Perioperative Antibiotic Prophylaxis in Preterm/Term Infants

[lukaswisgrill]

Dear 99ers,

I would love to hear your different guidelines/approaches/opinions on perioperative antibiotic prophylaxis in preterm and term infants. This is something i would definitely like to improve in our institution. So far, I found no real evidence or guidelines, especially for premature infants. I know various approaches from different departments in Austria, but it would be interesting to have a more international view on this topic. 

Every comment/reference/expertise on a certain part of this topic (e.g. AB-prophylaxis for cardiac patients, premies, gastroschisis, etc.) is helpful to gather information on this relevant topic. Do you change the regimen also for chronological age? (e.g. < 72 hours after birth and >72 hours after birth). Do you take MRSA colonization into account - other colonizations as well (e.g. ESBL colonization in the gut when operating on the gut itself?).

Your help would be highly appreciated!

Best,

Lukas

[bimalc]

We no longer routinely provide abx prophylaxis in uncomplicated gastroschesis (your question is not really in my area of expertise, but this protocol was just reviewed so it is on the top of my mind)

[Marco Antonio Belzu Rodriguez]

Hi everyone. I'm from Argentina. We used the recommendations about perioperative antibiotic prophylaxis at the "J.P. Garrahan" Hospital (National reference institution of health). I translated the document. It is freely accessible in Spanish. I hope to help you. Best regards

Marco Antonio

https://www.garrahan.gov.ar/PDFS/medicamentos/tablas/atbneo2019.pdf 

Prophylaxis ANTIBIOTIC 2019.pdf profilaxis antibiotica 2019 Garrahan.pdf