List Archives

Fri Jan 12 11:11:15 GMT 2007

  What is your choice of antibiotic?

> 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
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