Aplicación de vancomicina en polvo sobre el injerto. ¿Afecta la fusión de columna en conejos?

Guimbard-Pérez, JH; Nicolás-Ortiz, P; Cristiani-Winer, M; Orosco-Falcone, D; Gutiérrez, N; Pomba, M

doi:10.35366/97988

Acta Ortopédica Mexicana

2020

DOI: 10.35366/97988

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Aplicación de vancomicina en polvo sobre el injerto. ¿Afecta la fusión de columna en conejos?

JH Guimbard-Pérez¹,

P Nicolás-Ortiz²,

M Cristiani-Winer³

et al.

Abstract: Aplicación de vancomicina en polvo sobre el injerto. ¿Afecta la fusión de columna en conejos? Application of vancomycin powder on graft. Does the fusion of the rabbit's spine is affected?

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2023

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Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity

Rocos,

Kato,

Lewis

et al. 2023

Global Spine Journal

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Study Design Cross-sectional international survey with literature review. Objectives To evaluate the evidence for these strategies and to understand the current trends in prophylactic antibiotic use during ASD surgery through an international survey. Methods An online survey was conducted among international AO Spine members regarding the peri-operative management of patients with ASD. The details of perioperative systemic and topical antibiotic use were solicited. Descriptive data were summarized for the responding surgeons who perform at least 10 long-segment fusions of >5 levels extending to the pelvis annually. Results The literature supports the use of prophylactic antibiotic effective against gram positive organisms. The use of topical vancomycin remains debated, and there is limited evidence for topical tobramycin use. A total of 116 responses were received. 74 (64%) surgeons use topical vancomycin, most usually deep to the fascia only 45 (61%). The most usual dose used is 1-2 g. 4 (3%) surgeons use topical tobramycin deep to fascia. Following surgery, 90 (78%) surgeons use prophylactic cephalosporin with 3 (3%) using cloxacillin, 5 (4%) using ciprofloxacin and 9 (8%) using vancomycin and 6 (5%) using clindamycin either in addition or alone. Conclusions The present survey identifies a trend towards systemic and topical antibiotic prophylaxis primarily targeted at gram positive pathogens. The use of topical tobramycin, proposedly effective against gram negative infections, remains uncommon. There is a lack of consensus in the selection of perioperative antibiotic prophylaxis, thus a prospective study of the rates of infection with each strategy would be useful to inform guidelines.

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Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity

Rocos,

Kato,

Lewis

et al. 2023

Global Spine Journal

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Aplicación de vancomicina en polvo sobre el injerto. ¿Afecta la fusión de columna en conejos?

Abstract: Aplicación de vancomicina en polvo sobre el injerto. ¿Afecta la fusión de columna en conejos? Application of vancomycin powder on graft. Does the fusion of the rabbit's spine is affected?

Cited by 1 publication

References 20 publications

Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity

Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity

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