[Antibiotic prophylaxis in thoracic surgery, pulmonary endoscopy, thoracic injuries and lung transplantation].
Effectiveness of prophylactic antibiotics is at present time well documented for many surgical procedures. In lung surgery, numerous randomized double-blinded studies have demonstrated the effectiveness of 1st or 2nd generation cephalosporins, administered over a short period of time, not exceeding 24 h. In the opposite, thoracic injuries do not seem to require prophylactic antibiotics, except penetrating injuries of the chest, which could benefit from a single antibiotic injection. In case of lung transplantation, infectious complications result from many factors, among which immunosuppression plays an important role. A prolonged antibiotherapy is routinely used by many transplantation teams, despite the lack of studies proving the effectiveness of this practice.
Bantz
P
P
Département d'Anesthésie-Réanimation, Marseille Sud, Hôpital Sainte-Marguerite.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000517:prevention & control; D001999:Bronchoscopy / Q000009:adverse effects; D002511:Cephalosporins / Q000627:therapeutic use; D004311:Double-Blind Method; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects; D016032:Randomized Controlled Trials as Topic; D013530:Surgical Wound Infection / Q000517:prevention & control*; D013898:Thoracic Injuries / Q000601:surgery*; D013903:Thoracic Surgery
D000900:Anti-Bacterial Agents; D002511:Cephalosporins
Antibioprophylaxie en chirurgie thoracique, endoscopie pulmonaire, traumatismes thoraciques et transplantations pulmonaires.