The use of prophylactic systemic antibiotics in compound depressed skull fractures in infancy and childhood

Plese, J. Píndaro P.; Humphreys, Robin P.

doi:10.1590/S0004-282X1981000300003

Abstracts

The authors described their experience with the use of prophylactic antibiotics in children with compound depressed skull fractures. The analysis of the results of the treatment of patients with or without systemic antibiotics and with or without the replacement of the bone fragments showed no difference in the infection rate, any one was the method used.

Os autores relatam sua experiência com o uso de antibióticos profiláticos sistêmicos em crianças portadoras de fraturas cranianas com afundamentos e cominutivas. Não detectaram infecção precoce ou tardia nos pacientes que receberam antibióticos sistemicos e nos que não receberam e também relação com a recolocação ou não dos fragmentos ósseos.

The use of prophylactic systemic antibiotics in compound depressed skull fractures in infancy and childhood

Uso profilático de antibióticos em fraturas cranianas com afundamentos e cominutivas na infância

J. Píndaro P. Plese^I; Robin P. Humphreys^II

^INeurosurgeon Assistant Professor, Neurologic Clinic, Neuropsychiatry Department, São Paulo University (Brasil)

^IINeurosurgeon Assistant Professor, Department of Surgery, University of Toronto (Canada)

SUMMARY

The authors described their experience with the use of prophylactic antibiotics in children with compound depressed skull fractures. The analysis of the results of the treatment of patients with or without systemic antibiotics and with or without the replacement of the bone fragments showed no difference in the infection rate, any one was the method used.

RESUMO

Os autores relatam sua experiência com o uso de antibióticos profiláticos sistêmicos em crianças portadoras de fraturas cranianas com afundamentos e cominutivas. Não detectaram infecção precoce ou tardia nos pacientes que receberam antibióticos sistemicos e nos que não receberam e também relação com a recolocação ou não dos fragmentos ósseos.

Full text available only in PDF format.

Texto completo disponível apenas em PDF.

Clinica Neurológica - Faculdade de Medicina, Universidade de São Paulo - Caixa Postal 3461 - 01000 São Paulo, SP - Brasil.

1. ALEXANDER, E. Jr. - Surgical management of head injuries in children in the acute phase. In Clinial Neurosurgery Ed. George T. Tindall. Williams & Wilkins, Baltimore 1972, pp. 251-262.
2. BRAAKMAN, R. - Depressed skull fracture: data, treatment and follow-up in 225 consecutive cases. J. Neurol. Neurosurg. Psychiat. (Chicago) 36:395, 1972.
3. CARRINGTON, K. W.; TAKEN, J. A. & XAHN, E. A. - Primary repair of compound skull fracturee in children. Surgery Gynec. Obstet. 110:203, 1960.
4. JAMIESON,.K. G. & YELLAND, J. D. N. - Depressed skull fractures in Australia. J. Neurosurg. 37:150, 1972.
5. JENNET, W. B. & MILLER, O. D. - Infection after depressed fracture of the skull: implication for management of nonmissile injuries. J. Neurosurg. 36:333, 1972.
6. KRISS, F. C; TAREN, J. A. & KAHN, E. A. - Primary repair of compound skull fractures by replacement of bone fragments. J. Neurosurg. 30:698, 1969.
7. LEWIN, W. - The Management of Head Injuries. Bailliere, Tindall & Cassell, London 1968.
8. LOESER, J. D.; KILBURN, H. L. & JOLLEY, T - Management of depressed skull fracture in the newborn. J. Neurosurg. 44:62, 1976.
9. LYERELY, J. G. - The treatment of depressed fractures of the skull with special reference to repair of cranial defect. Am. Surg. 23:1.115, 1957.
10. MATSON, D. D. - Neurosurgery of Infancy and Childhood. Charles C. Thomas, Springfield (Illinois) 1979.
11. MILHORAT, T. H. - Pediatric Neurosurgery. F. A. Davis Company, Philadelphia 1978.
12. MILLER, J. D. & JENNETT, W. B. - Complications of depressed skull fractures. Lancet 2:991. 1968.
13. NADELL, J. & KLINE, D. G. - Primary reconstruction of depressed frontal skull fractures including those involving the sinus, orbit and cribiform plate. J. Neurosurg. 41:200, 1974.
14. TILL, K. - Pediatric Neurosurgery. Blackwell Scientific Publications, Oxford, 1975.

Publication Dates

Publication in this collection
17 Aug 2012
Date of issue
Sept 1981

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ALEXANDER, E. Jr. - Surgical management of head injuries in children in the acute phase. In Clinial Neurosurgery Ed. George T. Tindall. Williams & Wilkins, Baltimore 1972, pp. 251-262.

[2] 2. BRAAKMAN, R. - Depressed skull fracture: data, treatment and follow-up in 225 consecutive cases. J. Neurol. Neurosurg. Psychiat. (Chicago) 36:395, 1972.

[3] 3. CARRINGTON, K. W.; TAKEN, J. A. & XAHN, E. A. - Primary repair of compound skull fracturee in children. Surgery Gynec. Obstet. 110:203, 1960.

[4] 4. JAMIESON,.K. G. & YELLAND, J. D. N. - Depressed skull fractures in Australia. J. Neurosurg. 37:150, 1972.

[5] 5. JENNET, W. B. & MILLER, O. D. - Infection after depressed fracture of the skull: implication for management of nonmissile injuries. J. Neurosurg. 36:333, 1972.

[6] 6. KRISS, F. C; TAREN, J. A. & KAHN, E. A. - Primary repair of compound skull fractures by replacement of bone fragments. J. Neurosurg. 30:698, 1969.

[7] 7. LEWIN, W. - The Management of Head Injuries. Bailliere, Tindall & Cassell, London 1968.

[8] 8. LOESER, J. D.; KILBURN, H. L. & JOLLEY, T - Management of depressed skull fracture in the newborn. J. Neurosurg. 44:62, 1976.

[9] 9. LYERELY, J. G. - The treatment of depressed fractures of the skull with special reference to repair of cranial defect. Am. Surg. 23:1.115, 1957.

[10] 10. MATSON, D. D. - Neurosurgery of Infancy and Childhood. Charles C. Thomas, Springfield (Illinois) 1979.

[11] 11. MILHORAT, T. H. - Pediatric Neurosurgery. F. A. Davis Company, Philadelphia 1978.

[12] 12. MILLER, J. D. & JENNETT, W. B. - Complications of depressed skull fractures. Lancet 2:991. 1968.

[13] 13. NADELL, J. & KLINE, D. G. - Primary reconstruction of depressed frontal skull fractures including those involving the sinus, orbit and cribiform plate. J. Neurosurg. 41:200, 1974.

[14] 14. TILL, K. - Pediatric Neurosurgery. Blackwell Scientific Publications, Oxford, 1975.