List Archives

Fri Jan 12 21:43:52 GMT 2007

anything that covers enterics and anerobes.  I use amp/sulbactam +/- metronidazole in my elective cases and traumas as well.
If I were to get on a soap box about something in the realm of antimicrobial agents, it would be excessive OVER administration of piperacillin/tazobactam (Zosyn).  It's the last big gun against pseudomonas and there are many physicians who prescribe it like candy.  If they had to deal with resistant pseudomonas in a dying, septic burn patient, they would see the light.  But, I've seen it used by general surgeons before putting mesh in a groin hernia!  Crazy.

That's my rant.

RD

> Date: Fri, 12 Jan 2007 06:11:15 -0500> From: hbutler at pol.net> To: trauma-list at trauma.org> Subject: RE: small bowel injury> > 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> >> 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> > _________________________________________________________________> > Fixing up the home? Live Search can help.> > http://imagine-windowslive.com/search/kits/default.aspx?kit=improve&locale=en-US&source=wlmemailtaglinenov06--> > 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
_________________________________________________________________
Try amazing new 3D maps
http://maps.live.com/?wip=51

List Archives

For your convenience, find the Trauma List Archive Below

small bowel injury