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Fri Jan 12 03:09:23 GMT 2007

small bowel?  one dose.  Colon: 24 hrs.  I just don't know why, with the relative paucity of bacteria in the small bowel why more than one dose would be needed.  If I do an elective small bowel resection for X disease, I don't give them any more than the induction antibiotic dose...I guess if you're worried about what went into the belly with the bullet, that's something else, but can't remember the last time I saw a staph infection of the belly after a relatively uncomplicated GSW.

> Date: Thu, 11 Jan 2007 14:36:10 -0500> From: jkepros at pol.net> To: trauma-list at trauma.org> Subject: Re: small bowel injury> > The EAST guidelines (www.east.org) have a pretty clear recommendation of> 24h for that. I believe you are correct.> John Kepros MD> Michigan State University> > > Dear List,> > I was wondering if you could help settle a friendly discussion I> > have with one of my partners...how long to keep antibiotics going> > after small bowel injury? I say no more than 24hr. case in point> > 40 you s/p gsw abdomen, small bowel resection primary anastomosis.> > Any literature support would be helpful. Thanks Joe> >> >> > ---------------------------------> > Everyone is raving about the all-new Yahoo! Mail beta.> > --> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit:> > http://www.trauma.org/traumalist.html> > > > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/traumalist.html
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small bowel injury