Part of contaminated wounds. When surgery partly contaminated wounds degree of pollution is different, and prevention is limited to cases of significant risk ranevogo pollution and infection. Based on data from adults, recommendations for prevention for sick children include the following: many in the digestive tract of procedure, some operations in the bile ways (for example, when obstructive icterus) and surgical intervention or instrumental studies on the urinary tract if bakteriurii or obstructive uropatii .
Polluted and dirty and infected wounds. In transactions involving zagryazennymi dirty and infected wounds, such as perforation of abdominal organs, or in complex fractures, or breaches of sterile technique, antimicrobial drugs raty show and considered treatment rather than prevention.
When should I give antibiotics prevention?
Preventing infections requires an effective concentration of drugs in tissues with surgery, because the maximum bacterial contamination occurs during the operation. With the exception of caesarean sections anti-microbial agents should be applied to (2 hours) or during surgery.
How long should be given antibiotics? One study showed that can be a single application of anti-microbial agents, which gives an adequate concentration in the tissues during the operation. 12 hours – the time in most cases. These recommendations are based on studies in adults and do not necessarily apply to all pediatric patients, especially newborns. However, as well as the pathogenesis of wound infection does not depend on the age recommended on a short-term prevention is probably applicable to patients of all ages. The duration of antimicrobial prophylaxis should not exceed 24-48 hours.