Title

Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection

Authoring Organization

Surgical Infection Society

Publication Month/Year

May 6, 2022

Last Updated Month/Year

May 25, 2023

Document Type

Guideline

Country of Publication

US

Document Objectives

The Surgical Infection Society's Therapeutics and Guidelines Committee and Chest Wall Injury Society's Publication Committee convened to develop recommendations for antibiotic use during and after surgical stabilization of traumatic rib and sternal fractures. Clinical scenarios included patients with concomitant infectious processes (sepsis, pneumonia, empyema, cellulitis) or sources of contamination (open chest, gross contamination) incurred as a result of their trauma and present at the time of their surgical stabilization. 

Inclusion Criteria

Male, Female, Adult, Older adult

Health Care Settings

Hospital, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Management, Prevention

Keywords

implant, sternal fracture, rib fracture

Source Citation

Forrester JD, Bukur M, Dvorak JE, Faliks B, Hindin D, Kartiko S, Kheirbek T, Lin L, Manasa M, Martin TJ, Miskimins R, Patel B, Pieracci FM, Ritter KA, Schubl SD, Tung J, Huston JM. Surgical Infection Society: Chest Wall Injury Society Recommendations for Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection. Surg Infect (Larchmt). 2022 May;23(4):321-331. doi: 10.1089/sur.2022.025. PMID: 35522129.