title: Contemporary practice among pediatric surgeons in the use of bowel preparation for elective colorectal surgery: A survey of the American Pediatric Surgical Association.
abstract: OBJECTIVE
  The goal of this study was to characterize contemporary practice among pediatric surgeons in the use of mechanical bowel preparation (MBP) and oral antibiotics (OA) for elective colorectal surgery.
  
  
  METHODS
  A survey of the American Pediatric Surgical Association membership was conducted to characterize variation in the use of MBP and OA for commonly performed elective colorectal procedures in children.
  
  
  RESULTS
  Three-hundred thirteen members completed the survey. The most common approach used was MBP alone (31.1%), followed by diet modification only (26.8%), MBP combined with OA (19.6%), no preparation or dietary modification (12.2%), and OA alone (5.4%). The most common MBP used was a polyethylene glycol-based solution (92.6%), and the most common OA approach was neomycin combined with erythromycin (55.9%). Although MBP alone was the preferred approach among pediatric surgeons, the greatest relative change reported over time was in the adoption of dietary modifications only or no preparation at all.
  
  
  CONCLUSIONS
  Significant variation exists in the use of bowel preparation among pediatric surgeons. Although use of MBP alone remains the preferred approach for most procedures, an increasing number of surgeons report abandoning this approach in favor of dietary modification alone or no preparation at all.
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Christina
authors.initials: C
authors.lastname: Feng
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Feroze
authors.initials: F
authors.lastname: Sidhwa
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Seema
authors.initials: S
authors.lastname: Anandalwar
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Elliot C
authors.initials: EC
authors.lastname: Pennington
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Charity
authors.initials: C
authors.lastname: Glass
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Danielle
authors.initials: D
authors.lastname: Cameron
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA.
authors.forename: Sonja
authors.initials: S
authors.lastname: Ziniel
authors.affiliation: University of Florida College of Medicine, Gainesville, FL.
authors.forename: Saleem
authors.initials: S
authors.lastname: Islam
authors.affiliation: Children's Mercy Hospitals & Clinics, Kansas City, MO.
authors.forename: Shawn D
authors.initials: SD
authors.lastname: St Peter
authors.affiliation: Johns Hopkins University, Baltimore, MD.
authors.forename: Fizan
authors.initials: F
authors.lastname: Abdullah
authors.affiliation: Seattle Children's Hospital, Seattle, WA.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Goldin
authors.affiliation: Boston Children's Hospital and Harvard Medical School, Boston, MA. Electronic address: Shawn.Rangel@childrens.harvard.edu.
authors.forename: Shawn J
authors.initials: SJ
authors.lastname: Rangel
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000379:methods / Q000706:statistics & numerical data*; D002400:Cathartics / Q000008:administration & dosage*; D002648:Child; D003106:Colon / Q000601:surgery*; D004334:Drug Administration Schedule; D017558:Elective Surgical Procedures; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010372:Pediatrics; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011300:Preoperative Care / Q000379:methods* / Q000706:statistics & numerical data; D012007:Rectum / Q000601:surgery*; D012955:Societies, Medical; D066231:Surgeons; D013530:Surgical Wound Infection / Q000517:prevention & control; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents; D002400:Cathartics
keywords: antibiotic prophylaxis; colorectal surgery; infection prevention; mechanical bowel preparation; oral antibiotics