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Antibiotic use in patients with abdominal injuries: guideline by the Korean Society of Acute Care Surgery

DC Field Value Language
dc.contributor.author이재길-
dc.date.accessioned2019-02-14T02:01:08Z-
dc.date.available2019-02-14T02:01:08Z-
dc.date.issued2019-
dc.identifier.issn2288-6575-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/167345-
dc.description.abstractPurpose: A task force appointed by the Korean Society of Acute Care Surgery reviewed previously published guidelines on antibiotic use in patients with abdominal injuries and adapted guidelines for Korea. Methods: Four guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation II instrument. Five topics were considered: indication for antibiotics, time until first antibiotic use, antibiotic therapy duration, appropriate antibiotics, and antibiotic use in abdominal trauma patients with hemorrhagic shock. Results: Patients requiring surgery need preoperative prophylactic antibiotics. Patients who do not require surgery do not need antibiotics. Antibiotics should be administered as soon as possible after injury. In the absence of hollow viscus injury, no additional antibiotic doses are needed. If hollow viscus injury is repaired within 12 hours, antibiotics should be continued for ≤ 24 hours. If hollow viscus injury is repaired after 12 hours, antibiotics should be limited to 7 days. Antibiotics can be administered for ≥7 days if hollow viscus injury is incompletely repaired or clinical signs persist. Broad-spectrum aerobic and anaerobic coverage antibiotics are preferred as the initial antibiotics. Second-generation cephalosporins are the recommended initial antibiotics. Third-generation cephalosporins are alternative choices. For hemorrhagic shock, the antibiotic dose may be increased twofold or threefold and repeated after transfusion of every 10 units of blood until there is no further blood loss. Conclusion: Although this guideline was drafted through adaptation of other guidelines, it may be meaningful in that it provides a consensus on the use of antibiotics in abdominal trauma patients in Korea.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Surgical Society-
dc.relation.isPartOfANNALS OF SURGICAL TREATMENT AND RESEARCH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleAntibiotic use in patients with abdominal injuries: guideline by the Korean Society of Acute Care Surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorJi Young Jang-
dc.contributor.googleauthorWu Seong Kang-
dc.contributor.googleauthorMin-Ae Keum-
dc.contributor.googleauthorYoung Hoon Sul-
dc.contributor.googleauthorDae-Sang Lee-
dc.contributor.googleauthorHangjoo Cho-
dc.contributor.googleauthorGil Jae Lee-
dc.contributor.googleauthorJae Gil Lee-
dc.contributor.googleauthorSuk-Kyung Hong-
dc.contributor.googleauthorKorean Society of Acute Care Surgery (KSACS) Clinical Research Group-
dc.identifier.doi10.4174/astr.2019.96.1.1-
dc.contributor.localIdA03070-
dc.relation.journalcodeJ00180-
dc.identifier.eissn2288-6796-
dc.identifier.pmid30603627-
dc.subject.keywordAbdominal Injuries-
dc.subject.keywordAntibiotic prophylaxis-
dc.subject.keywordGuideline-
dc.contributor.alternativeNameLee, Jae Gil-
dc.contributor.affiliatedAuthor이재길-
dc.citation.volume96-
dc.citation.number1-
dc.citation.startPage1-
dc.citation.endPage7-
dc.identifier.bibliographicCitationANNALS OF SURGICAL TREATMENT AND RESEARCH, Vol.96(1) : 1-7, 2019-
dc.identifier.rimsid61544-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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