Prophylactic antibiotics in orthopaedic surgery

J Am Acad Orthop Surg. 2008 May;16(5):283-93. doi: 10.5435/00124635-200805000-00007.

Abstract

The use of prophylactic antibiotics in orthopaedic surgery is effective in reducing surgical site infections in hip and knee arthroplasty, spine surgery, and open reduction and internal fixation of fractures. To maximize the beneficial effect of prophylactic antibiotics while minimizing adverse effects, the correct antimicrobial agent must be selected, the drug must be administered just before incision, and the duration of administration should not exceed 24 hours.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antibiotic Prophylaxis*
  • Cephalosporins / therapeutic use
  • Drug Hypersensitivity
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Methicillin Resistance
  • Orthopedic Procedures / adverse effects*
  • Orthopedic Procedures / history
  • Orthopedic Procedures / standards
  • Orthopedics / methods
  • Orthopedics / standards
  • Surgical Wound Infection / etiology
  • Surgical Wound Infection / history
  • Surgical Wound Infection / prevention & control*
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Vancomycin