Perioperative Antibiotics Overview

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Questions and Answers

What is the primary purpose of perioperative antibiotics?

  • To decrease the chance of post-operative infection (correct)
  • To prevent any surgical complications
  • To reduce preoperative anxiety
  • To enhance surgical recovery time

Which factor determines the choice of antibiotic used in perioperative prophylaxis?

  • The duration of the surgery
  • The patient's age and health status
  • The surgeon's preference
  • The expected type of bacterial contamination during surgery (correct)

When should antibiotics be administered in relation to surgery?

  • At any time during the hospital stay
  • 30-60 minutes before and every 90 minutes during the surgery (correct)
  • Only after the surgery is completed
  • Within a day before the surgery

Which type of surgeries are indicated for perioperative antibiotics?

<p>Orthopedic surgeries involving implants (A)</p> Signup and view all the answers

Under which circumstance might perioperative antibiotics be discontinued or changed to an oral route?

<p>After the surgical procedure is finished (C)</p> Signup and view all the answers

Which situation does NOT typically warrant the use of perioperative antibiotics?

<p>Routine lab tests prior to surgery (D)</p> Signup and view all the answers

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Flashcards

Prophylaxis

Using an agent to prevent disease. "Pro" means before and "Phylax" means to guard.

Perioperative Prophylaxis Antibiotics

Antibiotics administered before and during surgery to reduce the risk of post-surgery infection.

Choosing the Right Antibiotic

The type of antibiotic used depends on the type of bacteria expected to be present during the procedure.

Antibiotic Administration Route

Antibiotics may be given intravenously before and during surgery, and can be switched to oral medication after surgery.

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Antibiotics for Orthopedic Surgeries

Antibiotics are recommended for orthopedic surgeries involving implants like TPLO, internal fixation, or external fixation.

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Antibiotics for Contaminated Surgeries

Antibiotics are often used for surgeries where contamination is likely, such as rectal surgery, colectomy, or gastric resection.

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Study Notes

Perioperative Antibiotics

  • Perioperative antibiotics are used to prevent infection before, during, and after surgery.
  • Prophylactic antibiotics aim to prevent postoperative infections, thus reducing the chance of complications.
  • Antibiotics are administered before and during surgery (every 90 minutes) to minimize the risk of post-surgical infections. This timing helps reduce infection risk.
  • The specific antibiotic choice depends on the type of expected bacterial infection.
  • Antibiotics are used in surgeries like orthopaedic surgeries (such as TPLO, internal/external fixation), surgeries with expected contamination (e.g., rectal surgery, colostomy, gastric resection, exploratory surgery), and dental extractions.
  • Procedures lasting longer than 90 minutes or involving pre-existing infections require antibiotics.

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