PROPHYLACTIC USE OF ANTIBIOTICS IN CLOSED ORTHOPEDIC FRACTURES: GUIDELINES AND PRACTICE

Nimmy N. John* and V. Vijayasarathi

ABSTRACT

A Prospective observational study on prophylactic use of antibiotics use in closed fracture was conducted in Navodaya medical college hospital & Research center, Raichur. The aim of the study was to assess whether the antibiotics are prescribed according to guidelines for closed fractures. Data were collected using standard data entry form. A total of 50 cases were assessed during the study period of April 2018 to September 2018 of which 34(68%) were male and 16(32%) were female. Of all 50 cases collected type of fractures include forearm fracture 12(24%), vertebral fracture 7(14%), hip fracture 6(12), Humerus fracture 05(10%), Fibula 05(10%), Wrist fracture 04(8%), Knee fracture 03(6%). Types and doses of antibiotics prescribed include ceftriaxone 1mg in 30(60%) patients, cefotaxime 1mg in 17(34%) patients, cefuroxim 1mg in 06(6%). Our study concludes that the most commonly prescribed antibiotics for closed fracture are cephalosporin antibiotics of which 2nd generation cephalosporins are given higher priority and our study concludes that antibiotics are prescribed according to standard guidelines.

Keywords: Infection, prophylactic, orthopedic, guidelines.