Published
Antibiotic therapy guidlines have changed quite a lot in the past few years.
According to National Patient Safety Guidelines, antibiotics are to be started within 60 minutes of incision, and d/c'ed within 24 hours.
We usually use Ancef, Clindamycin or Vanco if PCN allergy.
Open fractures, I'm not sure how that's handled, I'm just with the pt in the OR. I suspect it depends on the situation, clinical picture, and culture results.
check the Joint Commissions' website, it's all there.
mike
justanurse
125 Posts
When I used to be in orthopaedics, 99% of the patients were put on antibiotics after orthopaedic surgery. Has the trend changed in the last few years? Are the big teaching hospitals doing anything different than the smaller hospitals?
Thanks for your time and input!!!!!