Prophylactic antibiotic use in penetrating abdominal trauma

Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline.

BACKGROUND The use of prophylactic antibiotics in penetrating abdominal trauma has resulted in decreased infection rates. The Eastern Association for the Surgery of Trauma (EAST) first published its practice management guidelines (PMGs) for the use of prophylactic antibiotics in penetrating abdominal trauma in 1998. During the next decade, several new prospective studies were published on this ...

Practice management guidelines for prophylactic antibiotic use in penetrating abdominal trauma: the EAST Practice Management Guidelines Work Group.

Penetrating Abdominal Trauma

MANAGEMENT The history and physical examination give a very good indication of the presence of significant visceral injury. Initially, management should include simultaneous evaluation and treatment, and begins with ABC’s.1 The key factor in deciding the immediate management of a case of penetrating abdominal trauma is the patient’s haemodynamic stability.1 Regardless of injury type, if the pat...

Penetrating abdominal trauma.

Penetrating abdominal trauma (PAT) is seen daily in our trauma ward. We present a retrospective study of the patients managed in our hospital (Polokwane Hospital, Limpopo) from January 1999 to March 2000. Epidemiology, mechanism of injury, patterns of injury, management, morbidity and overall mortality were recorded for analysis. Morbidity and mortality were commonly associated with peritonitis...

Pancreaticoureteral fistula following penetrating abdominal trauma.

CONTEXT The main pancreatic duct can form a fistulous communication with another epithelium in the setting of prolonged inflammation, operative manipulation, or direct trauma. We present a rare complication of a pancreaticoureteral fistula following a trauma nephrectomy. CASE REPORT A 17-year-old male who sustained a gunshot wound to the back arrived to our Emergency Room hyopotensive, tachyc...