title: [Antibiotic prophylaxis in visceral and urologic pædiatric surgery].
abstract: Surgical site infections are the leading cause of perioperative morbidity and mortality as well as increased costs following surgery. Among preventive measures, antibiotic prophylaxis significantly decreases this risk. Adult guidelines have recently been published. Specific pædiatric data are scarce, but adult recommendations can be used by extrapolation except for the neonates. For procedures that may warrant antimicrobial prophylaxis, agents of choice are first-generation cephalosporins who are not currently used in curative treatment, like cefazolin, with an appropriate dosing. A single perioperative dose of antibiotics is often sufficient. Continuation for more than 24 hours is rarely advised.
authors.affiliation: Groupe de pathologie infectieuse pédiatrique (GPIP) de la Société française de pédiatrie; Urgences pédiatriques-infectiologie, hôpitaux pédiatriques CHU Lenval, 57 avenue de la Californie, 06200 Nice, France. Electronic address: haas.h@chu-nice.fr.
authors.forename: H
authors.initials: H
authors.lastname: Haas
authors.affiliation: Service d'anesthésie pédiatrique, hôpitaux pédiatriques CHU Lenval, 57 avenue de la Californie, 06200 Nice, France.
authors.forename: G
authors.initials: G
authors.lastname: Schneider
authors.affiliation: Groupe de pathologie infectieuse pédiatrique (GPIP) de la Société française de pédiatrie; Service de réanimation et de surveillance continue polyvalente, hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Moulin
mesh_terms: D019072:Antibiotic Prophylaxis; D002648:Child; D006801:Humans; D017410:Practice Guidelines as Topic; D013530:Surgical Wound Infection / Q000517:prevention & control; D013520:Urologic Surgical Procedures; D014781:Viscera / Q000601:surgery*