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  6. Paediatric Plastic Surgery Trauma & Infection Antimicrobial Guidelines (1277)

Paediatric Plastic Surgery Trauma & Infection Antimicrobial Guidelines (1277)

A guideline is intended to assist healthcare professionals in the choice of disease-specific treatments.

Clinical judgement should be exercised on the applicability of any guideline, influenced by individual patient characteristics. Clinicians should be mindful of the potential for harmful polypharmacy and increased susceptibility to adverse drug reactions in patients with multiple morbidities or frailty.

If, after discussion with the patient or carer, there are good reasons for not following a guideline, it is good practice to record these and communicate them to others involved in the care of the patient.

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Editorial Information

Last reviewed: 28/04/2026

Next review date: 28/02/2029

Author(s): Shahad Abbas, Lewis Dingle.

Version: 1

Approved By: Antimicrobial Utilisation Committee

Document Id: 1277

References
  1. UK Paediatric Antimicrobial Stewardship (UK-PAS) Antimicrobial Paediatric Prescribing Summary. https://uk-pas.co.uk/Antimicrobial-Paediatric-Summary-UKPAS.pdf
  2. UK Paediatric Antimicrobial Stewardship (UK-PAS) V6 IVOS Tool. https://uk-pas.co.uk/wp-content/uploads/2024/01/Paediatric-IV-to-oral-switch-decision-aid_-Jan-2024.pdf
  3. Nicholas M Brown, Anna L Goodman, Carolyne Horner, Abi Jenkins, Erwin M Brown, Treatment of methicillin-resistant Staphylococcus aureus(MRSA): updated guidelines from the UK, JAC-Antimicrobial Resistance, Volume 3, Issue 1, March 2021, dlaa114, https://doi.org/10.1093/jacamr/dlaa114
  4. NHS GGC Empiric infection management, Primary Care, Paediatric (227) https://clinicalguidelines.scot.nhs.uk/ggc-paediatric-guidelines/ggc-paediatric-guidelines/infectious-disease/empiric-infection-management-primary-care-paediatric-227/
  5. NHS GGC Antibiotic Prophylaxis for Paediatric Surgery (228) https://clinicalguidelines.scot.nhs.uk/ggc-paediatric-guidelines/ggc-paediatric-guidelines/anaesthetics/antibiotic-prophylaxis-for-paediatric-surgery-228/
  6. NHS GGC Infection management guideline: empirical antibiotic therapy in children https://rightdecisions.scot.nhs.uk/media/2534/263098_3_1_inf-mgmt_empirical-antibiotic-ther_children_s.pdf
  7. BSSH Trauma Standards 10- Flexor Sheath Infection https://www.bssh.ac.uk/_userfiles/pages/files/professionals/Trauma%20standards/10%20Flexor%20sheath%20infection.pdf
  8. NICE guidance on complex fracture- specifically states that guideline refers to children (under 16) and adults (over 16). https://www.nice.org.uk/guidance/ng37/resources/fractures-complex-assessment-and-management-pdf-1837397402053
  1. UKPAS Antimicrobial summary for prophylaxis for Open Fractures. https://uk-pas.co.uk/Antimicrobial-Paediatric-Summary-UKPAS.pdf
  2. BOAST 4 Guideline 2017. https://www.boa.ac.uk/static/3b91ad0a-9081-4253-92f7d90e8df0fb2c/29bf80f1-1cb6-46b7-afc761119341447f/open%20fractures.pdf
  3. ESPID 2017 Bone and joint infection https://www.espid.org/content.aspx?Group=links&Page=espid%20guidelines