<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2790-8305</journal-id>
<journal-title><![CDATA[Revista Científica CMDLT]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cien CMDLT]]></abbrev-journal-title>
<issn>2790-8305</issn>
<publisher>
<publisher-name><![CDATA[Centro Médico Docente La Trinidad]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2790-83052023000100603</article-id>
<article-id pub-id-type="doi">10.55361/cmdlt.v17i1.347</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencias en terapia con antibióticos y aceite tratado con ozono de fracturas abiertas grado III en tejidos blandos de miembros inferiores]]></article-title>
<article-title xml:lang="en"><![CDATA[Experiences in therapy with antibiotics and ozonated oil of grade III open fractures in soft tissues of the lower extremity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Navarro]]></surname>
<given-names><![CDATA[Tahilymar Del Valle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero]]></surname>
<given-names><![CDATA[Franklim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias]]></surname>
<given-names><![CDATA[María Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gimón]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Goatache]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[Valentín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas de Gascue]]></surname>
<given-names><![CDATA[Blanca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Antonio Patricio de Alcalá  ]]></institution>
<addr-line><![CDATA[Cumaná ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Julio Rodríguez  ]]></institution>
<addr-line><![CDATA[Cumana ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Vitaozono Venezuela, C.A  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Oriente  ]]></institution>
<addr-line><![CDATA[Cumana ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S2790-83052023000100603&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S2790-83052023000100603&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S2790-83052023000100603&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En este estudio se evaluó la eficacia del tratamiento con antibiótico y aceite ozonizado en lesiones de tejidos blandos en fracturas abiertas Grado III según Gustilo y Anderson en miembros inferiores en el Hospital Antonio Patricio de Alcalá (Cumaná, Venezuela) en el periodo desde enero 2019 hasta septiembre 2021. Se incluyeron nueve (9) pacientes tratados con aceite ozonizado y antibióticos, donde se evidenció que el sexo masculino fue el más afectado (67 %), en un rango de edad 16-40 años. Así mismo el mecanismo de producción más frecuente fue el accidente de tránsito tipo colisión moto- carro, con una localización anatómica más común en la tibia y el peroné (33 %), siendo la fractura Tipo IIIB la más común (44 %). Se aplicó protocolo Gustilo y Anderson donde se observó que el desbridamiento quirúrgico extendido de 48 h a 72 h permitió mejorar las condiciones de las partes blandas. Staphylococcus aureus y Pseudonomas aeuriginosa fueron las especies detectadas con mayor frecuencia en los cultivos realizados. El tratamiento más eficaz para la cicatrización de las heridas fueron los antibióticos: meropenem, vancomicina y como coadyuvante, el aceite ozonizado. Posteriormente se realizaron cultivos in vitro donde las bacterias detectadas presentaron halos de inhibición entre 22 mm y 30 mm por la aplicación de aceite ozonizado. El uso de antibiótico de amplio espectro fue sensible en combinación con el aceite ozonizado de 5 a 10 gotas cada 72 h, demostrando el efecto bactericida de los grupos ozónidos del aceite con respecto a los antibióticos tradicionales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In this study, the effectiveness of treatment with antibiotics and ozonated oil in soft tissue injuries in open fractures Grade III according to Gustilo and Anderson in lower extremity at the Antonio Patricio de Alcalá Hospital (Cumana, Venezuela) was evaluated in the period from January 2019 to September 2021. Nine (9) patients treated with ozonated oil and antibiotics were included, where it was evident that the male sex was the most affected (67%), in an age range of 16-40 years. Likewise, the most frequent mechanism of production was the traffic accident type motorcycle-car collision, with a more common anatomical location in the tibia and fibula (33 %), with the Type IIIB fracture being the most common (44 %). The Gustilo and Anderson protocol was applied where it was observed that surgical debridement extended from 48 hours to 72 hours allowed for improvement in the conditions of the soft tissues. Staphylococcus aureus and Pseudonomas aeuriginosa were the most frequently detected species in the cultures performed. The most effective treatment for wound healing was antibiotics: meropenem, vancomycin and, as an adjuvant, ozonated oil. Subsequently, in vitro cultures were carried out where the detected bacteria presented inhibition zones between 22 mm and 30 mm due to the application of ozonated oil. The use of broad-spectrum antibiotic was sensitive in combination with ozonized oil 5 to 10 drops every 72 h, demonstrating the bactericidal effect of the ozonide groups of the oil with respect to traditional antibiotics.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura ósea]]></kwd>
<kwd lng="es"><![CDATA[aceite ozonizado]]></kwd>
<kwd lng="es"><![CDATA[antibiograma]]></kwd>
<kwd lng="es"><![CDATA[tejidos blandos]]></kwd>
<kwd lng="es"><![CDATA[antibacterianos]]></kwd>
<kwd lng="en"><![CDATA[Bone fractures]]></kwd>
<kwd lng="en"><![CDATA[ozonated oil]]></kwd>
<kwd lng="en"><![CDATA[Microbial Sensitivity Tests]]></kwd>
<kwd lng="en"><![CDATA[anti-bacterial agents]]></kwd>
</kwd-group>
</article-meta>
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