Surgical Infection Society Guidelines for Antibiotic Use in Patients with Traumatic Facial Fractures.
Surg Infect (Larchmt)
; 22(3): 274-282, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-32598227
ABSTRACT
Background:
Facial fractures are common in traumatic injury. Antibiotic administration practices for traumatic facial fractures differ widely.Methods:
The Surgical Infection Society's (SIS's) Therapeutics and Guidelines Committee convened to develop guidelines for antibiotic administration in the management of traumatic facial fractures. PubMed, Embase, and the Cochrane database were searched for pertinent studies. Pre-operative antibiotics were defined as those administered more than 1 hour before surgery. Peri-operative antibiotics were those administered within 1 hour of the start of surgery depending on the type of antibiotic and as late as ≤24 hours after surgery. Post-operative antibiotics were defined as those administered >24 hours after surgery. Prophylactic antibiotics were those administered for >24 hours without a documented infection. Evaluation of the published evidence was performed with the GRADE system. Using a process of iterative consensus, all committee members voted to accept or reject each recommendation.Results:
We recommend that in adult patients with non-operative upper face, midface, or mandibular fractures, prophylactic antibiotics not be prescribed and that in adult patients with operative, non-mandibular fractures, pre-operative antibiotics likewise not be prescribed. We recommend that in adult patients with operative, mandibular fractures, pre-operative antibiotics not be prescribed; and in adult patients with operative, non-mandibular facial fractures, post-operative (>24 hours) antibiotics again not be prescribed. We recommend that in adult patients with operative, mandibular facial fractures, post-operative antibiotics (> 24 hours) not be prescribed.Conclusions:
This guideline summarizes the current SIS recommendations regarding antibiotic management of patients with traumatic facial fractures.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Fraturas Mandibulares
/
Antibacterianos
Tipo de estudo:
Guideline
/
Systematic_reviews
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Surg Infect (Larchmt)
Ano de publicação:
2021
Tipo de documento:
Article