The Use of Preoperative Antibiotics in Elective Soft-Tissue Procedures in the Hand: A Critical Analysis Review.

JBJS Rev · Aug 2019 · Review

Shapiro LM, Zhuang T, Li K, Kamal RN

Department of Orthopaedic Surgery, Stanford University, Redwood City, California

Hand & Upper Extremity

SUMMARY — THE REDUCTIONPreoperative antibiotic prophylaxis is not recommended for elective soft-tissue hand procedures under two hours or for diabetic patients without evidence of benefit.
Abstract, as published

» The use of preoperative antibiotic prophylaxis is not supported for elective cases of patients undergoing soft-tissue hand procedures that are ≤2 hours in length. » The use of preoperative antibiotic prophylaxis is not supported for patients with diabetes undergoing elective, soft-tissue hand surgical procedures. » There is a paucity of literature evaluating the use of preoperative antibiotic prophylaxis in patients with rheumatoid arthritis, those with cardiac valves, and those taking corticosteroids; because of this, there is no evidence to vary from our general recommendations.

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