Antibiotics/Routine Surgery

Re: Antibiotics/Routine Surgery

Jax — Sun, 29 Mar 2009 16:05:33 GMT

We always used to give long acting abs for routines, but we have recently won our vets over and do not given them to the castrates and spay anymore!! :)

Re: Antibiotics/Routine Surgery

Vicky RVN — Sat, 21 Mar 2009 07:55:19 GMT

[quote user="STRVN"]

[quote user="Vicky Couzens"]

I'm really surprised how many practices use antibiotics for routines (ie neuters rather than orthopaedics). Surely it isn't necessary unless there is concern re animal not being kept clean post op, pyoderma etc? Why overuse antibiotics when they aren't needed if good practice is carried out (ie good scrubbing technique & theatre cleanliness). Just my opinion!

[/quote]

Agree why overuse something we may later rely on, and because overuse it does not work.

Ortho ops yes I agree with, and have used I/V augmentin on those , but for routine ops..... just dont see the point, never used and never had a problem

[/quote]

Glad you agree! I thought i might have been shot down in flames by all of the antibiotic users

Re: Antibiotics/Routine Surgery

Sandra Taylor RVN, MBVNA — Sat, 21 Mar 2009 01:35:12 GMT

[quote user="Vicky Couzens"]

[/quote]

Agree why overuse something we may later rely on, and because overuse it does not work.

Ortho ops yes I agree with, and have used I/V augmentin on those , but for routine ops..... just dont see the point, never used and never had a problem

Re: Antibiotics/Routine Surgery

Anne Whipple RVN — Thu, 19 Mar 2009 18:55:09 GMT

We use atbs all the time. Unfortunately, we dont' have a dedicated operating theatre (mixed practice, mostly LA) so asepsis is not the best, but I still have mixed feelings. Would like to use them less, in healthy patients, but not sure if the circumstances will allow it. May be worth doing a bit of experimenting, alongside trying to improve operating conditions...

Re: Antibiotics/Routine Surgery

Vicky RVN — Wed, 18 Mar 2009 19:37:14 GMT

Re: Antibiotics/Routine Surgery

Yvette Patton RVN MBVNA — Wed, 18 Mar 2009 13:01:23 GMT

We use long acting ABx on all routine surgery and give extra pain relief aswell.

Re: Antibiotics/Routine Surgery

vanessa — Wed, 18 Mar 2009 12:46:43 GMT

We use them although its prob not necessary anymore. As for humans - I had my wisdom teeth out and didn't recieve any antib's and it didn't get infected or anything.

Re: Antibiotics/Routine Surgery

daisy — Tue, 17 Mar 2009 21:39:24 GMT

when i worked in general practice all the routines had a jab of duphamox LA and rimadyl now im in a general/referal practice none of the routine surgery get routine antibitioc but we are much better here on pre op scrub, keeping theatre clean and only wearing theatre scrubs.

all orthopaedic surgery get augmentin i/v pre op and 1 1/2 hour later.

Re: Antibiotics/Routine Surgery

Nick Shackleton — Tue, 17 Mar 2009 14:00:07 GMT

[quote user="Kerry Haigh"]

Nick, which abs do you use IV?

[/quote]

We use Augmentin and Zinacef

Re: Antibiotics/Routine Surgery

Doolally — Tue, 17 Mar 2009 10:14:33 GMT

We used to use them for every op but don't any more. We try to only use antibiotics only when absolutely necessary

charity neuters who will be going back into not so clean surroundings get them routinely.

privately owned neuters don't get them unless there's concern about aspesis, eg if they've got puppy acne around the area, or if they're really dirty and it doesnt look like the owner will keep then in a clean place!

Other surgery depends on the individual case..

Re: Antibiotics/Routine Surgery

Sal the 1st — Tue, 17 Mar 2009 09:11:51 GMT

yes one place i worked we used to give i/v augmentin at the same time as the premed for all our orthopaedic cases

Re: Antibiotics/Routine Surgery

Kerry Spain — Tue, 17 Mar 2009 00:44:23 GMT

Nick, which abs do you use IV?

Re: Antibiotics/Routine Surgery

Nick Shackleton — Mon, 16 Mar 2009 20:33:46 GMT

My idea of routine is a surgery performed on a regular basis. Where I work routine is a TPLO/patella surgery. All our patients recieve iv antibiotics at least 30mins prior to surgery and then repeated every 90mins until end of durgery. Then it is up to each induvidual surgeon whether the patient recieves post-op repeats plus oral medication. am sure there is a paper somewhere about the use of perioperative ABs and effectiveness. wil try and dig it out and post the abstract...

Re: Antibiotics/Routine Surgery

Louise Allen — Mon, 16 Mar 2009 19:13:28 GMT

[quote user="Mrs Dot Dot"]

We don't give a/b's for routine ops eg neuterings and seem to have very few problems.... It made me look more thoroughly into our scrubbing technique and everyone else's eg vets and nurses... we always wear gloves for preping/ scrubbing etc and if any signs of pyoderma, for example, we will use them then.

I'm very happy now not using them, but it took abit of getting use to.

[/quote]

Same in the practice i work in. We dont routinely give antibiotics unless any signs of skin problems. Things like bitch/cat spays get pain relief. However the practice i used to work in was a larger hospital practice and everything even cat castrates got antibiotics! Im in a one vet practice now and it did take some getting used to as hard habit to break!!

Re: Antibiotics/Routine Surgery

starbucks — Mon, 16 Mar 2009 19:13:26 GMT

We dont use antibiotics on routine ops, never had a problem!!!

Re: Antibiotics/Routine Surgery

Mrs Dot Dot — Mon, 16 Mar 2009 19:03:03 GMT

I'm very happy now not using them, but it took abit of getting use to.

Re: Antibiotics/Routine Surgery

Lisa Molyneaux — Mon, 16 Mar 2009 14:40:05 GMT

Howdy,

have worked in clinics and london and here in ireland, 1 clinic in london NEVER used then, others did. others used then during and sent home with. here in ireland they get a jab of long acting. i know some clinics give jab and send home on abs....does that sound right, my brain is muddled today....

Re: Antibiotics/Routine Surgery

Kerry Spain — Mon, 16 Mar 2009 13:58:58 GMT

Everything gets analgesia and antibiotics

Re: Antibiotics/Routine Surgery

nmenaul — Mon, 16 Mar 2009 13:54:26 GMT

We always use them.

Re: Antibiotics/Routine Surgery

Gillian Mostyn — Sun, 15 Mar 2009 23:34:59 GMT

[quote user="Faye Eaton"]We have "older" vets who do[/quote]

I'll just go collect my pension then.......lol

Re: Antibiotics/Routine Surgery

Steph Worsley — Sun, 15 Mar 2009 22:50:15 GMT

in all the practices i've worked in we have always used a long acting ab for routines, dont think I would now though, especially since we hardly use them routinely following surgery where I am now (referral) only when it's indicated on bloods or high risk of peritionitis etc

I can say for definate that for arthroscopy in humans they dont gives ab's

Re: Antibiotics/Routine Surgery

Anonymous — Sun, 15 Mar 2009 22:16:13 GMT

we dont for routine ops. if ops room clean enough and practice standards high then should be no need to . x

Re: Antibiotics/Routine Surgery

lskm 23 — Sun, 15 Mar 2009 21:40:57 GMT

We dont use antibiotics for routine ops. Never had any problems

Re: Antibiotics/Routine Surgery

Faye Sewell — Sun, 15 Mar 2009 21:15:04 GMT

We have "older" vets who do and one "newer" vet who wont use them on routine!

Cant say we have had any problems so far!

Re: Antibiotics/Routine Surgery

Sandra Taylor RVN, MBVNA — Sun, 15 Mar 2009 21:09:30 GMT

[quote user="hissycat"]

always give long acting abs, though I know this is deemed unnecessary now especially if aseptic technique is up to scratch. What do they do with humans? elective cosmetic procedures and things?

[/quote]

I am not quite sure what they do in human elective procedures or small ops, but would imagine that they only give them out if absoluteluy necessary, afterall that is one of the reasons why we now have superbugs, due to the over prescribing of antibiotics and people not finishing the course.