Perioperative antibiotic therapy for penetrating injuries of the abdomen

L. O. Gentry, D. V. Feliciano, Alfred Lea, H. D. Short, K. L. Mattox, G. L. Jordan

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

From 1979 through 1981, 152 patients with penetrating injuries of the intra-abdominal gastrointestinal tract were placed on one of three different perioperative antibiotic regimens in a prospective randomized fashion. The three regimens were A) cefamandole 2 grams every 4 hours, B) cefoxitin 2 grams every 6 hours, and C) ticarcillin 3 grams every 4 hours and tobramycin 1.5 mg/kg every 8 hours. Antibiotics were administered intravenously before and for 48 hours following surgical exploration and repair. The three treatment groups were similar with respect to age, average number of organ injuries, and distribution of organ injuries. Cefoxitin-treated patients experienced uneventful recoveries more often than cefamandole-treated patients (94% vs. 80.3%, p < 0.05) when the incidence of gram-negative wound infection and intra-abdominal abscess formation was considered, while the number of patients who experienced uneventful recoveries in the ticarcillin-tobramycin group was not statistically different from the other two groups of patients. Bacteroides fragilis was isolated from three of the six abscesses occurring in the cefamandole-treated group, while no anaerobes were isolated from abscesses in patients treated with either of the other two regimens. The results of this study suggest that the most effective perioperative antibiotic regimen for patients with penetrating gastrointestinal wounds should possess activity against both aerobic and anaerobic flora of the bowel.

Original languageEnglish (US)
Pages (from-to)561-566
Number of pages6
JournalAnnals of Surgery
Volume200
Issue number5
StatePublished - 1984
Externally publishedYes

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Abdomen
Anti-Bacterial Agents
Cefamandole
Wounds and Injuries
Ticarcillin
Cefoxitin
Tobramycin
Abscess
Therapeutics
Penetrating Wounds
Abdominal Abscess
Abdominal Injuries
Bacteroides fragilis
Wound Infection
Gastrointestinal Tract
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Gentry, L. O., Feliciano, D. V., Lea, A., Short, H. D., Mattox, K. L., & Jordan, G. L. (1984). Perioperative antibiotic therapy for penetrating injuries of the abdomen. Annals of Surgery, 200(5), 561-566.

Perioperative antibiotic therapy for penetrating injuries of the abdomen. / Gentry, L. O.; Feliciano, D. V.; Lea, Alfred; Short, H. D.; Mattox, K. L.; Jordan, G. L.

In: Annals of Surgery, Vol. 200, No. 5, 1984, p. 561-566.

Research output: Contribution to journalArticle

Gentry, LO, Feliciano, DV, Lea, A, Short, HD, Mattox, KL & Jordan, GL 1984, 'Perioperative antibiotic therapy for penetrating injuries of the abdomen', Annals of Surgery, vol. 200, no. 5, pp. 561-566.
Gentry LO, Feliciano DV, Lea A, Short HD, Mattox KL, Jordan GL. Perioperative antibiotic therapy for penetrating injuries of the abdomen. Annals of Surgery. 1984;200(5):561-566.
Gentry, L. O. ; Feliciano, D. V. ; Lea, Alfred ; Short, H. D. ; Mattox, K. L. ; Jordan, G. L. / Perioperative antibiotic therapy for penetrating injuries of the abdomen. In: Annals of Surgery. 1984 ; Vol. 200, No. 5. pp. 561-566.
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