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When should abx be given pre-operatively for appendicitis?

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Final answer:

Prophylactic antibiotics should be administered 60 minutes before the incision in appendicitis surgeries to decrease the risk of hospital-acquired infections by nearly half, translating to 55 fewer HAI cases per thousand patients.

Step-by-step explanation:

When dealing with appendicitis, it is crucial to administer prophylactic antibiotics before surgery to reduce the risk of hospital-acquired infections (HAIs). The ideal timing for antibiotic administration is 60 minutes before the surgical incision is made.

This timing ensures maximum effectiveness of the antibiotics in the bloodstream at the moment of the incision to help prevent infection.

A cohort study indicated that patients who received a pre-surgery antibiotic had a 0.58 times lesser risk of developing an HAI, effectively cutting the risk by almost half.

This translates to 55 fewer cases of HAI per thousand patients treated with prophylactic antibiotics.

Antibiotics like amoxicillin, doxycycline, penicillin G, chloramphenicol, or ceftriaxone are among the choices for the treatment of infections in the context of surgery.

These measures, along with ensuring the proper pre-operative procedures such as confirming the administration of antibiotics and the availability of all essential imaging results, help mitigate potential complications and enhance patient recovery outcomes.

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