ORTHOPEDIC AND PODIATRY PERIOPERATIVE ANTIBIOTICS

Course overview

PERIOPERATIVE ANTIBIOTICS ARE VITAL TO PREVENT INFECTIONS IN ORTHOPEDIC AND PODIATRY SURGERY. THESE ANTIBIOTICS ARE TYPICALLY ADMINISTERED IN THE PREOPERATIVE, INTRAOPERATIVE, AND POSTOPERATIVE PHASES, WITH SELECTION BASED ON FACTORS SUCH AS THE TYPE OF SURGERY, PRESENCE OF TRAUMA, AND POTENTIAL CONTAMINANTS. THE DECISION REGARDING THE PHASE OF CARE TO ADMINISTER ANTIBIOTICS AND THE CHOICE OF AGENT VARIES DEPENDING ON THE CLINICAL SCENARIO. PERIOPERATIVE ANTIBIOTIC PROPHYLAXIS IS FREQUENTLY ADMINISTERED ACROSS ALL 3 PHASES OF CARE, AND ITS UTILIZATION IS CRUCIAL IN ORTHOPEDIC TRAUMA MANAGEMENT, PARTICULARLY IN CASES OF OPEN FRACTURES, AS WELL AS IN ELECTIVE PROCEDURES. THE CURRENT LITERATURE HIGHLIGHTS HETEROGENEOUS PROPHYLACTIC MANAGEMENT AMONG SURGEONS AND UNDERSCORES THE POTENTIAL FOR ADVANCING AND STANDARDIZING GUIDELINES. IN ADDITION, THIS ACTIVITY REVIEWS THE CLINICAL RATIONALE, DOSING, MECHANISM OF ACTION, AND COVERAGE OF COMMONLY USED ANTIBIOTIC PROPHYLACTIC AGENTS, ALONG WITH SPECIAL CONSIDERATIONS IN ANTIBIOTIC SELECTION, SUCH AS ALLERGIES AND THE MECHANISM OF INJURY. THIS ACTIVITY ALSO DISCUSSES THE CURRENT GUIDELINES FOR THE TIMING OF ANTIBIOTICS WHILE ALSO DESCRIBING THE ROLES OF VARIOUS HEALTHCARE TEAM MEMBERS TO ENSURE OPTIMAL PROPHYLACTIC ANTIBIOTIC SELECTION FOR PATIENTS IN THE MOST COMMON ORTHOPEDIC AND PODIATRY SETTINGS.