Practice Management Guidelines for Prophylactic Antibiotic Use in Tube Thoracostomy for Traumatic Hemopneumothorax: the EAST Practice Management Guidelines Work Group. Eastern Association for Trauma.

作者: Fred A. Luchette , Philip S. Barrie , Michael F. Oswanski , David A. Spain , C. Daniel Mullins

DOI: 10.1097/00005373-200004000-00027

关键词: ThoracostomyHemothoraxAntibiotic prophylaxisEmpyemaIntensive care medicineAntibioticsMedicinePneumonitisPlaceboHemopneumothorax

摘要: Multiple factors contribute to the development of posttraumatic empyema. These include conditions under which tube is inserted (emergent or urgent), mechanism injury, retained hemothorax, and ventilator care. The incidence empyema in placebo groups ranges between 0 18%. administration antibiotics for longer than 24 hours did not seem significantly reduce this risk compared with a shorter duration, although numbers each series were small. Most reports found significant reduction pneumonitis when patients received prolonged prophylactic antibiotics. This use might possibly be better described as presumptive therapy rather prophylactic.

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