What does this research mean for the field?

Adherence to the standard of care for antibiotic selection in pediatric type I and II open forearm fractures has improved from 2015 to 2023, though significant treatment variability remains for more severe type IIIA-C fractures. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

This study aims to assess the trends and practices of antibiotic use for pediatric patients with open forearm fractures over recent years.

May 28, 2026Journal of the Pediatric Orthopaedic Society of North AmericaOpen Access

Trends in the Use of Antibiotics for Open Forearm Fractures in Pediatric Patients from 2015 to 2023

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Authors

LSLuke Sang DSDivij Sharma MBMichaela Booker

Discussion

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Overview

Retrospective review assesses antibiotic practices for pediatric open fractures, indicating improvement yet variability for type IIIA-C fractures.

Key Points

This study aims to assess the trends and practices of antibiotic use for pediatric patients with open forearm fractures over recent years.
Conducted a retrospective review of the Pediatric Health Information System database from October 2015 to December 2023.
Included patients aged 18 years or younger with an open forearm fracture classified by the Gustilo-Anderson system.
Utilized Fisher’s exact, Chi-squared, and Mann-Kendall tests for data analysis.
95.7% of patients received a cephalosporin, predominantly cefazolin (92.9%).
A significant increase in cephalosporin administration for type I or II fractures was observed (p < 0.05).
Variability in antibiotic selection for type IIIA-C fractures indicates a need for standardization.

Cite This Study

Sang et al. (2026) studied this question.

synapsesocial.com/papers/6a17daf83fad632b0f9d7c8e https://doi.org/10.1016/j.jposna.2026.100400

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May 28, 2026Journal of the Pediatric Orthopaedic Society of North AmericaOpen Access

Trends in the Use of Antibiotics for Open Forearm Fractures in Pediatric Patients from 2015 to 2023

View Full Paper

Ask AI

Bookmark

Authors

LSLuke Sang DSDivij Sharma MBMichaela Booker

Discussion

Member takes

Overview

Retrospective review assesses antibiotic practices for pediatric open fractures, indicating improvement yet variability for type IIIA-C fractures.

Key Points

This study aims to assess the trends and practices of antibiotic use for pediatric patients with open forearm fractures over recent years.
Conducted a retrospective review of the Pediatric Health Information System database from October 2015 to December 2023.
Included patients aged 18 years or younger with an open forearm fracture classified by the Gustilo-Anderson system.
Utilized Fisher’s exact, Chi-squared, and Mann-Kendall tests for data analysis.
95.7% of patients received a cephalosporin, predominantly cefazolin (92.9%).
A significant increase in cephalosporin administration for type I or II fractures was observed (p < 0.05).
Variability in antibiotic selection for type IIIA-C fractures indicates a need for standardization.

Cite This Study

Sang et al. (2026) studied this question.

synapsesocial.com/papers/6a17daf83fad632b0f9d7c8e https://doi.org/10.1016/j.jposna.2026.100400

View Full Paper

Ask AI

Bookmark