What are the optimal prophylactic antibiotics for patients with neurogenic bladder who are undergoing spine surgery?

Author: Dolors Rodriguez-Pardo

RECOMMENDATION: The recommended standard perioperative antibiotic prophylaxis in spine surgery is cefazolin, but a broader-spectrum prophylaxis may be necessary in patient subpopulations more prone to acquiring surgical site infections (SSIs). In the case of neurogenic bladder, preoperative urine culture and individualized antibiotic prophylaxis are associated with a signifi cant decrease in SSIs due to gram-negative bacilli (GNB). LEVEL OF

EVIDENCE: Moderate

DELEGATE VOTE: Agree: 79%, Disagree: 14%, Abstain: 7% (Super Majority, Strong Consensus)