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Delayed colonic perforation in blunt abdominal trauma

Hardcastle Tim, Dr <tch at sun.ac.za> tch at sun.ac.za
Tue Apr 11 13:50:43 BST 2006


Please quote me the reference for routine prophylactic antibiotics in the case of a pelvic fracture - I've looked extensively at EAST, Surgicalcriticalcare.net and various other articles and don't find this justified. For an OPEN (i.e. "compound") fracture - yes, otherwise NO!

Please enlighten us
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
DB wrote:
Was the patient receiving prophylactic antibiotics (as recommended for pelvic fracture) during the postop week, possibly partially treating the sepsis resulting from the perforation? 

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