Nationwide survey reports antibiotic prophylaxis choices in trauma and orthopedic surgery, highlighting deviations from guidelines and need for stronger antimicrobial stewardship.
Key Points
Significant deviations in antibiotic prophylaxis were reported, particularly in open fractures and distal phalanx injuries, necessitating guideline revision.
Closed fractures predominantly utilized first- or second-generation cephalosporins, with high adherence to single-shot administration protocols.
The study employed a nationwide survey across 36 trauma and orthopedic centers in Germany to assess antibiotic use practices.
The findings emphasize the need for stronger implementation of national guidelines to minimize overtreatment and enhance infection prevention strategies.