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Prophylactic antibiotics in soft-tissue procedures in children with cerebral palsy
L R Perotti1, O Abousamra1, K J Rogers1
1Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA.
Purpose:
Data on the benefits of perioperative prophylactic antibiotics in the paediatric population are lacking. In this study, we aimed to assess the rate of infection after isolated soft-tissue procedures in patients with cerebral palsy with and without preoperative prophylactic antibiotics between 2009 and 2015.
Methods:
We reviewed the records of all children with cerebral palsy who underwent isolated soft-tissue procedures (on the upper and lower limb) at our hospital between 2009 and 2015. Children with at least 30-day postoperative follow-up were included. Children who had groin incisions were excluded.
Results:
Two groups were identified: the antibiotic group (77 children with 203 incisions and 343 procedures) had one surgical site infection; the no-antibiotic group (48 children with 102 incisions and 177 procedures) had no surgical site infections.
Conclusion:
These results suggest that the use of preoperative antibiotics does not change the rate of postoperative surgical site infections.
Level Of Evidence:
Level III therapeutic study.
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