A patient with a non obstructing carcinoma of the sigmoid colon is being prepared for elective resection. To minimize the risk of postoperative infectious complications, your planning should include
Correct Answer: Postoperative administration for 2 to 4 days of parenteral antibiotics effective against aerobes and anaerobes
Description: Many clinical and experimental studies have looked at the optimum bowel preparation and preoperative regimen for elective colonic surgery to reduce the postoperative infectious complications of wound infection, intra-abdominal abscess, and anastomotic leakage. Currently a postoperative rate of wound infection of only 5% can be attained by combining mechanical cleansing, oral antibiotics, and perioperative parenteral antibiotics. Oral antibiotics may be administered one hour prior to surgery and should cover all anaerobes (e.g., neomycin-erythromycin), antibiotics effective against aerobes (e.g., cefoxitin) should be administered in the operating room as a single dose and not postoperatively. Both antibiotic regimens are for prophylaxis without fostering resistant against microbes.
Category:
Surgery
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