Antibiotic prophylaxis at triage for simple traumatic wounds: a pilot study

作者：Cowell David Lord; Harvey Martyn^*; Cave Grant

来源：European Journal of Emergency Medicine, 2011, 18(5): 279-281.

DOI：10.1097/MEJ.0b013e3283456807

• antibiotic
• emergency
• prophylaxis
• wound

Antibiotic administration at the time of wound manipulation has not been shown to decrease infection rates for simple traumatic wounds. Antibiotic administration at the time of initial emergency department (ED) presentation, however, has not been explored. Patients presenting to the ED with simple traumatic wounds received 1 g of oral flucloxacillin, or identical placebo, at triage. Wound closure was completed at the discretion of a physician blinded to study contents. Wound infection rates were determined at 1 month. Time from drug administration to wound manipulation was 64.3 min [95% confidence interval (CI) 36.6-91.9] placebo versus 75.0 min (95% CI: 51.7-98.3) flucloxacillin, P=0.657. Six of 36 patients (17%) reported wound infection in the placebo group, and four of 34 (12%) in the flucloxacillin group, P=0.736. Administration of oral flucloxacillin at triage failed to reduce the rate of wound infection for simple traumatic wounds closed in the ED.

• 出版日期2011-10