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The Use of Preoperative Antibiotics in Elective Soft-Tissue Procedures in the Hand

A Critical Analysis Review

Shapiro, Lauren M. MD1; Zhuang, Thompson BA1; Li, Kevin BS1; Kamal, Robin N. MD1

doi: 10.2106/JBJS.RVW.18.00168
Review Articles with Critical Analysis Component
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Disclosures

  • » The use of preoperative antibiotic prophylaxis is not supported for elective cases of patients undergoing soft-tissue hand procedures that are ≤2 hours in length.
  • » The use of preoperative antibiotic prophylaxis is not supported for patients with diabetes undergoing elective, soft-tissue hand surgical procedures.
  • » There is a paucity of literature evaluating the use of preoperative antibiotic prophylaxis in patients with rheumatoid arthritis, those with cardiac valves, and those taking corticosteroids; because of this, there is no evidence to vary from our general recommendations.

1Department of Orthopaedic Surgery, Stanford University, Redwood City, California

E-mail address for L.M. Shapiro: laurenms@stanford.edu

E-mail address for T. Zhuang: tzhuang@stanford.edu

E-mail address for K. Li: kevli@stanford.edu

E-mail address for R.N. Kamal: rnkamal@stanford.edu

Investigation performed at the Department of Orthopaedic Surgery, Stanford University, Redwood City, California

Disclosure: One author of this study (R.N.K.) received funding from the National Institutes of Health (NIH), K23 Grant K23AR073307-01. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A485).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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