Guidelines
Antibioprophylaxis in surgery and interventional medicine (adult patients). Update 2017,☆☆

https://doi.org/10.1016/j.accpm.2019.02.017Get rights and content
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Abstract

Infection is a risk for any intervention. In surgery, for example, pathogenic bacteria are found in more than 90% of operative wounds during closure. This exists whatever the surgical technique and whatever the environment (the laminar flow does not entirely eliminate this risk). These bacteria are few in number but can proliferate. They find in the operative wound a favourable environment (haematoma, ischaemia, modification of oxido-reduction potential...) and the intervention induces anomalies of the immune defences. In the case of the installation of foreign material, the risk is increased. The objective of antibiotic prophylaxis (ABP) is to prevent bacterial growth in order to reduce the risk of infection at the site of the intervention. The preoperative consultation represents a privileged moment to decide on the prescription of a ABP. It is possible to define the type of intervention planned, the associated risk of infection (and therefore the necessity or not of ABP), the time of prescription before surgery and any allergic antecedents which may modify the choice of the selected antibiotic molecule.

Keywords

Antibiotic prophylaxis
Perioperative antibiotics
Surgery
Interventional radiology
Postoperative infection

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Validated by the SFAR Council on June 21st, 2018.

☆☆

With the collaboration of the following societies: Société française de chirurgie orthopédique et traumatologique, Société française de neurochirurgie, Société française et francophone de chirurgie de l’obésité, Société française de stomatologie chirurgie maxillo-faciale et chirurgie orale, Société française d’hygiène hospitalière, Société française d’hygiène hospitalière, Société de chirurgie vasculaire et endovasculaire, Société de pathologie infectieuse de langue française, Société de chirurgie thoracique et cardiovasculaire de langue française, Association française d’urologie, Fédération française de chirurgie viscérale et digestive, Société française d’ophtalmologie, Collège national des gynécologues et obstétriciens français, Société française de radiologie, Société française de chirurgie plastique reconstructrice et esthétique, Société française oto-rhino-laryngologie et de la chirurgie de la face et du cou.