Guidance released for SSI prevention after major extremity trauma – Consumer Health News
Friday, April 22, 2022 (HealthDay News) – In a clinical practice guideline based on evidence published by the American Academy of Orthopedic Surgeons, recommendations are presented for the prevention of surgical site infections (ISO) after major trauma extremities.
Researchers assessed the current best evidence associated with treatment to develop recommendations for the prevention of SSI in adults after major extremity trauma. Fourteen strong and moderate recommendations were developed.
In the setting of open fracture from major extremity trauma, the authors suggest rapid delivery of antibiotics to reduce the risk of deep infection. In the surgical treatment of open fractures, preoperative antibiotics are suggested to prevent SSI. Patients with an open fracture are suggested to be brought to the operating room for debridement and irrigation as soon as reasonable and ideally within 24 hours of injury. Antibiotic prophylaxis with systemic cefazolin or clindamycin is recommended for patients with end major trauma surgery, except for type III and type II may open fractures, including Gram-negative coverage is better. Local antibiotic strategies may be beneficial for patients with major surgical extremity trauma. Irrigation with saline solution (without additives) is recommended for the initial management of open wounds. Closing an open wound is recommended when possible without any gross contamination. Silver coated dressings are not suggested for improving outcomes or reducing pin site infections.
“We created this guideline as an educational tool to guide physicians and skilled clinicians in making treatment decisions that improve the quality and efficiency of care,” the authors write.
Several members of the working group revealed financial ties to the industry.
Clinical Practice Guidelines