What perioperative antibiotic prophylaxis should be used in patients undergoing arthroscopic surgery without the use of implants or grafts? What about patients with non-anaphylactic or anaphylactic penicillin allergy?

Authors: Raul García-Bógalo, Sachin Tapasvi, L. Horna-Castineira, Shantanu Patil

RECOMMENDATION: The literature neither supports nor refutes the use of antibiotic prophylaxis for routine arthroscopic surgeries, without the use of implants or grafts. For non-compromised, non-implant arthroscopy, antibiotic prophylaxis is not required. Patients with comorbidities which have been shown to cause higher risk for infection may benefit from antibiotic prophylaxis. A first-generation (cefazolin) or a second generation (cefuroxime) cephalosporin can be used as first line, including for those with a non-anaphylactic penicillin allergy. For patients with an anaphylactic penicillin allergy, other antibiotics such as vancomycin, clindamycin or teicoplanin can be used.


DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)