Chapter 13: Infectious Conditions in Surgery

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Antibiotic Prophylaxis in Surgery

Clean wound: Not a single dose of antibiotic is required.

Clean contaminated: This should be single dose per operative parenteral antibiotic. Prophylactic antibiotic administration should be initiated within one hour before the surgical incision, or within two hours if the patient is receiving vancomycin or fluoroquinolones. Second dose is only required if the wound is grossly contaminated, or the duration of surgery exceeds more than two hours.

Contaminated wound: Same treatment as clean contaminated wound, but duration should be specified.

Antibiotic Prophylaxis in Surgery

Abscess

Abscess (Boil and abscess of skin & soft tissue)

Abscess

 

Appendicitis

Appendicitis

Breast Abscess

Breast Abscess

Cholecystitis

Cholecystitis

Epididymo-Orchitis

Epididymo-Orchitis

Soft Tissue Infection/Cellulitis

Soft Tissue Infection/Cellulitis

Open fracture/ Trauma

Open fracture/ Trauma

Osteomyelitis

Osteomyelitis