Open fracture

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Background

Clinical Features

Differential Diagnosis

Workup

Management

Antibiotics

Cefazolin (Ancef) 2g IV[1][2]

AND

Gentamicin 300 mg (1-1.7mg/kg) IV (especially if wound is dirty)

Surgical debridement and washout

Disposition

See Also

External Links

Sources

  1. Gosselin RA, Roberts I, Gillespie WJ. Antibioticsfor preventing infection in open limb fractures. Cochrane Database Syst Rev. 2004;1:CD003764
  2. The NNT Review http://www.thennt.com/nnt/antibiotics-for-open-fractures/