Prophylactic Antibiotics

drsarbes · Mar 22, 2009

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Seems to be some new guidelines for prophylaxis in foot and ankle surgery.
I'd like to know what some of your routines are; what cases you use antibiotics in, what drug, how much and when.

Thanks

Steve

sally.florey · Apr 13, 2009

Hi, I work for the NHS. Does anyone use prophylactic antibiotics prior to nail surgery and if so, which and under what circumstances? Thanks

admin · Apr 13, 2009

{threads merged}

Deka08 · Apr 30, 2014

Didnt know where else to stick this, but here it is. World health organisation recent report on antibiotic resistance.

<http://www.who.int/mediacentre/news/releases/2014/amr-report/en/>

Ros Kidd · May 1, 2014

Reply to P#2
1 hour prior to nail surgery on Dialysis patients 1000mg Vancomycin was administered IV. But I stress that was standard before I retired 4 years ago. Further, as my pts were limb threatened and had infected nail pathologies appropriate antibiotic cover was used taking into account the patients weight and renal function/dysfunction.
Ros

NewsBot · Feb 19, 2016

Role of prophylactic antibiotics in lesser toe fusion surgery: A prospective randomised controlled trial
J Mangwani et al
Foot and Ankle Surgery; 17 February 2016

Highlights
•Prospective randomised controlled trial was performed to determine the incidence of local infection for lesser toe fusion surgery.
•100 patients allocated into those who received prophylactic antibiotics (Group 1, n = 48) and those who did not (Group 2, n = 52).
•The overall infection rate was 4%. Three patients (6.2%) in Group 1 and one patient (1.9%) in Group 2 developed signs of infection, which required treatment by oral antibiotics.
•No clear evidence to support the use of prophylactic antibiotics in routine toe surgery requiring percutaneous K-wire insertion.
•Further multi-centre larger studies are required to investigate this subject.
Click to expand...

Background
This prospective randomised controlled trial was performed to determine whether the incidence of local infection is reduced in patients who are administered prophylactic antibiotics for lesser toe fusion surgery.

Methods
100 adult patients undergoing toe fusion surgery that required K-wires to be left in-situ for 4-6 weeks were randomly allocated into those who received prophylactic antibiotics (Group 1, n = 48) and those who did not (Group 2, n = 52). Patients were followed up regularly and during each visit K-wire insertion sites were assessed for signs of pin tract infection.

Results
The mean age of Group 1 was 58.0 (SD 17.5) and Group 2 was 62.7 years (SD 14.7). The overall infection rate was 4%. Three patients (6.2%) in Group 1 and one patient (1.9%) in Group 2 developed signs of infection, which required treatment by oral antibiotics. All infections were low grade. There were no features suggestive of osteomyelitis in any of the patients.

Conclusion
The overall infection rate in lesser toe fusion surgery is low and that using prophylactic antibiotics does not reduce the incidence. Inappropriate use of antibiotics, however, may contribute to the development of antibiotic resistance and adds to healthcare costs.
Click to expand...

NewsBot · Feb 19, 2016

Role of prophylactic antibiotics in lesser toe fusion surgery: A prospective randomised controlled trial
J Mangwani et al
Foot and Ankle Surgery; 17 February 2016

Highlights
?Prospective randomised controlled trial was performed to determine the incidence of local infection for lesser toe fusion surgery.
?100 patients allocated into those who received prophylactic antibiotics (Group 1, n = 48) and those who did not (Group 2, n = 52).
?The overall infection rate was 4%. Three patients (6.2%) in Group 1 and one patient (1.9%) in Group 2 developed signs of infection, which required treatment by oral antibiotics.
?No clear evidence to support the use of prophylactic antibiotics in routine toe surgery requiring percutaneous K-wire insertion.
?Further multi-centre larger studies are required to investigate this subject.
Click to expand...

Background
This prospective randomised controlled trial was performed to determine whether the incidence of local infection is reduced in patients who are administered prophylactic antibiotics for lesser toe fusion surgery.

Methods
100 adult patients undergoing toe fusion surgery that required K-wires to be left in-situ for 4-6 weeks were randomly allocated into those who received prophylactic antibiotics (Group 1, n = 48) and those who did not (Group 2, n = 52). Patients were followed up regularly and during each visit K-wire insertion sites were assessed for signs of pin tract infection.

Results
The mean age of Group 1 was 58.0 (SD 17.5) and Group 2 was 62.7 years (SD 14.7). The overall infection rate was 4%. Three patients (6.2%) in Group 1 and one patient (1.9%) in Group 2 developed signs of infection, which required treatment by oral antibiotics. All infections were low grade. There were no features suggestive of osteomyelitis in any of the patients.

Conclusion
The overall infection rate in lesser toe fusion surgery is low and that using prophylactic antibiotics does not reduce the incidence. Inappropriate use of antibiotics, however, may contribute to the development of antibiotic resistance and adds to healthcare costs.
Click to expand...

NewsBot · Feb 7, 2017

Role of prophylactic antibiotics in lesser toe fusion surgery: A prospective randomised controlled trial.
Mangwani J et al
Foot Ankle Surg. 2017 Mar;23(1):50-52

BACKGROUND:
This prospective randomised controlled trial was performed to determine whether the incidence of local infection is reduced in patients who are administered prophylactic antibiotics for lesser toe fusion surgery.
METHODS:
100 adult patients undergoing toe fusion surgery that required K-wires to be left in situ for 4-6 weeks were randomly allocated into those who received prophylactic antibiotics (Group 1, n=48) and those who did not (Group 2, n=52). Patients were followed up regularly and during each visit K-wire insertion sites were assessed for signs of pin tract infection.
RESULTS:
The mean age of Group 1 was 58.0 (SD 17.5) and Group 2 was 62.7 years (SD 14.7). The overall infection rate was 4%. Three patients (6.2%) in Group 1 and one patient (1.9%) in Group 2 developed signs of infection, which required treatment by oral antibiotics. All infections were low grade. There were no features suggestive of osteomyelitis in any of the patients.
CONCLUSION:
The overall infection rate in lesser toe fusion surgery is low and that using prophylactic antibiotics does not reduce the incidence. Inappropriate use of antibiotics, however, may contribute to the development of antibiotic resistance and adds to healthcare costs.
Click to expand...

drsarbes Well-Known Member

sally.florey Member

admin Administrator Staff Member

Deka08 Active Member

Ros Kidd Active Member

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