Castro-Núñez KL, Hernández-Gómez C, Haces-García F, Ordaz-Robles T

Language: Spanish
References: 13
Page: 19-23
PDF size: 161.39 Kb.

ABSTRACT

Objective: To determine if the use of limited antibiotic prophylaxis reduces surgical site infections in pediatric orthopaedic surgery. Material and methods: Analytic comparative study. N = 1,077 patients who underwent pediatric orthopaedic surgery at Shriners Hospital for Children Mexico from March 2018 to February 2021. Group A: 359 receiving limited antibiotic prophylaxis and group B: 718 receiving conventional antibiotic prophylaxis. Assessing their postoperative follow-up during first year in search of surgical site infection. Results: Group A: 176 (49%) female and 183 (51%) male, five years old; 221 (68%) patients underwent soft tissue surgery and 138 (32%) patients used surgical implants. Group B: 365 (50.83%) female and 353 (49.16%) male, six years old; 442 (62%) patients underwent soft tissue surgery and 276 (38%) patients used surgical implants. The antibiotic used was cephalothin in 1,026 (95.2%) patients in both groups and clindamycin in 51 (4.7%). Group B was extended antibiotic up to 7 days postoperatively. No surgical site infections were reported. Conclusions: Limited antibiotic prophylaxis does not modify the risk of surgical site infection compared to conventional prophylaxis, and is considered a safe strategy.

REFERENCES

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EVIDENCE LEVEL

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