Open Long Bone Fracture Clinical Pathway — Emergency Department
Fracture Type | First-line Antibiotics | Second-line Antibiotics For severe penicillin or cephalosporin allergy |
Duration | Comments |
---|---|---|---|---|
I or II |
|
|
24 hours |
|
III A,B, or C |
|
|
|
|
Footnote
- Assess the nature of the penicillin allergy per the Clinical Pathway for the Assessment of Children with a Penicillin Drug Allergy. Patients with non-severe penicillin allergies (including hives) can receive cefazolin. Severe penicillin allergy includes any of the following: anaphylaxis, angioedema, cardiac arrest, respiratory distress, severe cutaneous reaction (for example, Stevens Johnson syndrome, erythema multiforme, DRESS and TEN). All other reactions considered non-severe and should receive the recommended antibiotic.
References