May 27, 2026 · Journal of orthopaedic trauma · DOI: 10.1097/BOT.0000000000003229

Single Antibiotic Use with Ceftriaxone for Prophylaxis of All Open Fractures

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The authors aimed to evaluate the effectiveness of a prophylactic antibiotic protocol using ceftriaxone for all open fractures compared to a traditional regimen that varied based on fracture type. Their findings indicated that ceftriaxone was non-inferior to the classic protocol regarding deep infection rates and was associated with a shorter time to antibiotic administration, suggesting it may be a safe and efficient standard for treating open fractures. However, the study's power was limited to detect significant differences in deep infection rates.

Michael W Koulopoulos, Alison Buseck, Conor P Lynch, Katherine Lutz, Olivia Brand, Eleanor Sommers, Isaiah Pompo, Andrew Laychur, Jacob Vaughn, Kenneth Mann, Matthew P Sullivan

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