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World J Gastrointest Surg. 2017 Dec 27;9(12):246-255. doi: 10.4240/wjgs.v9.i12.246.

Role of oral antibiotics for prophylaxis against surgical site infections after elective colorectal surgery.

Author information

1
Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Trinidad and Tobago, West Indies. socawich@allpsgroup.com.
2
Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Trinidad and Tobago, West Indies.

Abstract

Over the past few decades, surgeons have made many attempts to reduce the incidence of surgical site infections (SSI) after elective colorectal surgery. Routine faecal diversion is no longer practiced in elective colonic surgery and mechanical bowel preparation is on the verge of being eliminated altogether. Intravenous antibiotics have become the standard of care as prophylaxis against SSI for elective colorectal operations. However, the role of oral antibiotics is still being debated. We review the available data evaluating the role of oral antibiotics as prophylaxis for SSI in colorectal surgery.

KEYWORDS:

Anastomosis; Antibiotics; Bowel preparation; Colorectal; Leak

Conflict of interest statement

Conflict-of-interest statement: No potential conflicts of interest.

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