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November 28, 2025Journal of Pediatric Orthopaedics

Are We on the Same Page? Defining Consensus for Pediatric Open Fracture Management Among Level 1 Pediatric Trauma Centers

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Authors

KLKristin S LivingstonESEmi SchwabSDShanika DeSilva

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Overview

Survey identifies antibiotic timing and selection insights in pediatric trauma centers, suggesting variability in outcomes.

Key Points

  • Forty-seven percent of centers consistently administered IV antibiotics within one hour of ED presentation.
  • Eighty-eight percent of surveyed centers had formal protocols for antibiotic selection based on Gustilo-Anderson type.
  • Analysis showed a clear consensus for antibiotic choice in GA-type 1 and GA-type 2 but significant variability in GA-type 3.
  • This highlights the need for improved standardization in pediatric-specific injury management protocols.

Cite This Study

Livingston et al. (2025) studied this question.

synapsesocial.com/papers/6928f11ba65b730b9ea7a1e5https://doi.org/10.1097/bpo.0000000000003146
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