Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document
The use of prophylactic measures, including perioperative antibiotics, for the prevention of surgical site infections is a standard of care across surgical specialties. Unfortunately, the routine guidelines used for routine procedures do not always account for many of the factors encountered with ur...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-07-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/9/1/e001305.full |
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| _version_ | 1850194637426262016 |
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| author | Deborah M Stein John Varujan Agapian Bryce Robinson Matthew E Kutcher Joseph Cuschieri Michael Steven Farrell Dina M Filiberto Abhijit Pathak Rondi Gelbard Jason Hoth Randeep Jawa Jasmeet Paul Rachel D Appelbaum Eden Nohra Jordan Kirsch |
| author_facet | Deborah M Stein John Varujan Agapian Bryce Robinson Matthew E Kutcher Joseph Cuschieri Michael Steven Farrell Dina M Filiberto Abhijit Pathak Rondi Gelbard Jason Hoth Randeep Jawa Jasmeet Paul Rachel D Appelbaum Eden Nohra Jordan Kirsch |
| author_sort | Deborah M Stein |
| collection | DOAJ |
| description | The use of prophylactic measures, including perioperative antibiotics, for the prevention of surgical site infections is a standard of care across surgical specialties. Unfortunately, the routine guidelines used for routine procedures do not always account for many of the factors encountered with urgent/emergent operations and critically ill or high-risk patients. This clinical consensus document created by the American Association for the Surgery of Trauma Critical Care Committee is one of a three-part series and reviews surgical and procedural antibiotic prophylaxis in the surgical intensive care unit. The purpose of this clinical consensus document is to provide practical recommendations, based on expert opinion, to assist intensive care providers with decision-making for surgical prophylaxis. We specifically evaluate the current state of periprocedural antibiotic management of external ventricular drains, orthopedic operations (closed and open fractures, silver dressings, local, antimicrobial adjuncts, spine surgery, subfascial drains), abdominal operations (bowel injury and open abdomen), and bedside procedures (thoracostomy tube, gastrostomy tube, tracheostomy). |
| format | Article |
| id | doaj-art-bae7374bc648476b953016c2003300d2 |
| institution | OA Journals |
| issn | 2397-5776 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-bae7374bc648476b953016c2003300d22025-08-20T02:13:56ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762024-07-019110.1136/tsaco-2023-001305Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus documentDeborah M Stein0John Varujan Agapian1Bryce Robinson2Matthew E Kutcher3Joseph Cuschieri4Michael Steven Farrell5Dina M Filiberto6Abhijit Pathak7Rondi Gelbard8Jason Hoth9Randeep Jawa10Jasmeet Paul11Rachel D Appelbaum12Eden Nohra13Jordan Kirsch148 R. Adams Cowley Shock Trauma Center, Baltimore, Maryland, USASurgery, University of California Riverside, Rancho Cucamonga, California, USADepartment of Surgery, Harborview Medical Center, Seattle, Washington, USASurgery, University of Mississippi Medical Center, Jackson, Mississippi, USASurgery at ZSFG, University of California San Francisco, San Francisco, California, USADepartment of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USAUniversity of Tennessee Health Science Center, Memphis, Tennessee, USATemple University School of Medicine, Philadelphia, Pennsylvania, USADepartment of Surgery, University of Alabama at Birmingham Center for Health Promotion, Birmingham, Alabama, USAWake Forest University School of Medicine, Winston-Salem, North Carolina, USAStony Brook University, Stony Brook, New York, USADepartment of Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USADepartment of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USADepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USAWestchester Medical Center, Valhalla, New York, USAThe use of prophylactic measures, including perioperative antibiotics, for the prevention of surgical site infections is a standard of care across surgical specialties. Unfortunately, the routine guidelines used for routine procedures do not always account for many of the factors encountered with urgent/emergent operations and critically ill or high-risk patients. This clinical consensus document created by the American Association for the Surgery of Trauma Critical Care Committee is one of a three-part series and reviews surgical and procedural antibiotic prophylaxis in the surgical intensive care unit. The purpose of this clinical consensus document is to provide practical recommendations, based on expert opinion, to assist intensive care providers with decision-making for surgical prophylaxis. We specifically evaluate the current state of periprocedural antibiotic management of external ventricular drains, orthopedic operations (closed and open fractures, silver dressings, local, antimicrobial adjuncts, spine surgery, subfascial drains), abdominal operations (bowel injury and open abdomen), and bedside procedures (thoracostomy tube, gastrostomy tube, tracheostomy).https://tsaco.bmj.com/content/9/1/e001305.full |
| spellingShingle | Deborah M Stein John Varujan Agapian Bryce Robinson Matthew E Kutcher Joseph Cuschieri Michael Steven Farrell Dina M Filiberto Abhijit Pathak Rondi Gelbard Jason Hoth Randeep Jawa Jasmeet Paul Rachel D Appelbaum Eden Nohra Jordan Kirsch Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document Trauma Surgery & Acute Care Open |
| title | Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document |
| title_full | Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document |
| title_fullStr | Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document |
| title_full_unstemmed | Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document |
| title_short | Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document |
| title_sort | surgical and procedural antibiotic prophylaxis in the surgical icu an american association for the surgery of trauma critical care committee clinical consensus document |
| url | https://tsaco.bmj.com/content/9/1/e001305.full |
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