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Chest drainage and antibiotic prophylaxis

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I’m looking for advice/ protocols on antibiotic prophylaxis for chest drains in babies with pneumothorax.The Cochrane review was last updated in 2012.

we recently treated a baby with spontaneous bilateral pneumothorax.

we inserted pod tails bilaterally and chose not to give antibiotics.


 

Do any of you routinely prescribe antibiotics in term newborns with no risk factors for sepsis, but on chest tubes, MV, sufentanyl and a urinary catheter ?

Can any of you share their protocols ?

please share your experience.


many thanks,

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We usually don’t intentionally give unless they are already on. We discontinue as well early no matter chest drain is out or in. 

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