00fcr Schwerbrandverletzte, Klinikum N\u00fcrnberg, N\u00fcrnberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth M.","family":"Haas-L\u00fctzenberger","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constanze","family":"Kuhlmann","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo E.","family":"Giunta","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"Wachtel","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Hand-, Plastische und \u00c4sthetische Chirurgie, Klinikum der\n                    Universit\u00e4t M\u00fcnchen, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"ref1","first-page":"723","article-title":"Arthroscopy of the wrist and finger joints","volume":"10","author":"Y C Chen","year":"1979","journal-title":"Orthop Clin North Am"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1055\/b-006-161155","volume-title":"Wrist arthroscopy techniques. 2nd Edition ed","author":"C Mathoulin","year":"2019"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3928\/01477447-20140401-07","article-title":"Current indications for and the technique of wrist arthroscopy","volume":"37","author":"J Wagner","year":"2014","journal-title":"Orthopedics."},{"key":"ref4","first-page":"73","article-title":"Present status and future of arthroscopy","volume":"26","author":"M Watanabe","year":"1972","journal-title":"Geka Chiryo"},{"key":"ref5","volume-title":"Wrist Arthroscopy","author":"T Unger","year":"2022"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1007\/s00590-018-2263-2","article-title":"Why do we use arthroscopy for distal radius fractures?","volume":"28","author":"L Ardouin","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1177\/1753193409100120","article-title":"New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ\n                    instability","volume":"34","author":"A Atzei","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/bmb\/ldw032","article-title":"Wrist arthroscopy in the management of articular distal radius fractures","volume":"119","author":"F Smeraglia","year":"2016","journal-title":"Br Med Bull"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1111\/joa.12941","article-title":"Examining the contribution of surrounding intact skin during cutaneous\n                    healing","volume":"234","author":"M E Aljghami","year":"2019","journal-title":"J Anat"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.12968\/bjon.2010.19.Sup10.79693","article-title":"Barrier dressings in surgical site infection prevention strategies","volume":"19","author":"F Downie","year":"2010","journal-title":"Br J Nurs"},{"key":"ref11","first-page":"76","article-title":"Antimicrobial prophylaxis in minor and major surgery","volume":"81","author":"M Bassetti","year":"2015","journal-title":"Minerva Anestesiol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/1558944717701241","article-title":"Current Evidence Regarding Routine Antibiotic Prophylaxis in Hand Surgery","volume":"13","author":"J C Dunn","year":"2018","journal-title":"Hand (NY)"},{"key":"ref13","first-page":"97","article-title":"Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease\n                    Control and Prevention (CDC) Hospital Infection Control Practices Advisory\n                    Committee","volume":"27","author":"A J Mangram","year":"1999","journal-title":"Am J Infect Control"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/j.suc.2014.08.008","article-title":"Surgical site infections","volume":"94","author":"P Y Young","year":"2014","journal-title":"Surg Clin North Am"},{"key":"ref20","first-page":"567","volume-title":"Statistical Power Analysis for the Behavioral Sciences. 2nd, editor","author":"J Cohen","year":"1988"},{"key":"ref24","first-page":"70","article-title":"Perioperative Antibiotika-Prophylaxe","volume":"19","author":"H Wacha","year":"2010","journal-title":"Chemother J"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/j.jhsa.2018.03.040","article-title":"Preoperative Antibiotics in Wrist Arthroscopy","volume":"43","author":"R J Hoel","year":"2018","journal-title":"J Hand Surg Am"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"262","DOI":"10.5312\/wjo.v9.i11.262","article-title":"Should antibiotics be administered before arthroscopic knee surgery? A\n                    systematic review of the literature","volume":"9","author":"J Carney","year":"2018","journal-title":"World J Orthop"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.arthro.2016.05.020","article-title":"Efficacy of Prophylactic Antibiotics in Simple Knee Arthroscopy","volume":"33","author":"RW B Wyatt","year":"2017","journal-title":"Arthroscopy"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"e829","DOI":"10.3928\/01477447-20120525-20","article-title":"Is antibiotic prophylaxis necessary in elective soft tissue hand surgery?","volume":"35","author":"R Tosti","year":"2012","journal-title":"Orthopedics"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1302\/2633-1462.44.BJO-2023-0019","article-title":"Efficacy of perioperative antibiotic prophylaxis in elective soft-tissue-only\n                    wrist arthroscopy","volume":"4","author":"N Wachtel","year":"2023","journal-title":"Bone Jt Open"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2273-4864.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:34:28Z","timestamp":1730802868000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2273-4864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,24]]},"references-count":21,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,6,11]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2273-4864","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,24]]}}}