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National Guideline Clearinghouse | Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.

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National Guideline Clearinghouse | Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.

National Guideline Clearinghouse (NGC)

June 10, 2013


Guideline Title
Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.
 
Bibliographic Source(s)
Goldberg SR, Anand RJ, Como JJ, Dechert T, Dente C, Luchette FA, Ivatury RR, Duane TM, Eastern Association for the Surgery of Trauma. Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.  J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S321-5. [54 references] PubMed External Web Site Policy
 
Guideline Status
This is the current release of the guideline.
This guideline updates a previous version: Practice management guidelines for prophylactic antibiotic use in penetrating abdominal trauma. Allentown (PA): Eastern Association for the Surgery of Trauma (EAST); 2000. 33 p. [45 references]


 Prophylactic antibiotic use in pene... [J Trauma Acute Care Surg. 2012] - PubMed - NCBI
J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S321-5. doi: 10.1097/TA.0b013e3182701902.

Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.

Source

Division of Trauma, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA. sgoldberg@mcvh-vcu.edu

Abstract

BACKGROUND:

The use of prophylactic antibiotics in penetrating abdominal trauma has resulted in decreased infection rates. The Eastern Association for the Surgery of Trauma (EAST) first published its practice management guidelines (PMGs) for the use of prophylactic antibiotics in penetrating abdominal trauma in 1998. During the next decade, several new prospective studies were published on this topic. In addition, the practice of damage control laparotomy became widely used, and additional questions arose as to the role of prophylactic antibiotics in this setting. Thus, the EAST Practice Management Guidelines Committee set out to update the original PMG.

METHODS:

A search of the National Library of Medicine and the National Institutes of Health MEDLINE databases was performed using PubMed (www.pubmed.gov) and specific key words. The search retrieved English language articles regarding the use of antibiotics in penetrating abdominal trauma published from 1973 to 2011. The topics investigated were the need for perioperative antibiotics, the duration of antibiotic therapy, the dose of antibiotics in patients presenting in hemorrhagic shock, and the appropriate duration of antibiotic therapy in the setting of damage control laparotomy.

RESULTS:

Forty-four articles were identified for inclusion in this review.

CONCLUSION:

There is evidence to support a Level I recommendation that prophylactic antibiotics should only be administered for 24 hours in the presence of a hollow viscus injury. In addition, there are no data to support continuing prophylactic antibiotics longer than 24 hours in damage control laparotomy.
PMID:
23114488
[PubMed - indexed for MEDLINE] 
Prophylactic antibiotic use in pene... [J Trauma Acute Care Surg. 2012] - PubMed - NCBI

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