1. Does the Trust perform surgery for open fractures? Yes- although open long bone and periarticular open fractures with concern over subsequent soft tissue coverage are transferred to MTC directly.

 

2. Does the Trust have a specific guideline/policy regarding antibiotic prophylaxis for patients with open fractures? YES

o   If yes, please could this be emailed to me – Cefuroxime 1.5g IV to be stared asap on arrival in A&E. In line with BOA Standard for trauma for Open fractures. Alternative option. Co Amoxiclav 1.2g. Clindamycin for penicillin allergic patients.

ABx stopped once definitive fracture stabilisation and soft tissue coverage is achieved.

 

BOAST -4

 

RSCH guideline by Microguide on Antibiotic cover for open fractures –

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