title: [Antibioprophylaxis in pediatric orthopedic surgery].
abstract: The pediatric osteo-articular surgery has certain characteristics that justify specific recommendations (spine surgery, reconstruction after tumorectomy). The children with the higher risks of surgical site infection are children with comorbidities or undergoing prolonged surgery. Bacteria targeted by antibioprophylaxis are those of the skin flora, most particularly Staphylococcus aureus. Cefazolin is the antibiotic of choice for osteoarticular surgery. Detection and decontamination of Staphylococcus aureus can be discussed especially in centers with strong incidence of surgical site infection caused by MRSA. The adaptation of the antibioprophylaxis to the urinary flora of patients with neuromuscular disease can also be justified on a case before spine surgery.
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
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: 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: Laboratoire de bactériologie et hygiène hospitalière, CHU Nantes, 1 place Alexis-Ricordeau, 44093 Nantes Cedex 1, France; Université de Nantes, EA 3826, 1 rue Gaston-Veil, 44035 Nantes, France.
authors.forename: J
authors.initials: J
authors.lastname: Caillon
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
mesh_terms: D019072:Antibiotic Prophylaxis; D002648:Child; D006801:Humans; D019637:Orthopedic Procedures; D017410:Practice Guidelines as Topic; D013530:Surgical Wound Infection / Q000517:prevention & control