Abstract
Introduction
antibiotic prophylaxis for patients undergoing lumbar spine arthrodesis is controversial in the literature. The objective of this article is comparing the results of post-operative patients undergoing lumbar spine arthrodesis using first generation cephalosporin antibioticoprofilaxiacom by one and five days.
Methods
we evaluated 43 patients aged between 16 and 76 years (mean 49.9 years), prospectively randomized, undergoing lumbar arthrodesis of 01 to 03 levels between November 2012 and April 2014, divided into two groups. At first it was used a period of antibiotic prophylaxis of a day and, in the second group, prevention was kept by 05 days. Following clinical and laboratory criteria were evaluated.
Results
the prevention of surgical infections requires far beyond the administration of antibiotics, according to the CDC's latest update, however, the dose, spectrum and time of use thereof remain controversial in the literature. The current recommendation for antibiotic prophylaxis in clean surgery of column is of single dose and, if a new dose is added, this should not exceed 24 hours the post-op.
Conclusion
A single dose of antibiotic prophylaxis with 1st generation cephalosporin is as effective as multiple doses scheme pre and post operative in lumbar arthrodesis surgery up to three levels, not justifying the costs and risks of submitting the patient hospitalization under medicated wide.