Evaluating the Use of Preoperative Antibiotics in Pediatric Orthopaedic Surgery

Abstract

Level III, retrospective comparative.

Utility of Postoperative Antibiotics After Percutaneous Pinning of Pediatric Supracondylar Humerus Fractures

“…15 The overall rate of surgical-site infection in our study (1.8%) was consistent with that reported in the literature for patients undergoing CRPP of supracondylar humerus fractures. 7,[9][10][11][12] The majority of infections were superficial and effectively treated with antibiotics, which is also consistent with current literature. Our results demonstrated that postoperative antibiotic administration had no effect on the rate of surgical-site infection.…”

“…In fact, it has been shown that pediatric patients who do not receive preoperative antibiotics before this procedure and other minimally invasive orthopaedic procedures are not at higher risk of developing a surgical-site infection compared with patients who receive preoperative antibiotics. 8,9,11 Postoperative antibiotic use has not been well studied.…”

“…5,6 Surgical-site infections after CRPP of pediatric supracondylar humerus fractures are rare, with a reported overall rate of 2.3%. [7][8][9][10][11][12] Most infections are superficial and can be treated with oral antibiotics and local wound care. Deep infections occur in <0.5% of cases, and may require surgical management and prolonged antibiotic treatment.…”

Open reduction internal fixation of lateral humeral condyle fractures in children. A series of 105 fractures from a single institution

“…In our study, all patients received a single dose of prophylactic antibiotics at induction. It has been debated whether prophylactic antibiotics should be used for percutaneous wiring of fractures and some authors advise against it [14, 15]. Nevertheless, in our cohort, all patients underwent open reduction and subsequent wire fixation, and therefore, the authors felt that prophylactic antibiotics should be used, which is in accordance with our institutional policy.…”

Evaluating the use of antibiotic prophylaxis during open reduction and internal fixation surgery in patients at low risk of surgical site infection

“…To minimise SSI occurrences, perioperative prophylactic antibiotics have been routinely used for all patients undergoing ORIF procedures. Although it is generally accepted that prophylactic antibiotics are effective in reducing the incidence of SSI in contaminated and dirty wounds [3,5], it remains uncertain whether antibiotics should be used routinely with patients undergoing clean ORIF surgeries who are at low risk of developing SSI [13,17].…”