[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.