Pseudomembranous colitis associated with antibiotic prophylaxis in orthopaedic surgery

J Bone Joint Surg Br. 1988 Aug;70(4):600-2. doi: 10.1302/0301-620X.70B4.3403605.

Abstract

We report 16 orthopaedic patients who had antibiotic-associated diarrhoea (pseudomembranous colitis) after operation. There was an association with the use of cephradine and with the prolongation of prophylaxis for more than three peri-operative doses. Five cases occurred as a cluster, suggesting that the causative agent, Clostridium difficile, may be infectious in some situations.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cefuroxime / adverse effects
  • Cefuroxime / therapeutic use
  • Cephalosporins / adverse effects*
  • Cephradine / adverse effects*
  • Cephradine / therapeutic use
  • Enterocolitis, Pseudomembranous / etiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orthopedics*
  • Postoperative Complications*
  • Premedication / adverse effects*

Substances

  • Cephalosporins
  • Cephradine
  • Cefuroxime