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Antibiotics for pelvic fracture

Michael Ferker xg2k2 at yahoo.com
Thu Apr 13 17:45:41 BST 2006


A trauma that would lead to an acetabular fracture would most likely call for an AB regimen in the assumption that something might've gone in through the trauma. Considering that you don't always know exactly how, where, or with what the trauma was incurred, administering ABs ASAP would be the only clear way of inhibiting sepsis.

-Mike F

bensonblues at comcast.net wrote: Tim, The reference for A/Bs in pelvic fractures is Management of Trauma: Pittfalls and Practice, Walt and Wilson, 2nd Ed., pp596-7. " Efforts to prevent pelvic sepsis are important...it is not clear how long such antibiotics should be given, 4-6 days should be adequate." They also reference Siebel, et. al,: Pelvic Fracture, in Clinical Care and Pathophysiology, 1987; Peltier: Complications associated with fractures of the pelvis, J Bone Joint Surg 1965, and Trunkey, et al: Management of pelvic fractures in blunt trauma injury, J Trauma 1974. But, if you say they are not indicated, that's okay. Right or wrong, I'm a lowly ER doc who, if initially treating a blunt trauma victim with an acetabular fracture, would be be inclined to give antibiotics in the ED in anticiption of intraabdominal injuries. DB
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