The Use of Preoperative Antibiotics in Elective Soft-Tissue Procedures in the Hand: A Critical Analysis Review

JBJS Rev. 2019 Aug;7(8):e6. doi: 10.2106/JBJS.RVW.18.00168.

Abstract

» The use of preoperative antibiotic prophylaxis is not supported for elective cases of patients undergoing soft-tissue hand procedures that are ≤2 hours in length.

» The use of preoperative antibiotic prophylaxis is not supported for patients with diabetes undergoing elective, soft-tissue hand surgical procedures.

» There is a paucity of literature evaluating the use of preoperative antibiotic prophylaxis in patients with rheumatoid arthritis, those with cardiac valves, and those taking corticosteroids; because of this, there is no evidence to vary from our general recommendations.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents* / administration & dosage
  • Anti-Bacterial Agents* / adverse effects
  • Anti-Bacterial Agents* / therapeutic use
  • Antibiotic Prophylaxis*
  • Carpal Tunnel Syndrome / surgery
  • Contraindications, Drug
  • Diabetes Mellitus
  • Hand / surgery*
  • Hand Injuries / surgery*
  • Humans
  • Preoperative Care*
  • Surgical Wound Infection / drug therapy
  • Surgical Wound Infection / prevention & control

Substances

  • Anti-Bacterial Agents