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SCIP-INF-2: Prophylactic antibiotic selection for surgical patients (added 2007) SCIP-INF-3: Prophylactic antibiotics discontinued within 24 h after surgery end time (48 h for cardiac patients) SCIP-INF-4: Cardiac surgery patients with controlled 6 A.M. postoperative serum glucose management (≤200 mg/dL) (added 2008)
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
Methods to decrease surgical site infections in spine surgery include the application of antiseptic skin preparation (a.g. Chlorhexidine gluconate in alcohol which is twice as effective as any other antiseptic for reducing the risk of infection [9]), judicious use of surgical drains, prophylactic antibiotics, and vancomycin. [10]
For prophylaxis in surgery, only antibiotics with good tolerability should be used. Cephalosporins remain the preferred drugs for perioperative prophylaxis due to their low toxicity . Parenteral systemic antibiotics seem to be more appropriate than oral or topical antibiotics because the chosen antibiotics must reach high concentrations at all ...
The following is a list of antibiotics. The highest division between antibiotics is bactericidal and bacteriostatic. Bactericidals kill bacteria directly, whereas bacteriostatics prevent them from dividing. However, these classifications are based on laboratory behavior.
[9] [10] Adding a mechanical bowel cleansing in these patients might not be beneficial after colonic resection, but is still used and recommended by many before rectal resection (ideally in combination with oral antibiotics) [10] [11] [12] However, some options include antibiotic coated sutures, antibiotic impregnated cement or locally ...
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Analgesics, antibiotics and anesthetics are usually prescribed to relieve pain, inflammation and swelling. Patients should refrain from vigorous exercise for the first few days after surgery and exercise caution when gradually resuming their normal activities. [32] Showering should also be avoided during the first few days after surgery.