title: [Antibioprophylaxis in pediatric surgery: how to harmonize practices?].
abstract: Surgical antibiotic prophylaxis has demonstrated its effectiveness in reducing surgical site infections. Existing recommendations for adults are however subject to poor compliance. Surgical antibiotic representing a significant proportion of antibiotic prescriptions, it is then important to respect its general principles (narrow spectrum, short duration, choosing molecules different than the ones used in therapeutics, etc.) to limit its impact on the bacterial ecology. A brief survey of pediatric practices in five French university hospitals has allowed us to highlight some significant changes in terms of choice of molecule or duration. Through the experience of harmonizing practices at the University Hospital of Nantes, we showed that the development of national guidelines is a prerequisite to harmonize practices but must be accompanied by a multidisciplinary reflexion within each hospital in order to improve their acceptability and application.
authors.affiliation: Service anesthésie et réanimation, CHU Nantes, 1 place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.
authors.forename: R
authors.initials: R
authors.lastname: Dumont
authors.affiliation: Service anesthésie et réanimation, CHU Nantes, 1 place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.
authors.forename: V
authors.initials: V
authors.lastname: Pichenot
authors.affiliation: Clinique médicale pédiatrique, CHU Nantes, 7 quai Moncousu, 44093 Nantes Cedex 1, France; Accueil des urgences pédiatriques, CHU Nantes, 9 quai Moncousu, 44093 Nantes Cedex 1, France.
authors.forename: C
authors.initials: C
authors.lastname: Gras-Le Guen
authors.affiliation: Clinique médicale pédiatrique, CHU Nantes, 7 quai Moncousu, 44093 Nantes Cedex 1, France. Electronic address: elise.launay@chu-nantes.fr.
authors.forename: E
authors.initials: E
authors.lastname: Launay
mesh_terms: D019072:Antibiotic Prophylaxis / Q000592:standards*; D002648:Child; D006801:Humans; D017410:Practice Guidelines as Topic; D013514:Surgical Procedures, Operative