In my experience its not related specifically to the pp, although circulation definetly plays a part,but,rather to the potential for osteomyelitis, and prevention of it. I have had several patients that had cultured positive for a multitude of bugs d/t extensive pressure wounds related to pp, all were placed on antibx prior and after surgery, all were referred to infx control specialist per their surgeons and lately the drugs of choice are augmentin with cleocin for 8 weeks post op. NN
Originally posted by ramalledlm:
Please direct me to resources (sites and literature) that explain why PO antibiotics (IV/orals) after flap surgery in pplgcs (paraplegics) is so long (8-l0 weeks). It has to do with a pplgc's defective blood supply (below the cord damage) which causes their resistance to microbes to be impaired.
Again, I am looking for a paragraph or two in print (electronic or otherwise) describing the 8-l2 week postoperative antibiotic protocol (spec. duration) after flap surgery (in paraplegics) as it relates to the pathophysiology below the point of cord damage.