Antibiotic Prophylaxis for Elective Pediatric Laparoscopic Cholecystectomies
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- Pediatric patients without antibiotic prophylaxis had significantly higher rates of surgical site infections after laparoscopic cholecystectomy.
- Current guidelines do not recommend prophylaxis for low-risk patients, but this NISQIP data suggests guidelines may need revision.
- 3,500 patients receiving prophylaxis showed lower post-operative infection rates compared to 389 without prophylaxis.
- Both superficial incisional and organ space infections were more common in the non-prophylaxis group.
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Does antibiotic prophylaxis prevent surgical site infections in low risk pediatric patients undergoing elective laparoscopic cholecystectomies? I'm Lizzy Lee from Cincinnati Children's Hospital, and this is an article you should know about. This retrospective multicenter cohort study examined pediatric patients using data from NISQIP, who had elective laparoscopic cholecystectomies from 2021 to 2022. They found that the incidence of superficial incisional and organ space surgical site infections was significantly higher in the 389 patients that did not receive antibiotic prophylaxis. The 3,500 patients who did receive antibiotic prophylaxis were less likely to develop post-op surgical site infections. Although current surgical infection society guidelines do not recommend antibiotic prophylaxis for low risk patients, it may be necessary to revisit these guidelines. Let us know what you think in the comments below and stay tuned for more articles that you should know about.